CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Chelsea Hospital
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $239
- Cash Discount Price: $233
- vs. Medicare Baseline: 2.69x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Chelsea Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.69x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$233
Average discount available for prompt cash payment at this facility.
Insurance Median
$239
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: $233 (262%)
Insurance Median: $239 (269%)
Cash: $233 (262% of Medicare)
Ins. Median: $239 (269% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 269% of the Medicare baseline (a markup of 169%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $46 - $85 | 52% |
| Medicaid / KanCare | $49 - $50 | 55% |
| Asr Health Benefits | $61 | 69% |
| Caresource | $61 | 69% |
| Hap | $61 - $279 | 69% |
| Varipro | $61 | 69% |
| Bcn Domestic | $75 | 84% |
| Blue Benefit Administrators Of Massachusetts | $75 | 84% |
| Blue Care Network | $75 | 84% |
| Blue Distinction Transplant | $75 | 84% |
| Blue Shield - Ca | $75 | 84% |
| Blue Shield - Id (Regence) | $75 | 84% |
| Blue Shield - Ny Highmark Northeastern | $75 | 84% |
| Blue Shield - Ny Highmark Western | $75 | 84% |
| Blue Shield - Pa (Highmark) | $75 | 84% |
| Blue Shield - Wa (Regence) | $75 | 84% |
| Health Choices | $75 - $239 | 84% |
| Kaiser Domestic | $75 | 84% |
| Priority Health | $82 - $91 | 92% |
| Aetna | $85 - $169 | 96% |
| Blue Care Network Advantage | $85 | 96% |
| Medicare (plans) | $85 - $87 | 96% |
| Align Senior Care | $87 | 98% |
| Angela Hospice | $87 | 98% |
| Arbor Hospice | $87 | 98% |
| Heartland Hospice | $87 | 98% |
| U Of M Health Plan | $87 | 98% |
| UnitedHealthcare | $90 - $241 | 101% |
| Cca - Zing Health | $92 | 103% |
| Wc Accident Fund | $95 | 107% |
| Wc Advantage | $95 | 107% |
| Wc Aig | $95 | 107% |
| Wc Allied | $95 | 107% |
| Wc Amerisure | $95 | 107% |
| Wc Amtrust | $95 | 107% |
| Wc Asu Risk Mgt | $95 | 107% |
| Wc Berkley Admin | $95 | 107% |
| Wc Broadspire | $95 | 107% |
| Wc Bunch & Associates | $95 | 107% |
| Wc Ccmsi | $95 | 107% |
| Wc Emc Insurance Company | $95 | 107% |
| Wc Esis | $95 | 107% |
| Wc Fcci | $95 | 107% |
| Wc Federated | $95 | 107% |
| Wc Gallagher Bassett | $95 | 107% |
| Wc Genex Care For Ohio | $95 | 107% |
| Wc Guard Insurance Company | $95 | 107% |
| Wc Hartford | $95 | 107% |
| Wc Liberty Mutual | $95 | 107% |
| Wc Meijers | $95 | 107% |
| Wc Michigan | $95 | 107% |
| Wc Mitchell Frankenmuth | $95 | 107% |
| Wc Pma | $95 | 107% |
| Wc Sedgwick | $95 | 107% |
| Wc Sentry | $95 | 107% |
| Wc Travelers | $95 | 107% |
| Wc Tristar | $95 | 107% |
| Wc Walmart | $95 | 107% |
| Wc Zurich | $95 | 107% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 | 110% |
| Geha | $101 - $241 | 114% |
| Meritain | $101 | 114% |
| Molina Marketplace | $113 | 127% |
| Health Cost Solutions | $135 | 152% |
| Vitalcore | $135 | 152% |
| Wellpath | $135 | 152% |
| Employee Benefit Logistic | $196 | 220% |
| Access Health | $239 | 269% |
| Acclaim | $239 | 269% |
| Administrative Concepts | $239 | 269% |
| Allegeant | $239 | 269% |
| Ameriben | $239 | 269% |
| American Family | $239 | 269% |
| American Healthcare Alliance | $239 | 269% |
| American National | $239 | 269% |
| American Republic | $239 | 269% |
| Amerihealth | $239 | 269% |
| Aultcare | $239 | 269% |
| Automated Benefit Services | $239 | 269% |
| Auxiant | $239 | 269% |
| Benefit Administrative Systems,Llc | $239 | 269% |
| Boon Chapman | $239 | 269% |
| Cam Administrative Services | $239 | 269% |
| Christian Brother Services | $239 | 269% |
| Christian Brothers Holy Cross | $239 | 269% |
| Comprehensive Benefits | $239 | 269% |
| Continental Life Insurance | $239 | 269% |
| Custom Benefit Administrators | $239 | 269% |
| Employee Benefit Concepts | $239 | 269% |
| Employee Benefit Management | $239 | 269% |
| Enterprise Group Planning | $239 | 269% |
| Freedom Life Insurance Company | $239 | 269% |
| Group Administrators | $239 | 269% |
| Group Marketing Services | $239 | 269% |
| Guardian | $239 | 269% |
| Health America | $239 | 269% |
| Healthcare Management Admin | $239 | 269% |
| Healthez | $239 | 269% |
| Humana | $239 | 269% |
| Insight | $239 | 269% |
| Intercare | $239 | 269% |
| Jfp Benefit Management | $239 | 269% |
| Jp Farley Corporation | $239 | 269% |
| Key Benefit Administrator | $239 | 269% |
| Liberty Union Life Assurance Co | $239 | 269% |
| Lucent Health | $239 | 269% |
| Luminare Health | $239 | 269% |
| Luminare Health (Detroit) | $239 | 269% |
| Magnacare | $239 | 269% |
| Medben | $239 | 269% |
| Medcost | $239 | 269% |
| Medical Mutual | $239 | 269% |
| Mutual Health Services | $239 | 269% |
| Mutual Of Omaha | $239 | 269% |
| Ncas | $239 | 269% |
| Nippon Life Ins | $239 | 269% |
| Nova | $239 | 269% |
| Painters Union Insurance Fund | $239 | 269% |
| Physicians Mutual | $239 | 269% |
| Plumbers Local 98 Insurance Fund | $239 | 269% |
| Prairie States | $239 | 269% |
| Preferred One | $239 | 269% |
| Primary Physician Care | $239 | 269% |
| Professional Benefit Administrators | $239 | 269% |
| Siho Insurance Services | $239 | 269% |
| Sisco Benefits | $239 | 269% |
| The Loomis Company | $239 | 269% |
| Unicare | $239 | 269% |
| Us Health And Life | $239 | 269% |
| Valenz | $239 | 269% |
| Western & Southern Financial Group | $239 | 269% |
| Wps | $239 | 269% |
| Coventry | $245 | 276% |
| First Health | $245 | 276% |
| Hospice Of Michigan | $251 | 282% |
| Cigna | $253 | 285% |
| 1199 National Benefit Fund | $269 | 303% |
| Allied National Global Care | $269 | 303% |
| Asrm - Reliance Standard Life Insurance | $269 | 303% |
| Christian Care Ministry | $269 | 303% |
| Dean Health | $269 | 303% |
| Fallon Health | $269 | 303% |
| Family Life Insurance Company | $269 | 303% |
| Ghc Scw | $269 | 303% |
| Group Pension Administrators | $269 | 303% |
| International Benefit Administrators | $269 | 303% |
| Lifetime Benefit Solutions | $269 | 303% |
| Manhattan Life | $269 | 303% |
| Medi Share | $269 | 303% |
| Multiplan | $269 | 303% |
| Mvp | $269 | 303% |
| Pai | $269 | 303% |
| Pan-American Life | $269 | 303% |
| Paramount Hmo | $269 | 303% |
| Phcs | $269 | 303% |
| Trinity Health Share | $269 | 303% |
| Health Partners | $279 | 314% |
| Tufts Health Plan | $279 | 314% |
| Prime Health Services | $287 | 323% |
| Three Rivers Provider Network | $323 | 363% |
| Cmh Detroit Wayne Integrated Health Network | $359 | 404% |
| Cmh Jackson County/Lifeways | $359 | 404% |
| Cmh Lenawee County | $359 | 404% |
| Cmh Livingston County | $359 | 404% |
| Cmh Misc | $359 | 404% |
| Cmh Monroe County | $359 | 404% |
| Cmh Washtenaw County | $359 | 404% |
| Magellan Behavioral Health | $359 | 404% |