CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: New London Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $41
Cash Discount Price: $134
vs. Medicare Baseline: 0.46x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at New London Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.46x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $134 (151%)

Insurance Median: $41 (46%)

Cash: $134 (151% of Medicare)

Ins. Median: $41 (46% 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 - $149	7%
Granite State Health Plan	$6 - $148	7%
Wellsense Health Plan	$6 - $129	7%
Blue Cross Blue Shield	$10 - $292	11%
Martin'S Point Generations Advantage	$10 - $129	11%
Martin'S Point Health Care	$10 - $201	11%
UnitedHealthcare	$10 - $229	11%
Wellcare Health Plans	$11 - $129	12%
Aetna	$12 - $253	13%
Harvard Pilgrim Health Care Of Ne	$12 - $209	13%
Ambetter / Centene	$14 - $129	16%
Cigna	$14 - $198	16%
Tufts Health Plan	$203 - $211	228%
Coventry	$277	312%
Multiplan	$278	313%

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 $134.
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 New London 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.