CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Merit Health River Region

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $85
  • Cash Discount Price: $290
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Merit Health River Region is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$290

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $290 (326%)
Insurance Median: $85 (96%)
Cash: $290 (326% of Medicare)
Ins. Median: $85 (96% 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
Ms Work Comp $55 62%
Aetna $56 - $84 63%
Magnolia $67 75%
Magnolia Mcd Chip $67 75%
Medicaid / KanCare $67 - $184 75%
UnitedHealthcare $67 - $184 75%
Caresource Truecare $68 76%
Molina Chip $72 81%
First Choice $73 - $907 82%
Medicare (plans) $73 - $81 82%
Node Magnolia Mcr Adv $73 - $81 82%
Node Vantage Mcr Adv $73 - $81 82%
Node Hospice Non Par Agree $74 - $83 83%
Node Va $74 - $83 83%
Tricare $74 - $82 83%
Node Devoted Health Mcr Adv $75 - $83 84%
Node First Choice American Health Of Ms Mcr Adv $75 - $83 84%
Node Molina Mcr Adv $75 - $83 84%
Node Peoples Health Mcr Adv $75 - $83 84%
Veterans Eval Services $75 84%
Node First Choice Wellcare Mcr Adv $76 - $84 85%
Department Of Veterans Affairs $77 - $86 87%
Node Windsor Mcr Adv $77 - $86 87%
Node Healthy Mississippi Mcr Adv $82 - $91 92%
Node Us Dept Of Labor $93 - $103 105%
Advanced Health Systems $116 - $129 130%
Molina Exchange $121 - $134 136%
Node Seven Corners $127 - $141 143%
Magnolia Exchange $130 - $145 146%
Blue Cross Blue Shield $149 - $166 168%
Vantage Commercial $168 - $186 189%
Humana $184 207%
Self Pay $218 - $363 245%
Medpartners $242 272%
Trimed Billing Solutions $363 408%
Cigna $499 - $846 561%
First Choice Mpcn Standard $665 748%
Phcs $725 815%
Ms Health Partners $907 1020%
Ms Dept Of Rehabilitation Services $1,209 1360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals