CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mc Donough District Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $70
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mc Donough District Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.79x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$180

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $180 (202%)
Insurance Median: $70 (79%)
Cash: $180 (202% of Medicare)
Ins. Median: $70 (79% 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
Health Alliance $6 - $471 7%
Aetna $10 - $529 11%
Hfn $10 - $476 11%
Humana $10 - $476 11%
Medicaid / KanCare $10 - $529 11%
Medicare (plans) $10 - $98 11%
Meridian $10 - $98 11%
Molina $10 - $529 11%
Mutual Medical $10 - $529 11%
UnitedHealthcare $10 - $476 11%
Veteran Affairs $10 - $98 11%
Springfield Health $57 - $434 64%
Consociate $60 - $450 67%
Trilogy $60 - $450 67%
Blue Choice $63 - $476 71%
Current Health $63 - $476 71%
Healthlink $63 - $497 71%
Preferred Plan $66 - $503 74%
Blue Cross Blue Shield $70 - $529 79%
Tricare $92 103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals