CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: The Women's Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $41
  • Cash Discount Price: $262
  • vs. Medicare Baseline: 0.46x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at The Women's Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.46x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$262

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $262 (295%)
Insurance Median: $41 (46%)
Cash: $262 (295% of Medicare)
Ins. Median: $41 (46% 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
Chamber Care $10 - $311 11%
Immergrun $12 - $186 13%
Aetna $13 - $296 15%
Blue Cross Blue Shield $13 - $297 15%
Meridian Health Il $13 - $81 15%
Molina Il $13 - $81 15%
Encorecombined $16 - $311 18%
Encoreprime $16 - $302 18%
Humana $16 - $102 18%
Passport Molina Ky $16 - $102 18%
UnitedHealthcare $16 - $355 18%
Wellcare Ky $16 - $102 18%
Caresource Hip $17 - $36 19%
Caresource In $17 - $36 19%
Mdwise Hip $17 - $36 19%
Mhs Behavioral $17 - $36 19%
Caresource $26 - $81 29%
Iu Health $26 - $222 29%
Mhs $26 - $81 29%
Molina Ky $26 - $81 29%
Molina Ky Dual $26 - $81 29%
Patoka Valley Health Care (80/20 Plan) $26 - $275 29%
Patoka Valley Health Care (90/10 Plan) $26 - $266 29%
Ambetter / Centene $30 - $126 34%
Amish $32 - $58 36%
Caresource Marketplace (Just4Me) $34 - $122 38%
One Care $34 - $311 38%
Hst $35 - $122 39%
Alliance Coal $36 - $308 40%
Allied National/Zelis - Freedom Plan $36 - $198 40%
Claimdoc $37 - $117 42%
Self Pay $39 - $262 44%
Hope Trust $41 - $134 46%
Noncontracted $41 - $130 46%
Cigna $44 - $320 49%
Claritev (Formerly Phcs/Mulitplan) $44 - $306 49%
First Health/Coventry $44 - $329 49%
Healthlink $44 - $378 49%
Sagamore $44 - $320 49%
Center Care $67 - $346 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals