CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Snoqualmie Valley Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $102
Cash Discount Price: $227
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Snoqualmie Valley Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.15x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$227

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $227 (255%)

Insurance Median: $102 (115%)

Cash: $227 (255% of Medicare)

Ins. Median: $102 (115% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Community Health Plan Of Wa Mcd Rep	$24 - $318	27%
Medicaid / KanCare	$24 - $318	27%
UnitedHealthcare	$24 - $627	27%
Amerigroup Wellpoint	$25 - $337	28%
Molina Healthcare Of Washington Mcd Rep	$26 - $343	29%
Washington Coordinated Care	$26 - $343	29%
Aetna	$42 - $396	47%
Humana	$43 - $290	48%
Blue Shield Of Wa Regence Mcr Adv	$46 - $290	52%
Community Health Plan Of Wa	$46 - $293	52%
Medicare (plans)	$46 - $287	52%
Molina Healthcare Of Washington Mcr Adv	$46 - $287	52%
Molina Healthcare Of Washington	$47 - $293	53%
First Choice Health Network	$49 - $477	55%
Blue Cross Blue Shield	$54 - $409	61%
Blue Shield Of Wa Regence	$55 - $125	62%
Kaiser Foundation Health Plan Of The Northwest	$63 - $429	71%
Cigna	$80 - $545	90%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $227.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Snoqualmie Valley Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.