CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $58
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Munson Healthcare Cadillac Hospital is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.65x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$227

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: $227 (255%)
Insurance Median: $58 (65%)
Cash: $227 (255% 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 $7 - $72 8%
Mclaren Health Plan $7 - $276 8%
Meridian $7 - $45 8%
Molina $7 - $94 8%
Priority Health $7 - $97 8%
UnitedHealthcare $7 - $272 8%
American Health Associates $10 - $87 11%
Autumnwood Of Mcbain Skilled Nursing $10 - $87 11%
Blue Care Network $10 - $87 11%
Hap (Health Alliance Plan) $10 - $351 11%
Humana $10 - $87 11%
Medicare (plans) $10 - $87 11%
Michigan Amish Medical Board $10 - $87 11%
Promedica $10 - $87 11%
Samaritas Senior Living Skilled Nursing $10 - $87 11%
Wellcare (Meridian) $10 - $87 11%
Aetna $14 - $334 16%
Cofinity $14 - $342 16%
Provider Network Of America Group Health $14 - $373 16%
Asr/Physicians Care $15 - $351 17%
Cigna $16 - $97 18%
Employee Benefits Logistics $17 - $147 19%
Hospice Of Michigan $58 - $263 65%
Munson Hospice $67 - $852 75%
Enterprise Group Planning/Employee Benefit Plan $77 - $351 87%
Medical Cost Savings Solution $77 - $351 87%
Nomi Health $77 - $351 87%
Robbing Group And Regency Employee Benefits $77 - $351 87%
First Health/Coventry Network $82 - $373 92%
Three Rivers Provider Network $82 - $373 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals