CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: M Health Fairview University of Mn Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $38
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at M Health Fairview University of Mn Medical Center is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.43x the Medicare baseline. Located in 2450 Riverside Avenue, Minneapolis, MN.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$38

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: $151 (170%)
Insurance Median: $38 (43%)
Cash: $151 (170% of Medicare)
Ins. Median: $38 (43% 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
Health Partners $7 - $267 8%
Itasca Medical Care $7 - $88 8%
Primewest $7 - $88 8%
South Country Health Alliance $7 - $88 8%
Ucare $7 - $201 8%
Blue Cross Blue Shield $8 - $174 9%
Hennepin Health $8 - $89 9%
Medica $8 - $132 9%
Sanford Health Plan $10 - $221 11%
Security Health Plan $10 - $282 11%
UnitedHealthcare $10 - $214 11%
Wellcare $10 - $88 11%
Cigna $11 - $211 12%
Emerging Therapies $12 - $241 13%
Aetna $13 - $256 15%
Humana $13 - $244 15%
America'S Ppo $15 - $271 17%
Interlink $15 - $282 17%
First Health $16 - $308 18%
Multiplan $17 - $320 19%
Private Healthcare Systems $17 - $320 19%
Wisconsin Physician Services $18 - $338 20%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2450 Riverside Avenue, Minneapolis, MN 55454
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals