CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Decatur County Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $108
Cash Discount Price: $263
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Decatur County Memorial Hospital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.21x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$263

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $263 (296%)

Insurance Median: $108 (121%)

Cash: $263 (296% of Medicare)

Ins. Median: $108 (121% 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
Aetna	$10 - $283	11%
Blue Cross Blue Shield	$10 - $244	11%
Caresource Mcr Adv	$10 - $114	11%
Choice Care Mcr Adv	$10 - $108	11%
Choicecare Commercial-All Other Plans	$10 - $347	11%
Encircle-All Plans	$10 - $255	11%
Siho Mcr Adv	$10 - $108	11%
Thcg/Encore-All Plans	$10 - $351	11%
UnitedHealthcare	$10 - $328	11%
Caresource Just4Me-All Other Plans	$11 - $184	12%
Cigna	$12 - $287	13%
Medicaid / KanCare	$17 - $36	19%
Siho-All Other Plans	$48 - $362	54%
Sagamore Health-All Plans	$54 - $298	61%
Healthsource Indiana-All Plans	$61 - $336	69%

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 $263.
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 Decatur 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.