CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Jacksonville Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $430
Cash Discount Price: $782
vs. Medicare Baseline: 4.84x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Jacksonville Memorial Hospital is $430. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $782. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.84x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$782

Average discount available for prompt cash payment at this facility.

Insurance Median

$430

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: $782 (880%)

Insurance Median: $430 (484%)

Cash: $782 (880% of Medicare)

Ins. Median: $430 (484% 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 484% of the Medicare baseline (a markup of 384%). 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	$35 - $782	39%
Tricare	$36 - $143	40%
Coventry	$37 - $123	42%
Health Alliance	$37 - $532	42%
Humana	$37 - $667	42%
Medicare (plans)	$37 - $123	42%
UnitedHealthcare	$39 - $563	44%
Corvel/Corcare	$99 - $182	111%
Illinois Workers Compensation	$106 - $259	119%
Medicaid / KanCare	$110	124%
Molina Healthcare	$110	124%
Commercial Workers Compensation	$246	277%
Health Alliance Mh Employee Plan	$360	405%
Current Health Network	$430 - $586	484%
6 Degrees Health	$469	527%
Hope Trust	$469	527%
Hst	$469	527%
Cigna	$542	610%
Aetna	$547 - $626	615%
Healthlink	$665	748%
Phcs/Multiplan	$704	792%
Hfn	$743	836%
Liability	$782	880%

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 $782.
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 Jacksonville Memorial 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.