CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Henry County Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $70
Cash Discount Price: $214
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Henry County Memorial Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.79x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$214

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $214 (241%)

Insurance Median: $70 (79%)

Cash: $214 (241% of Medicare)

Ins. Median: $70 (79% 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
UnitedHealthcare	$9 - $431	10%
Aetna	$10 - $450	11%
Blue Cross Blue Shield	$10 - $406	11%
Caresource Hip	$10 - $93	11%
Caresource Mcr Adv	$10 - $95	11%
Humana	$10 - $466	11%
Caresource Marketplace-All Other Plans	$13 - $177	15%
Caresource Just4Me	$15 - $233	17%
Encore Workers Comp-All Plans	$17 - $503	19%
Caresource Mcaid	$18 - $37	20%
Cigna	$41 - $360	46%
Health Alliance-All Plans	$70 - $450	79%
Workers Comp - All Plans	$74 - $477	83%

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 $214.
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 Henry County 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.