CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $85
Cash Discount Price: $145
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mary Hitchcock Memorial Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $145. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$145

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: $145 (163%)

Insurance Median: $85 (96%)

Cash: $145 (163% 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.

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
Amerihealth Caritas Nh	$6 - $83	7%
Beacon Health Strategies/Carelon	$6 - $90	7%
Granite State Health Plan	$6 - $92	7%
Wellsense Health Plan	$6 - $103	7%
Blue Cross Blue Shield	$10 - $640	11%
Martin'S Point Generations Advantage	$10 - $99	11%
Mvp	$10 - $492	11%
UnitedHealthcare	$10 - $564	11%
Aetna	$11 - $515	12%
Ambetter / Centene	$11 - $212	12%
Cigna	$11 - $504	12%
Martin'S Point Health Care	$11 - $253	12%
Wellcare Health Plans	$11 - $102	12%
Harvard Pilgrim Health Care Of Ne	$13 - $471	15%
Mass General Brigham Health Plan	$30 - $457	34%
Tufts Health Plan	$35 - $428	39%
Maine Community Health Options	$135 - $539	152%
Coventry	$184 - $639	207%
First Health/Hcvm	$184 - $639	207%
Phcs	$191 - $661	215%
Corvel	$195 - $675	219%
Ccmsi	$201 - $697	226%

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 $145.
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 Mary Hitchcock Memorial 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.