CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Saint Joseph Mount Sterling

Billing Code: 72040 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$118

about 1.3× the $89 Medicare rate · typically $65–$193

modeled estimate · not a bill or quote

What this hospital charges insurers

$117

About the fair price

about $1 under the fair price · 1.3× Medicare

Medicare pays $89 Fair price $118 This hospital $117 Cash price $183 Hospital's list price $500

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $117

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, neck (cervical spine) is about $118 (about 1.3× the $89 Medicare rate). Saint Joseph Mount Sterling charges insurers about $117, or about $183 in cash — about the fair price. Located in Mount Sterling, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$84 - $250	94%
Blue Cross Blue Shieldmajor	$83 - $121	93%
Aetnamajor	$85 - $335	96%
Humanamajor	$83 - $215	93%
CareSource	$166	187%
Molina	$87 - $117	98%
WellCare	$83 - $105	93%

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 183), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72040.

Insurance Before you use insurance

Call your insurance company to confirm Saint Joseph Mount Sterling is in-network.
Ask your insurer whether prior approval is required for CPT code 72040.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Joseph Mount Sterling

Compare: X-ray, neck (cervical spine) at other KY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.