CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Saratoga Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $41
  • Cash Discount Price: $265
  • vs. Medicare Baseline: 0.46x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Saratoga Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $265. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.46x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$265

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $265 (298%)
Insurance Median: $41 (46%)
Cash: $265 (298% of Medicare)
Ins. Median: $41 (46% 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 $11 - $333 12%
Cdphp $25 - $122 28%
Medicaid / KanCare $25 - $36 28%
Blue Cross Blue Shield $28 - $407 31%
Fidelis $28 - $122 31%
Medicare (plans) $28 - $37 31%
Mvp $33 - $63 37%
Hamaspik $34 - $142 38%
Tricare $35 - $37 39%
UnitedHealthcare $35 - $611 39%
Blue Shield $36 - $120 40%
Emblem Health Ghi $37 - $40 42%
Blue Shield Highmark $43 - $104 48%
Cigna $52 - $63 58%
Mvp Essential Plan $54 - $109 61%
Mvp Govt Programs $54 61%
Nascentia Health Options $56 63%
Emblem $58 - $104 65%
Mvp Commercial $99 - $475 111%
Empire Plan Nyship $317 - $450 357%
Multiplan $397 - $577 447%
Magnacare $476 - $645 535%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals