CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Charlevoix Area Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $110
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Charlevoix Area Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.24x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $179 (201%)
Insurance Median: $110 (124%)
Cash: $179 (201% of Medicare)
Ins. Median: $110 (124% 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 - $216 8%
Mclaren Health Plan $7 - $218 8%
Meridian $7 - $61 8%
Priority Health $7 - $234 8%
UnitedHealthcare $7 - $203 8%
Aetna $10 - $211 11%
Blue Care Network $10 - $110 11%
Hap (Health Alliance Plan) $10 - $187 11%
Medicare (plans) $10 - $110 11%
Michigan Amish Medical Board $10 - $110 11%
Molina $10 - $119 11%
Northern Michigan Mennonite Group $10 - $110 11%
Asr Physicians Care Network $15 - $187 17%
Cigna $16 - $234 18%
Nomi Health $16 - $218 18%
Employee Benefits Logistics $17 - $187 19%
Hospice Of Michigan $112 - $140 126%
Provider Network Of America/Hma Group Health $122 - $199 137%
Enterprise Group Planning Employee Benefit Plan $149 - $187 168%
First Health/Coventry Health/Community Care Network $149 - $187 168%
Medical Cost Savings Solution $149 - $187 168%
Three Rivers Provider Network $158 - $199 178%
Iba Health And Life Assurance Company $171 - $215 192%
Cofinity $173 - $218 195%
Preferred Medical Claim Solutions $177 - $222 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals