CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $100
  • Cash Discount Price: $1,432
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Southern Hills Hospital and Medical Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,432. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.12x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$1,432

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $1,432 (1611%)
Insurance Median: $100 (112%)
Cash: $1,432 (1611% of Medicare)
Ins. Median: $100 (112% 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.

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
Blue Cross Blue Shield $7 - $127 8%
Sierra Hpn $12 - $38 13%
Community Care Health $12 - $38 13%
Molina Healthcare $12 - $40 13%
Ambetter / Centene $13 - $455 15%
United $59 - $473 66%
Aetna $61 - $62 69%
Legacy Provider Network $90 101%
Corvel $95 - $100 107%
Olympus Medsave USA $100 - $1,627 112%
Sierra $140 157%
Select Health $185 - $500 208%
Cigna $201 - $452 226%
Prominence Healthfirst $256 - $651 288%
Cmn Global $359 - $911 404%
Evernorth $428 - $1,084 481%
Nv Health & Welfare Trust $513 - $1,301 577%
Multiplan $539 - $1,583 606%
First Health $564 - $1,735 634%
Medcare International $641 - $1,627 721%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals