CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Alice Peck Day Memorial Hospital

Billing Code: 72040 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$121

about 1.4× the $89 Medicare rate · typically $34–$264

modeled estimate · not a bill or quote

What this hospital charges insurers

$117

About the fair price

about $4 under the fair price · 1.3× Medicare

Medicare pays $89 Fair price $121 This hospital $117 Cash price $256 Hospital's list price $475

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NH hospitals compared.

Cheapest $27 Priciest $187

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, neck (cervical spine) is about $121 (about 1.4× the $89 Medicare rate). Alice Peck Day Memorial Hospital charges insurers about $117, or about $256 in cash — about the fair price. Located in Lebanon, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$342	385%
Blue Cross Blue Shieldmajor	$228 - $423	256%
Aetnamajor	$428 - $451	481%
Cignamajor	$364 - $389	409%
Humanamajor	$494	556%
Ambetter (Centene)	$6	7%
Harvard Pilgrim	$295 - $412	332%
MVP Health Care	$432	486%
Tufts Health Plan	$348	391%
+ 4 smaller / regional plans	$6 - $367

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 256), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72040.

Insurance Before you use insurance

Call your insurance company to confirm Alice Peck Day Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72040.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Alice Peck Day Memorial Hospital

Compare: X-ray, neck (cervical spine) at other NH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.