CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: East Morgan County Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $111
  • Cash Discount Price: $162
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at East Morgan County Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$162

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $162 (182%)
Insurance Median: $111 (125%)
Cash: $162 (182% of Medicare)
Ins. Median: $111 (125% 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
Aetna $10 - $437 11%
Banner Health $10 - $202 11%
Blue Cross Blue Shield $10 - $386 11%
Clear Spring Health $10 - $202 11%
Healthspring Life & Health Insurance Company, Inc. $10 - $202 11%
Medica $10 - $392 11%
Medicare (plans) $10 - $202 11%
Pinnacol Assurance Workers Comp $10 - $198 11%
Triwest Healthcare Alliance Corp - Va Ccn $10 - $202 11%
UnitedHealthcare $10 - $437 11%
Devoted Health Services $11 - $222 12%
Humana $11 - $214 12%
Longevity $11 - $208 12%
Assist Health Group $12 - $243 13%
Denver Health Medical Plan $19 - $376 21%
Apostrophe, Inc. $22 - $423 25%
First Choice Health Network $22 - $423 25%
Hue Health, Inc $23 - $446 26%
Multiplan $23 - $456 26%
Rocky Mountain Health Plans $23 - $446 26%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals