CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Johnson Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $108
  • Cash Discount Price: $199
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Johnson Memorial Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.21x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$199

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $199 (224%)
Insurance Median: $108 (121%)
Cash: $199 (224% of Medicare)
Ins. Median: $108 (121% 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 $79 - $102 89%
Blue Cross Blue Shield $83 - $108 93%
Connecticut Dept Of Correction $96 108%
1199 National Benefit Fund $99 111%
Allied Benefit Systems $99 111%
Gravie Admin Services $99 111%
Hap $99 111%
Luminare Health $99 111%
Meritain $99 111%
Nippon Life Ins $99 111%
Webtpa $99 111%
Medicare (plans) $102 - $107 115%
UnitedHealthcare $102 - $361 115%
Cca Senior Care Options $104 117%
Cigna $105 - $282 118%
Bcn Domestic $108 121%
Blue Benefit Administrators Of Massachusetts $108 121%
Blue Care Network $108 121%
Blue Distinction Transplant $108 121%
Blue Shield - Ca $108 121%
Blue Shield - Id (Regence) $108 121%
Blue Shield - Ny Highmark Northeastern $108 121%
Blue Shield - Ny Highmark Western $108 121%
Blue Shield - Pa (Highmark) $108 121%
Blue Shield - Wa (Regence) $108 121%
Health Choices $108 121%
Kaiser Domestic $108 121%
Pre-Employment $108 121%
Unicare $108 121%
Wc Domestic $108 121%
Wellpoint $108 121%
Geha $128 144%
Harvard Pilgrim Healthcare $128 144%
Connecticare $129 - $162 145%
Fallon Health $136 153%
Claimdoc $219 246%
Diversified Administrators $219 246%
Innovative Health Plan Ii $219 246%
Allegiance $233 262%
Health Partners $233 262%
Magnacare $233 262%
Health New England $235 264%
Centivo $243 273%
Prime Health Services $289 325%
Allied National Global Care $300 337%
Asrm - Reliance Standard Life Insurance $300 337%
Christian Care Ministry $300 337%
Dean Health $300 337%
Family Life Insurance Company $300 337%
Ghc Scw $300 337%
International Benefit Administrators $300 337%
Lifetime Benefit Solutions $300 337%
Manhattan Life $300 337%
Medi Share $300 337%
Multiplan $300 337%
Mvp $300 337%
Pai $300 337%
Pan-American Life $300 337%
Paramount Hmo $300 337%
Phcs $300 337%
Trinity Health Share $300 337%
Health Smart $307 345%
United Behavioral Health Eap $361 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals