CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $250
Cash Discount Price: $268
vs. Medicare Baseline: 2.81x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Uofl Health - Shelbyville Hospital is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $268. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.81x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$268

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

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: $268 (301%)

Insurance Median: $250 (281%)

Cash: $268 (301% of Medicare)

Ins. Median: $250 (281% 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 281% of the Medicare baseline (a markup of 181%). 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	$66 - $303	74%
Humana	$76 - $119	85%
Senior Care Communty Of Ky	$80	90%
Cigna	$83	93%
Essence Health	$83	93%
Va Ccn	$83	93%
Devoted	$84	94%
Signature	$85 - $352	96%
Communicare	$87	98%
Passport	$87 - $352	98%
Velocity	$99 - $690	111%
Key Benefit Administrators	$107	120%
Wellcare	$111 - $113	125%
UnitedHealthcare	$113 - $336	127%
Aetna	$119	134%
Prime Group Health	$250 - $598	281%
Encore	$422	475%
Multiplan	$465 - $634	523%
Omca	$669	752%
Corvel	$704	792%
Cshn	$704	792%
Health Smart	$704	792%
National Comp Care	$704	792%

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 $268.
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 Uofl Health - Shelbyville 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.