CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Columbia Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $44
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 0.49x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Columbia Memorial Hospital is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.49x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $67 (75%)
Insurance Median: $44 (49%)
Cash: $67 (75% of Medicare)
Ins. Median: $44 (49% 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.

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
UnitedHealthcare $17 - $127 19%
Medicaid / KanCare $25 - $52 28%
Cdphp $30 - $117 34%
Mvp $30 - $109 34%
Blue Cross Blue Shield $31 - $96 35%
Medicare (plans) $32 - $42 36%
Emblem Health Ghi $40 45%
Fidelis $40 - $117 45%
Hamaspik $40 - $70 45%
Tricare $41 - $42 46%
Blue Shield Highmark $42 - $44 47%
Aetna $44 - $116 49%
Cigna $50 - $52 56%
Empire Plan Nyship $51 - $57 57%
Magnacare $52 - $77 58%
Emblem $58 - $97 65%
Multiplan $60 - $559 67%
Blue Shield $64 - $151 72%
Herrington Diversified Pdh $67 - $156 75%
Mvp Commercial $67 - $113 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Prospect Avenue, Hudson, NY 12534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals