CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mercy Health Lakeshore Campus

Billing Code: 72040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$22
about 0.2× the $89 Medicare rate · typically $22–$33
modeled estimate · not a bill or quote
What this hospital charges insurers
$40
Well above the fair price
about $18 over the fair price · 0.4× Medicare
Medicare pays $89 Fair price $22 This hospital $40 Hospital's list price $96

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $27 Priciest $40

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

A fair price for a X-ray, neck (cervical spine) is about $22 (about 0.2× the $89 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $40 — well above the fair price. Located in Shelby, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $19 - $259 21%
Blue Cross Blue Shieldmajor $19 - $246 21%
Aetnamajor $19 - $229 21%
Cignamajor $19 - $250 21%
Humanamajor $19 - $258 21%
Kaiser Permanentemajor $246 277%
Ambetter (Centene) $19 - $25 21%
AmeriHealth $38 - $258 43%
CareSource $257 289%
Dean Health Plan $36 - $248 40%
GEHA $24 - $259 27%
Health Net $19 - $57 21%
HealthPartners $19 - $34 21%
MagnaCare $38 - $61 43%
Medical Mutual $38 - $258 43%
Meridian $19 - $25 21%
Molina $19 - $120 21%
MVP Health Care $36 - $248 40%
Oscar Health $36 - $88 40%
Paramount $19 - $248 21%
Presbyterian $19 - $25 21%
Priority Health $47 - $260 53%
Tufts Health Plan $19 - $34 21%
UniCare $38 - $258 43%
WellSense $19 - $25 21%
+ 355 smaller / regional plans $19 - $264
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

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals