CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Merit Health Women's Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $122
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Merit Health Women's Hospital is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.37x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$219

Average discount available for prompt cash payment at this facility.

Insurance Median
$122

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: $219 (246%)
Insurance Median: $122 (137%)
Cash: $219 (246% of Medicare)
Ins. Median: $122 (137% 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%
Medicaid / KanCare $67 - $149 75%
UnitedHealthcare $67 - $278 75%
Caresource Truecare $68 76%
Magnolia Mcd Ms Chip $68 76%
Molina Chip $72 81%
Tricare $75 84%
Veterans Eval Services $75 84%
Humana $77 87%
Medicare (plans) $77 87%
Node Shared Health Of Ms Mcr Adv $77 87%
Node Vantage Health Mcr Adv $77 87%
Node Windsor Mcr Adv $77 87%
Node Champva $79 89%
Node Devoted Health Mcr Adv $79 89%
Node First Choice American Health Of Ms Mcr Adv $79 89%
Node Molina Mcr Adv $79 89%
Node Va $79 89%
Aetna $80 - $682 90%
Node First Choice Wellcare Mcr Adv $80 90%
Node Healthy Mississippi Mcr Adv $86 97%
Node Us Dept Of Labor $98 110%
First Choice Preferred $118 133%
Occunet $118 133%
Molina Exchange $127 143%
Advanced Health Systems $129 145%
Node First Choice Seven Corners $134 151%
Magnolia Exchange $138 155%
Blue Cross Blue Shield $166 187%
First Choice Lgp $171 192%
Vantage Health $177 199%
Cigna $213 240%
Self Pay $214 241%
Trimed Billing Solutions $292 328%
State Hospital $370 416%
First Choice Mpcn $439 494%
First Choice Standard $448 504%
Coventry First Health $507 570%
First Choice Ppo Plus $536 603%
Benefit Management Systems $702 - $829 790%
First Choice Stratose $780 877%
Health Choice Of Mississippi $780 877%
Prime Health Services $780 877%
Mississippi Department Of Rehabilitation Services $975 1097%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals