CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Deaconess Henderson Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $58
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Deaconess Henderson Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.65x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $146 (164%)
Insurance Median: $58 (65%)
Cash: $146 (164% of Medicare)
Ins. Median: $58 (65% 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
Blue Cross Blue Shield $13 - $276 15%
Wellcare Il $13 - $80 15%
Aetna $16 - $470 18%
Humana $16 - $388 18%
Medicaid / KanCare $16 - $97 18%
UnitedHealthcare $16 - $97 18%
Wellcare Ky $16 - $96 18%
Medicare (plans) $25 - $80 28%
Mhs Mco $25 - $80 28%
Molina Healthcare Of Ky $25 - $80 28%
Molina Healthcare Of Ky - Exchange $25 - $80 28%
Mytru Advantage $25 - $80 28%
Umwa $25 - $80 28%
Caresource In $26 - $36 29%
Center Care Narrow $26 - $276 29%
Center Care Open Access $26 - $301 29%
Caresource In Marketplace $32 - $120 36%
Wellcare Ky Commercial Exchange $32 - $164 36%
Alliance Coal $34 - $120 38%
Ky Racing Health & Welfare Fund $39 - $141 44%
Self-Pay $39 - $146 44%
Noncontracted $40 - $128 45%
Encircle/Encore Combined $41 - $281 46%
Encircle/Encore Prime $41 - $262 46%
First Health Network (Coventry) $44 - $412 49%
Healthlink $44 - $364 49%
Iu Health Plans $44 - $249 49%
Phcs/Multiplan $44 - $436 49%
Sagamore $44 - $427 49%
Cigna $67 - $310 75%
Claimdoc $67 - $291 75%
Hopetrust $67 - $192 75%
Hstechnology $67 - $192 75%
Amish And Mennonite Of Western Ky $72 - $120 81%
Coventry National Network $89 - $388 100%
Webster County Detention Center $89 - $388 100%
Henderson County Detention Center $100 - $436 112%
One Care $176 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals