CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mercy Health Lakeshore Campus

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $41
  • Cash Discount Price: $187
  • vs. Medicare Baseline: 0.46x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mercy Health Lakeshore Campus is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.46x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$187

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $187 (210%)
Insurance Median: $41 (46%)
Cash: $187 (210% of Medicare)
Ins. Median: $41 (46% 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
Medicaid / KanCare $13 - $77 15%
Aetna $19 - $229 21%
Albany County Correctional Facility $19 - $25 21%
Ambetter / Centene $19 - $25 21%
Amish Mennonite $19 - $25 21%
Ascension St. Vincent Public Safety Medical $19 - $25 21%
Bccp $19 - $25 21%
Blue Cross Blue Shield $19 - $246 21%
Bmc Healthnet $19 - $25 21%
Breast Grant-Connecticut $19 - $25 21%
Broward County Dept Of Health $19 - $25 21%
California Health And Wellness $19 - $25 21%
Can Community Health Inc $19 - $25 21%
Cardinal Innovations Lme $19 - $25 21%
Care Connections Of Northern Iowa $19 - $25 21%
Care Oregon Ohp $19 - $25 21%
Cencal Health Plan $19 - $25 21%
Cenpatico $19 - $25 21%
Chhuny $19 - $25 21%
Childrens Comm Health Plan $19 - $25 21%
Childrens Medical Services Title 19 $19 - $25 21%
Cigna $19 - $250 21%
City Of Philadelphia $19 - $25 21%
Cmh Allegan County $19 - $25 21%
Cmh Ausable Valley $19 - $25 21%
Cmh Barry County $19 - $25 21%
Cmh Bay-Arenac County $19 - $25 21%
Cmh Berrien County $19 - $25 21%
Cmh Cass County $19 - $25 21%
Cmh Central Mi County $19 - $25 21%
Cmh Clinton-Eaton-Ingham County $19 - $25 21%
Cmh Detroit Wayne Integrated Health Network $19 - $25 21%
Cmh Genesee County $19 - $25 21%
Cmh Ionia County $19 - $25 21%
Cmh Jackson County/Lifeways $19 - $25 21%
Cmh Kalamazoo $19 - $25 21%
Cmh Kent County $19 - $25 21%
Cmh Lenawee County $19 - $25 21%
Cmh Livingston County $19 - $25 21%
Cmh Macomb $19 - $25 21%
Cmh Misc $19 - $25 21%
Cmh Monroe County $19 - $25 21%
Cmh Montcalm County $19 - $25 21%
Cmh Muskegon County $19 - $25 21%
Cmh Newaygo County $19 - $25 21%
Cmh North Country $19 - $25 21%
Cmh Northern Lakes County $19 - $25 21%
Cmh Oakland County $19 - $25 21%
Cmh Ottawa County $19 - $25 21%
Cmh Van Buren County $19 - $25 21%
Cmh Washtenaw County $19 - $25 21%
Cmh Wayne County/Carelink $19 - $25 21%
Cmh Wayne Cty/Com Liv Svcs $19 - $25 21%
Cmh West Mi County $19 - $25 21%
Community Benefit Health $19 - $25 21%
Community Care Behavorial Health $19 - $25 21%
Community Care Partners $19 - $25 21%
Community Health Choice $19 - $25 21%
Connections Csp $19 - $25 21%
County Coroner $19 - $25 21%
County Funding Generic $19 - $25 21%
Covid19 Hrsa Uninsured Testing And Treatment Fund $19 - $25 21%
Dean Wi Badgercare $19 - $25 21%
Delaware County Department Of Health $19 - $25 21%
Delaware First Health $19 - $25 21%
Delta Dental Nj $19 - $25 21%
Dph Tb Program $19 - $25 21%
Dscc $19 - $25 21%
Eastpointe Lme $19 - $25 21%
Family Health Network $19 - $25 21%
Freedom First Healthcare $19 - $25 21%
Fresno County Ccs $19 - $25 21%
Ghc Scw Wi Badgercare $19 - $25 21%
Harbor Health $19 - $25 21%
Health Safety Net $19 - $25 21%
Healthy Blue Ne $19 - $25 21%
Hennepin Health $19 - $25 21%
Humana $19 - $258 21%
Id County Ada $19 - $25 21%
Id County Canyon $19 - $25 21%
Id County Cat Fund $19 - $25 21%
Id County Other $19 - $25 21%
Id County Payette $19 - $25 21%
Idaho Dept Health And Wellfare $19 - $25 21%
Idaho Womens Health Check $19 - $25 21%
Indiana Breast Cervical Cancer $19 - $25 21%
Inland Empire Health Plan $19 - $25 21%
Intercommunity Health Ohp $19 - $25 21%
Iowa Total Care $19 - $25 21%
Jai Medical System $19 - $25 21%
Kern Family Health Plan $19 - $25 21%
Keystone First $19 - $25 21%
Keystone First Chip $19 - $25 21%
La Care Health Plan $19 - $25 21%
Lakeland Care Inc $19 - $25 21%
Managed Health Services - Indiana $19 - $25 21%
Maryland Breast & Cervical Program $19 - $25 21%
Maryland Healthy Smiles - Scion Dental $19 - $25 21%
Maryland Physicians Care $19 - $25 21%
Massachusetts Behavioral Health Partnership $19 - $25 21%
Mdwise $19 - $25 21%
Medi-Cal $19 - $25 21%
Medi-Cal Healthnet $19 - $25 21%
Medstar Dc Healthy Family $19 - $25 21%
Medstar Md Health Choice $19 - $25 21%
Mo Home State Health Plan $19 - $25 21%
Molina Centennial Care $19 - $25 21%
Nascentia Health Options $19 - $25 21%
Nebraska Total Care $19 - $25 21%
New York Cancer Services Program $19 - $25 21%
Nextlevel Health $19 - $25 21%
Oregon Screenwise $19 - $25 21%
Pace Of Southwest Michigan $19 - $25 21%
Paramount Advantage $19 - $25 21%
Parkland Community Health Plan $19 - $25 21%
Partners Behavioral Lme $19 - $25 21%
Peach State Healthplan $19 - $25 21%
Philadelphia County Funding $19 - $25 21%
Presbyterian Centennial Care $19 - $25 21%
Prestige Health Choice $19 - $25 21%
Priority Partners $19 - $25 21%
Robert F Sing Program $19 - $25 21%
Rx 340B Pass Along $19 - $25 21%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $19 - $25 21%
Rx Medi-Cal $19 - $25 21%
Rx Meridian Rx $19 - $25 21%
Ryan White Florida Mssrp $19 - $25 21%
Sandhills Center Lme $19 - $25 21%
Screening For Life $19 - $25 21%
St Joseph County Hlth Dpt $19 - $25 21%
Stephenson Cty Health $19 - $25 21%
Sunshine State Health Plan $19 - $25 21%
Superior Health $19 - $25 21%
Tenncare $19 - $25 21%
Texas Children'S Health Plan $19 - $25 21%
Trillium Community Ohp $19 - $25 21%
Tufts Health Public Plans $19 - $25 21%
UnitedHealthcare $19 - $259 21%
Vaya Health Lme $19 - $25 21%
Washtenaw Health Plan $19 - $25 21%
Wellsense Health Plan $19 - $25 21%
Wi Womens Wellness $19 - $25 21%
Geha $24 - $259 27%
Hap $24 - $264 27%
Health Partners $24 - $34 27%
Tufts Health Plan $24 - $34 27%
Champva $25 - $35 28%
Tricare $25 - $35 28%
Triwest Health Alliance $25 - $35 28%
Us Family Health Plan $25 - $35 28%
Veterans Eval Services $25 - $35 28%
Medicare (plans) $26 - $71 29%
Align Senior Care $27 - $72 30%
Veterans Administration $27 - $37 30%
Cca - Zing Health $29 - $40 33%
Access Health $30 - $50 34%
Longevity Ipa Of Michigan Llc Health Plan Isnp $30 - $81 34%
Asr Health Benefits $35 - $240 39%
1199 National Benefit Fund $36 - $248 40%
Allied National Global Care $36 - $248 40%
Asrm - Reliance Standard Life Insurance $36 - $248 40%
Christian Care Ministry $36 - $248 40%
Dean Health $36 - $248 40%
Fallon Health $36 - $248 40%
Family Life Insurance Company $36 - $248 40%
International Benefit Administrators $36 - $248 40%
Lifetime Benefit Solutions $36 - $248 40%
Manhattan Life $36 - $248 40%
Molina Marketplace $36 - $120 40%
Multiplan $36 - $248 40%
Mvp $36 - $248 40%
Oscar $36 - $88 40%
Pai $36 - $248 40%
Pan-American Life $36 - $248 40%
Phcs $36 - $248 40%
Trinity Health Share $36 - $248 40%
Wellpath $36 - $130 40%
Acclaim $38 - $258 43%
Administrative Concepts $38 - $258 43%
Allegeant $38 - $258 43%
Allied Benefit Systems $38 - $258 43%
Ameriben $38 - $258 43%
American Family $38 - $258 43%
American Healthcare Alliance $38 - $258 43%
American National $38 - $61 43%
American Republic $38 - $258 43%
Amerihealth $38 - $258 43%
Aultcare $38 - $258 43%
Automated Benefit Services $38 - $258 43%
Auxiant $38 - $258 43%
Benefit Administrative Systems,Llc $38 - $258 43%
Boon Chapman $38 - $258 43%
Cam Administrative Services $38 - $258 43%
Christian Brother Services $38 - $258 43%
Christian Brothers Holy Cross $38 - $258 43%
Claimchoice Adminstrators $38 - $258 43%
Comprehensive Benefits $38 - $258 43%
Consociate $38 - $258 43%
Continental Life Insurance $38 - $258 43%
Coventry $38 - $61 43%
Custom Benefit Administrators $38 - $258 43%
Cypress Benefit Administrators $38 - $258 43%
Employee Benefit Concepts $38 - $258 43%
Employee Benefit Management $38 - $258 43%
Enterprise Group Planning $38 - $258 43%
First Health $38 - $260 43%
Forest County Potawatomi $38 - $258 43%
Freedom Life Insurance Company $38 - $258 43%
Group Administrators $38 - $258 43%
Group Marketing Services $38 - $258 43%
Group Pension Administrators $38 - $248 43%
Guardian $38 - $258 43%
Health America $38 - $258 43%
Health Choices $38 - $258 43%
Health Smart $38 - $258 43%
Healthcare Management Admin $38 - $61 43%
Healthez $38 - $258 43%
Healthgram $38 - $258 43%
Healthscope $38 - $258 43%
Insight $38 - $258 43%
Intercare $38 - $258 43%
Jfp Benefit Management $38 - $258 43%
Jp Farley Corporation $38 - $258 43%
Key Benefit Administrator $38 - $258 43%
Liberty Union Life Assurance Co $38 - $258 43%
Lucent Health $38 - $258 43%
Luminare Health $38 - $258 43%
Luminare Health (Detroit) $38 - $258 43%
Magnacare $38 - $61 43%
Medben $38 - $258 43%
Medcost $38 - $258 43%
Medical Mutual $38 - $258 43%
Mutual Health Services $38 - $258 43%
Mutual Of Omaha $38 - $258 43%
Ncas $38 - $258 43%
Nippon Life Ins $38 - $258 43%
Nova $38 - $258 43%
Painters Union Insurance Fund $38 - $258 43%
Physicians Mutual $38 - $258 43%
Plumbers Local 98 Insurance Fund $38 - $258 43%
Prairie States $38 - $258 43%
Preferred One $38 - $61 43%
Primary Physician Care $38 - $258 43%
Professional Benefit Administrators $38 - $258 43%
Secureone Preferred United Plans $38 - $258 43%
Siho Insurance Services $38 - $61 43%
Sisco Benefits $38 - $61 43%
The Health Plan $38 - $61 43%
The Loomis Company $38 - $258 43%
Trustmark Small Business Benefits $38 - $258 43%
Unicare $38 - $258 43%
Unified Group Services $38 - $258 43%
Valenz $38 - $258 43%
Webtpa $38 - $61 43%
Western & Southern Financial Group $38 - $258 43%
Wps $38 - $258 43%
Partners Direct Health - Brio $39 - $54 44%
Wc Accident Fund $39 - $227 44%
Wc Advantage $39 - $227 44%
Wc Aig $39 - $227 44%
Wc Allied $39 - $227 44%
Wc Amerisure $39 - $227 44%
Wc Amtrust $39 - $227 44%
Wc Asu Risk Mgt $39 - $227 44%
Wc Berkley Admin $39 - $227 44%
Wc Broadspire $39 - $227 44%
Wc Bunch & Associates $39 - $227 44%
Wc Ccmsi $39 - $227 44%
Wc Emc Insurance Company $39 - $227 44%
Wc Esis $39 - $227 44%
Wc Fcci $39 - $227 44%
Wc Federated $39 - $227 44%
Wc Gallagher Bassett $39 - $227 44%
Wc Genex Care For Ohio $39 - $227 44%
Wc Guard Insurance Company $39 - $227 44%
Wc Hartford $39 - $227 44%
Wc Liberty Mutual $39 - $227 44%
Wc Meijers $39 - $227 44%
Wc Michigan $39 - $227 44%
Wc Mitchell Frankenmuth $39 - $227 44%
Wc Pma $39 - $227 44%
Wc Sedgwick $39 - $227 44%
Wc Sentry $39 - $227 44%
Wc Travelers $39 - $227 44%
Wc Tristar $39 - $227 44%
Wc Walmart $39 - $227 44%
Wc Zurich $39 - $227 44%
Us Health And Life $40 - $258 45%
Andrie Inc $41 - $57 46%
East Greenbush Central School District $41 - $57 46%
Genex Wc $41 - $57 46%
Healthsmart Workers Comp $41 - $57 46%
Jag Source $41 - $57 46%
New York State Insurance Fund $41 - $57 46%
Njm Insurance Group $41 - $57 46%
Rx Heatlhcomp $41 - $57 46%
Rx Restat $41 - $57 46%
Rx Saif Opdp Wc $41 - $57 46%
Rx Worker'S Comp $41 - $57 46%
Wc Ace $41 - $57 46%
Wc Acs Federal Employees $41 - $57 46%
Wc Acuity $41 - $57 46%
Wc Aegis $41 - $57 46%
Wc Aims $41 - $57 46%
Wc Alaska National Ins $41 - $57 46%
Wc Align Network $41 - $57 46%
Wc Am Trust N America $41 - $57 46%
Wc American Claims Mgmt $41 - $57 46%
Wc Benetech $41 - $57 46%
Wc Broward County $41 - $57 46%
Wc California State Comp Ins $41 - $57 46%
Wc California State Ins Fund $41 - $57 46%
Wc Capitol Area Health Consortium $41 - $57 46%
Wc Chartis $41 - $57 46%
Wc Chubb $41 - $57 46%
Wc Cirma $41 - $57 46%
Wc City Of Albany $41 - $57 46%
Wc City Of Sioux City $41 - $57 46%
Wc Claims Mgmt Inc $41 - $57 46%
Wc Cna $41 - $57 46%
Wc Comp One Admin C/O Manageability $41 - $57 46%
Wc Compone Admin $41 - $57 46%
Wc Corvel $41 - $57 46%
Wc Ct Healthcare Trust $41 - $57 46%
Wc Donegal Insurance Group $41 - $57 46%
Wc Employee Mutual $41 - $57 46%
Wc Enablecomp $41 - $57 46%
Wc Encore Health Network $41 - $57 46%
Wc Erie $41 - $57 46%
Wc Evolutions $41 - $57 46%
Wc Fed Ex $41 - $57 46%
Wc Federal Black Lung $41 - $57 46%
Wc Finley Occupational Health $41 - $57 46%
Wc First Agency/Occunet $41 - $57 46%
Wc Ford Motor $41 - $57 46%
Wc Fresno Unified Emp $41 - $57 46%
Wc General Motors $41 - $57 46%
Wc Generic $41 - $57 46%
Wc Great West Casualty $41 - $57 46%
Wc Guarantee Insurance $41 - $57 46%
Wc Hab $41 - $57 46%
Wc Hastings $41 - $57 46%
Wc Health Management $41 - $57 46%
Wc Heritage Summit $41 - $57 46%
Wc Hireright $41 - $57 46%
Wc Horizon $41 - $57 46%
Wc Icw Group $41 - $57 46%
Wc Idaho State Ins Fund $41 - $57 46%
Wc Intercare Insurance $41 - $57 46%
Wc Intermountain $41 - $57 46%
Wc Johns Eastern $41 - $57 46%
Wc Kemberton $41 - $57 46%
Wc Key Ins & Benefit Solutions $41 - $57 46%
Wc Mac Risk Management $41 - $57 46%
Wc Massachusetts $41 - $57 46%
Wc Mdia $41 - $57 46%
Wc Meadowbrook Claim $41 - $57 46%
Wc Medical Administrators $41 - $57 46%
Wc Memic $41 - $57 46%
Wc Mercy Workcare $41 - $57 46%
Wc Michigan Millers Mutual $41 - $57 46%
Wc Mra $41 - $57 46%
Wc Nationwide $41 - $57 46%
Wc Nca Comp $41 - $57 46%
Wc New York $41 - $57 46%
Wc New York Special Funds $41 - $57 46%
Wc North American Rishces $41 - $57 46%
Wc Northeast Health $41 - $57 46%
Wc Notre Dame $41 - $57 46%
Wc Novanet $41 - $57 46%
Wc O'Hara Corp $41 - $57 46%
Wc Occ Health Allen $41 - $57 46%
Wc Ohio Bureau $41 - $57 46%
Wc One Call Medical $41 - $57 46%
Wc Paradigm $41 - $57 46%
Wc Peerless $41 - $57 46%
Wc Praxis Health Network $41 - $57 46%
Wc Price Chopper $41 - $57 46%
Wc Procura Management $41 - $57 46%
Wc Qualcare $41 - $57 46%
Wc Quiktrip $41 - $57 46%
Wc Reny Company $41 - $57 46%
Wc Rev Claims $41 - $57 46%
Wc Risico $41 - $57 46%
Wc Rural Mutual $41 - $57 46%
Wc Saif Oregon $41 - $57 46%
Wc Secura $41 - $57 46%
Wc Sheakley Unicomp $41 - $57 46%
Wc Smile Lodge $41 - $57 46%
Wc Society $41 - $57 46%
Wc Srs $41 - $57 46%
Wc Taconic (Mro) $41 - $57 46%
Wc Taconic Farms $41 - $57 46%
Wc Triad Group $41 - $57 46%
Wc Troy Ny $41 - $57 46%
Wc Tyson $41 - $57 46%
Wc Unified Health Services $41 - $57 46%
Wc United Heartland $41 - $57 46%
Wc Us Dept Of Labor $41 - $57 46%
Wc Velocity $41 - $57 46%
Wc West Bend $41 - $57 46%
Wc West Bend Mutual/Argent $41 - $57 46%
Wc Winnebago Industries $41 - $57 46%
Wc Yankee Trails $41 - $57 46%
Wc York Risk $41 - $57 46%
Wc Zenith $41 - $57 46%
Claimdoc $42 - $57 47%
Kent County Jail $42 - $57 47%
Meritain $42 - $229 47%
Muskegon County Jail $42 - $57 47%
American Postal Workers Secondary $44 - $60 49%
Blue Care Network $45 - $246 51%
Blue Benefit Administrators Of Massachusetts $46 - $246 52%
Blue Distinction Transplant $46 - $246 52%
Blue Shield - Ca $46 - $246 52%
Blue Shield - Id (Regence) $46 - $246 52%
Blue Shield - Ny Highmark Northeastern $46 - $246 52%
Blue Shield - Ny Highmark Western $46 - $246 52%
Blue Shield - Pa (Highmark) $46 - $246 52%
Blue Shield - Wa (Regence) $46 - $246 52%
Varipro $46 - $264 52%
Priority Health $47 - $260 53%
Nomi Health $54 - $161 61%
Bcccp-Michigan $66 - $106 74%
U Of M Health Plan $66 - $258 74%
Blue Care Network Advantage $71 80%
Correctional Recovery $72 81%
Vitalcore $96 108%
Hospice Of Michigan $158 178%
Bcn Domestic $246 277%
Kaiser Domestic $246 277%
Ghc Scw $248 279%
Medi Share $248 279%
Paramount Hmo $248 279%
Caresource $257 289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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