CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Queens Hospital Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $71
Cash Discount Price: $105
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Queens Hospital Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.80x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $105 (118%)

Insurance Median: $71 (80%)

Cash: $105 (118% of Medicare)

Ins. Median: $71 (80% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $160	10%
Amidacare	$12 - $71	13%
Emblem	$12 - $156	13%
Wellcare	$12 - $49	13%
Metroplus	$15 - $160	17%
United	$15 - $278	17%
Fidelis	$17 - $160	19%
Oscar	$17 - $156	19%
Blue Cross Blue Shield	$30 - $278	34%
Affinity	$40 - $160	45%
Centerlight	$45 - $174	51%
Elderplan	$45 - $226	51%
Local 1199	$45 - $295	51%
Centers Plan For Healthy Living	$47 - $108	53%
Hamaspik	$48	54%
Oxford	$67 - $208	75%
Cigna	$70 - $260	79%
Carelon	$71 - $226	80%
Senior Whole Health	$71	80%
United Behavioral Health	$71 - $78	80%
Carelon (Amida Care)	$73	82%
Vnsny	$73 - $295	82%
Vaccn	$104	117%
Magnacare	$260	292%
Multiplan	$278	313%
Villagecare Max	$295	332%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Queens Hospital Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.