CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $59
Cash Discount Price: $112
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Morris Hospital & Healthcare Centers is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.66x the Medicare baseline. Located in 150 W High St, Morris, IL.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $112 (126%)

Insurance Median: $59 (66%)

Cash: $112 (126% of Medicare)

Ins. Median: $59 (66% 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
UnitedHealthcare	$8 - $694	9%
Aetna	$10 - $553	11%
Choicecare Hum Mcr Ppo	$10 - $93	11%
Choicecare Hum Othr - All Other Plans	$10 - $721	11%
Health Alliance Mcr Adv	$11 - $96	12%
Cigna	$12 - $676	13%
Capp Care Ppo-Oth	$13 - $432	15%
Caterpillar - All Plans	$13 - $405	15%
Multiplan Prime Ntwrk	$15 - $721	17%
Ambetter / Centene	$16 - $631	18%
Health Alliance - All Other Plans	$17 - $766	19%
Multiplan - All Other Plans	$17 - $721	19%
Blue Cross Blue Shield	$23 - $432	26%
Hfn All Plans - All Plans	$24 - $766	27%

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 $112.
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 Morris Hospital & Healthcare Centers 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.