CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mercy Health Saint Mary's

Billing Code: 72040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 0.3× the $89 Medicare rate · typically $13–$57
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $28 Hospital's list price $156

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $7 - $288 8%
Blue Cross Blue Shieldmajor $7 - $85 8%
Aetnamajor $7 - $228 8%
Cignamajor $7 - $210 8%
Humanamajor $7 - $288 8%
Kaiser Permanentemajor $81 91%
Ambetter (Centene) $7 8%
AmeriHealth $13 - $219 15%
CareSource $188 211%
Clover Health $10 11%
Dean Health Plan $14 - $210 16%
GEHA $13 - $219 15%
Health Net $7 - $16 8%
HealthPartners $7 - $10 8%
MagnaCare $13 15%
Medical Mutual $13 - $101 15%
Meridian $7 - $10 8%
Molina $7 - $113 8%
MVP Health Care $14 - $210 16%
Oscar Health $14 - $111 16%
Paramount $7 - $210 8%
Presbyterian $7 - $10 8%
Priority Health $17 - $112 19%
Tufts Health Plan $7 - $10 8%
UniCare $13 - $219 15%
WellMed $10 11%
WellSense $7 8%
+ 429 smaller / regional plans $7 - $288
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals