CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Hancock Regional Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $500
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 5.62x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Hancock Regional Hospital is $500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.62x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$500

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: $500 (562%)
Insurance Median: $500 (562%)
Cash: $500 (562% of Medicare)
Ins. Median: $500 (562% 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 562% of the Medicare baseline (a markup of 462%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $17 - $467 19%
Mhs/Mdwise Mcaid-All Plans $17 19%
UnitedHealthcare $17 - $484 19%
Iu Health Mcr Adv $92 103%
Triwest - All Plans $92 103%
Va Ccn - All Plans $92 103%
Caresource Mcr Adv $94 106%
Beech Street Mcr Adv $95 107%
Humana $95 - $594 107%
Allwell Mcr Adv - All Plans $97 109%
Communicare Mcr Adv - All Plans $97 109%
Ambetter / Centene $184 207%
Caresource Comm - All Other Plans $230 259%
Iu Health-All Other Plans $253 285%
Ascension - All Plans $469 527%
Aetna $475 - $625 534%
Cigna $500 562%
Encore Encircle $500 562%
Hancock Phys Network-All Plans $500 562%
Unified Group Services- All Plans $500 562%
Advantage Self Funded Ppo-All Other Plans $512 576%
Healthmark/Healthchoice-All Plans $512 576%
Sagamore-All Plans $512 576%
Encore-All Other Plans $531 597%
Consumers Life-All Plans $550 619%
St Vincent Cmo-All Plans $550 619%
Siho-All Plans $562 632%
Great West-All Plans $575 647%
Savility - All Plans $575 647%
Cofinity/Ppom - All Plans $581 653%
First Health/Coventry-All Plans $588 661%
Mail Handlers-All Plans $588 661%
Golden Rule Ins-All Plans $594 668%
Indiana Health Network-All Plans $594 668%
Phcs-All Plans $594 668%
Beech Street Ppo - All Other Plans $600 675%
Comm Hlth Alliance - All Plans $606 682%
Multiplan-All Plans $612 688%
Advantage Preferred Plus $625 703%
Healthy Indiana Plan-All Plans $625 703%
Copps - All Plans $1,287 1448%
Pro Health - All Plans $1,875 2109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals