CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Carolinas Medical Center-Northeast

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $85
  • Cash Discount Price: $299
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Carolinas Medical Center-Northeast is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $299. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 920 Church St N, Concord, NC.
Cash / Self-Pay
$299

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: $299 (336%)
Insurance Median: $85 (96%)
Cash: $299 (336% 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
Alliance $9 - $76 10%
Amerihealth Caritas $9 - $73 10%
Carolina Complete Health $9 - $75 10%
Healthy Blue $9 - $75 10%
Partners $9 - $75 10%
Trillium $9 - $77 10%
UnitedHealthcare $9 - $265 10%
Vaya $9 - $76 10%
Wellcare $9 - $75 10%
Aetna $10 - $365 11%
Cigna $10 - $479 11%
Humana $10 - $85 11%
Ortho Carolina $13 - $105 15%
Blue Cross Blue Shield $27 - $215 30%
Choicecare $52 - $491 58%
Medcost $61 - $449 69%
Ambetter / Centene $174 - $217 196%
Employers Health Network $265 298%
Physician Reach Out $299 336%
Magellan $359 404%
Gmmi $389 438%
Quik Trip $389 438%
Carolina Behavioral Health $431 - $479 485%
Healthgram $479 539%
Private Health Care Systems $479 539%
Lifesynch Community Choice Care $491 552%
First Health $509 572%
Beechstreet $539 606%
Multiplan $569 640%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 920 Church St N, Concord, NC 28025
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals