CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Northwestern Medicine Central Dupage Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $571
Cash Discount Price: $666
vs. Medicare Baseline: 6.42x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Northwestern Medicine Central Dupage Hospital is $571. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $666. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.42x the Medicare baseline. Located in 25 North Winfield Road, Winfield, IL.

Cash / Self-Pay

$666

Average discount available for prompt cash payment at this facility.

Insurance Median

$571

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: $666 (749%)

Insurance Median: $571 (642%)

Cash: $666 (749% of Medicare)

Ins. Median: $571 (642% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 642% of the Medicare baseline (a markup of 542%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$66 - $951	74%
Countycare Il Cook Co [1607]	$66	74%
Medicaid / KanCare	$66	74%
Aetna	$136 - $548	153%
Carelon Behavioral Health [159]	$476	535%
Health'S Finest Network [126]	$476 - $867	535%
Multiplan/Phcs [142]	$546 - $951	614%
Dreyer Med Ipa Advocate [1409]	$571	642%
Humana	$571 - $951	642%
Magellan Behavioral Hlth [136]	$571	642%
Healthlink [125]	$599	674%
The Alliance [1703]	$611	687%
Choicecare [177]	$728	819%
First Health Plan [6034]	$731	822%
Cigna	$761	856%
Compsych [112]	$761	856%
UnitedHealthcare	$951	1070%

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 $666.
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 Northwestern Medicine Central Dupage Hospital 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.