CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Deaconess Illinois Crossroads

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $92
  • Cash Discount Price: $275
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Deaconess Illinois Crossroads is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$275

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $275 (309%)
Insurance Median: $92 (103%)
Cash: $275 (309% of Medicare)
Ins. Median: $92 (103% 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
Aetna $13 - $987 15%
Blue Cross Blue Shield $13 - $594 15%
Meridian Health Plan $13 - $92 15%
Molina Healthcare Of Illinois $13 - $93 15%
Wellcare $13 - $92 15%
UnitedHealthcare $25 - $725 28%
Humana $26 - $975 29%
Mytru Advantage $26 - $92 29%
Umwa $26 - $92 29%
Deaconess Onecare $34 - $687 38%
Alliance Coal $36 - $151 40%
Self-Pay $39 - $275 44%
Alter-Net Medical Services, Inc. $41 - $437 46%
Noncontracted $41 - $147 46%
Cigna $43 - $486 48%
Prime Health Services $83 - $937 93%
Guardian Resources, Inc. $93 - $1,050 105%
Care Improvement Plus $94 106%
Healthcare'S Finest Network (Hfn) $94 - $1,062 106%
Medicalcontrol Network Solutions $94 - $1,062 106%
National Provider Network $94 - $1,062 106%
Three Rivers Provider Network $97 - $1,087 109%
Beech Street $98 - $1,100 110%
Hope Trust $262 - $437 295%
Wexford Health Sources $562 - $875 632%
Encore Prime/Elite/Elite + $686 - $709 772%
Encore Combined $762 - $787 857%
Great West Healthcare Of Illinois $937 1054%
Multiplan - Primary Network - Phcs $981 1103%
Healthlink $1,000 - $1,062 1125%
Coventry Healthcare $1,052 1183%
First Health $1,052 1183%
Multiplan - Complementary Network $1,067 1200%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals