CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Flushing Hospital Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $110
  • Cash Discount Price: $260
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Flushing Hospital Medical Center is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $260. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.24x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.
Cash / Self-Pay
$260

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $260 (292%)
Insurance Median: $110 (124%)
Cash: $260 (292% of Medicare)
Ins. Median: $110 (124% 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 $9 - $208 10%
Ghi $26 - $108 29%
1199 National Benefit Fund $31 35%
Cigna $87 98%
Healthfirst $97 - $108 109%
Fidelis $103 - $108 116%
Aetna $108 - $130 121%
Beacon Health Strategies $108 121%
Centerlight Healthcare $108 121%
Empire $108 - $202 121%
Hip $108 - $330 121%
Metroplus $108 - $119 121%
Humana $109 - $115 123%
Elderplan $110 124%
Vns $110 124%
Wellcare Of Ny $112 126%
Senior Whole Health $115 129%
Centers Plan For Healthy Living $119 134%
Elderserve Health $124 139%
Hamaspik Choice $124 139%
Magnacare $124 139%
Oscar $151 170%
Emblemhealth $169 190%
Empire Blue Priority $172 193%
Hotel Trades Council $1,912 2150%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 45Th Avenue and Parsons Boulevard, Flushing, NY 11355
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals