CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Community First Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $93
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Community First Medical Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in 5645 W Addison Street, Chicago, IL.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

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: $230 (259%)
Insurance Median: $93 (105%)
Cash: $230 (259% of Medicare)
Ins. Median: $93 (105% 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
Blue Cross Blue Shield $69 - $157 78%
Aetna $70 - $461 79%
Beacon Mcaid Op Only $70 79%
Cchhs Mcaid $70 79%
County Care Mcaid - All Plans $70 79%
Harmony Mcaid $70 79%
Meridian Mcaid $70 79%
Molina Mcaid $70 79%
Humana $84 - $230 94%
Beacon Mcr Op Only - All Other Plans $93 105%
Harmony Mcr Adv - All Other Plans $93 105%
Meridian Mcr Adv - All Other Plans $93 105%
Molina Marketplace - All Other Plans $93 105%
Molina Mcr Adv $93 105%
Zing Hlth Mcr Adv - All Plans $93 105%
UnitedHealthcare $100 112%
Cigna $146 - $318 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5645 W Addison Street, Chicago, IL 60634
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals