CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Kings County Hospital Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $75
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Kings County Hospital Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.84x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $104 (117%)
Insurance Median: $75 (84%)
Cash: $104 (117% of Medicare)
Ins. Median: $75 (84% 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
Aetna $8 - $1,131 9%
Healthfirst $9 - $170 10%
Amidacare $12 - $75 13%
Emblem $12 - $156 13%
Wellcare $13 - $49 15%
Metroplus $15 - $170 17%
United $15 - $278 17%
Fidelis $17 - $170 19%
Oscar $18 - $156 20%
Blue Cross Blue Shield $30 - $278 34%
Affinity $40 - $170 45%
Local 1199 $45 - $295 51%
Centerlight $46 - $174 52%
Elderplan $46 - $226 52%
Centers Plan For Healthy Living $48 - $108 54%
Hamaspik $48 54%
Oxford $67 - $208 75%
Cigna $70 - $260 79%
Carelon $75 - $226 84%
Senior Whole Health $75 84%
United Behavioral Health $75 - $83 84%
Carelon (Amida Care) $77 87%
Vnsny $77 - $295 87%
Vaccn $104 117%
Magnacare $260 292%
Multiplan $278 313%
Villagecare Max $295 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals