CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Vidant Chowan Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $586
Cash Discount Price: $518
vs. Medicare Baseline: 6.59x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Vidant Chowan Hospital is $586. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $518. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.59x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$518

Average discount available for prompt cash payment at this facility.

Insurance Median

$586

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: $518 (583%)

Insurance Median: $586 (659%)

Cash: $518 (583% of Medicare)

Ins. Median: $586 (659% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 659% of the Medicare baseline (a markup of 559%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$278 - $561	313%
Carolina Complete Health [1317]	$280	315%
Wellcare [1320]	$282	317%
Amerihealth McAid Adv [1316]	$283	318%
Humana	$287	323%
UnitedHealthcare	$312 - $570	351%
Liberty Advantage [1313]	$321	361%
Aetna	$330 - $757	371%
Longevity Health [1411]	$397	447%
Nc Dept of Public Safety [1095]	$518	583%
Medcost [1067]	$586 - $617	659%
Cigna	$786 - $879	884%
Multiplan [1031]	$879	989%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $518.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Vidant Chowan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.