CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Maimonides Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $12
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Maimonides Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.13x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $113 (127%)
Insurance Median: $12 (13%)
Cash: $113 (127% of Medicare)
Ins. Median: $12 (13% 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
Blue Cross Blue Shield $6 - $93 7%
United Community Plan $6 - $120 7%
UnitedHealthcare $6 - $93 7%
Healthfirst $7 - $106 8%
Emblem Health - Hip $9 - $14 10%
Emblem Health - Hip Vip $9 - $11 10%
Fidelis $9 - $12 10%
Metroplus $9 - $130 10%
Hamaspik $10 11%
Healthfirst Early Start $10 11%
Aetna $11 - $109 12%
Visiting Nurse Svc Of Ny $11 12%
Cigna $12 - $68 13%
Elderplan $12 13%
Emblem Health - Ghi $12 - $330 13%
Molina $12 13%
Villagecare Maxx Fida $12 13%
Local 1199 $14 - $31 16%
Oxford Health Plan $93 105%
Oxford Liberty $93 105%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals