CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: UW Health

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $40
Cash Discount Price: $24
vs. Medicare Baseline: 0.45x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at UW Health is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.45x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $24 (27%)

Insurance Median: $40 (45%)

Cash: $24 (27% of Medicare)

Ins. Median: $40 (45% 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
Aetna	$13 - $499	15%
Blue Cross Blue Shield	$13 - $342	15%
Medicaid / KanCare	$13 - $77	15%
UnitedHealthcare	$23 - $531	26%
Hfn	$25 - $544	28%
Humana	$27 - $89	30%
Medicare (plans)	$27 - $98	30%
Mychoice Wi Medical Adv	$27 - $89	30%
Ecoh	$28 - $544	31%
Quartz Aso	$33 - $377	37%
Quartz Fully Insured	$33 - $240	37%
Cigna	$44 - $551	49%
Wps	$57 - $75	64%
Alliance Premier Network	$58 - $377	65%
Workers Comp	$60 - $119	67%
The Alliance	$63 - $485	71%
Beloit Healt System	$66 - $624	74%
Mercy Care	$79 - $105	89%
Wps Ppo	$534	601%
Mercycare	$645	725%
First Health/Coventry	$679	764%
Health Payment Systems	$806	907%
Healthsmart	$806	907%
Sheboygan Employers Health Network	$860	967%
Multiplan	$961	1081%

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 $24.
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 UW Health 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.