CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: St Peter's Hospital

Billing Code: 72040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$33
about 0.4× the $89 Medicare rate · typically $24–$74
modeled estimate · not a bill or quote
What this hospital charges insurers
$51
Above the fair price
about $18 over the fair price · 0.6× Medicare
Medicare pays $89 Fair price $33 This hospital $51 Cash price $28 Hospital's list price $53

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $51

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

A fair price for a X-ray, neck (cervical spine) is about $33 (about 0.4× the $89 Medicare rate). St Peter's Hospital charges insurers about $51, or about $28 in cash — above the fair price. Located in Albany, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $33. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $12 - $552 13%
Blue Cross Blue Shieldmajor $16 - $250 18%
Aetnamajor $23 - $115 26%
Cignamajor $23 - $136 26%
Humanamajor $10 - $28 11%
Kaiser Permanentemajor $23 - $28 26%
Ambetter (Centene) $23 - $28 26%
AmeriHealth $23 - $28 26%
AvMed $23 - $28 26%
Bright Health $23 - $28 26%
CareSource $23 - $28 26%
Clover Health $23 - $28 26%
Dean Health Plan $23 - $28 26%
Fidelis Care $23 - $196 26%
Friday Health $23 - $28 26%
GEHA $23 - $90 26%
Geisinger $23 - $28 26%
Harvard Pilgrim $23 - $28 26%
Health Net $23 - $51 26%
HealthLink $23 - $28 26%
HealthPartners $23 - $136 26%
Independent Health $23 - $469 26%
MagnaCare $23 - $469 26%
Medica $23 - $28 26%
Medical Mutual $23 - $90 26%
Meridian $23 - $28 26%
Moda Health $23 - $28 26%
Molina $23 - $28 26%
MVP Health Care $23 - $130 26%
Oscar Health $23 - $28 26%
PacificSource $23 - $28 26%
Paramount $23 - $28 26%
Presbyterian $23 - $28 26%
Priority Health $23 - $136 26%
Providence Health Plan $23 - $28 26%
Sanford Health Plan $23 - $28 26%
Security Health Plan $23 - $28 26%
SelectHealth $23 - $28 26%
Sentara $23 - $28 26%
Tufts Health Plan $23 - $136 26%
UCare $23 - $28 26%
UniCare $23 - $250 26%
UPMC Health Plan $23 - $28 26%
WellCare $23 - $28 26%
WellMed $23 - $28 26%
WellSense $23 - $28 26%
+ 1049 smaller / regional plans $10 - $497
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals