CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: University of Michigan Health System

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $33
  • Cash Discount Price: $184
  • vs. Medicare Baseline: 0.37x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at University of Michigan Health System is $33. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.37x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$184

Average discount available for prompt cash payment at this facility.

Insurance Median
$33

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: $184 (207%)
Insurance Median: $33 (37%)
Cash: $184 (207% of Medicare)
Ins. Median: $33 (37% 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
Aetna $7 - $333 8%
Ambetter / Centene $7 - $25 8%
Amerihealth Michigan Inc $7 - $26 8%
Blue Cross Blue Shield $7 - $231 8%
Buckeye Community Health Plan $7 - $25 8%
Hap Midwest $7 - $25 8%
Mclaren Health Plan Inc $7 - $321 8%
Medicaid / KanCare $7 - $252 8%
Molina Healthcare Of Michigan Inc $7 - $33 8%
Priority Health $7 - $504 8%
UnitedHealthcare $7 - $368 8%
Blue Care Network Of Michigan $9 - $231 10%
Health Alliance Plan $9 - $33 10%
Humana $9 - $33 10%
Huron Valley Pace $9 - $31 10%
Medicare (plans) $9 - $33 10%
Medigold Trinity Health Plan Of Michigan $9 - $33 10%
Meridian Health Plan Of Michigan Inc $9 - $33 10%
Paramount Elite-Ohio $9 - $33 10%
Paramount Health Care $9 - $418 10%
Thome Pace $9 - $33 10%
Triwest $9 - $33 10%
Veteran Affairs Community Care Program $9 - $33 10%
Zing Health $9 - $34 10%
Employee Benefit Logistic $15 - $56 17%
Point Comfort Underwriters Unaccompanied Children Program $19 - $217 21%
Metrocare $21 - $237 24%
Priority Health [1038] $21 - $338 24%
Hap [1023] $25 - $378 28%
Plain Church Group $27 - $302 30%
First Health $29 - $390 33%
Cofinity $30 - $350 34%
Confinity Advantage $30 - $333 34%
Beaumont Health Network $32 - $353 36%
Nomi Health $32 - $353 36%
Provider Network Of America $32 - $353 36%
First Agency $34 - $378 38%
Parkview Health Plan Services $34 - $378 38%
Bronson Healthcare Group $38 - $428 43%
Multiplan $38 - $428 43%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals