CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: St Charles Hospital
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $104
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at St Charles Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.17x the Medicare baseline. Located in 200 Belle Terre Road, Port Jefferson, NY.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$104
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%)
Insurance Median: $104 (117%)
Ins. Median: $104 (117% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Affinity Health Plan | $15 - $34 | 17% |
| Beacon Health Options | $15 - $146 | 17% |
| Beacon Health Strategies | $15 - $146 | 17% |
| Centerlight Healthcare | $15 - $104 | 17% |
| Elderplan Inc. | $15 - $104 | 17% |
| Emblem Health | $15 - $234 | 17% |
| Fidelis Care New York | $15 - $104 | 17% |
| Health First | $15 - $234 | 17% |
| Health Plus | $15 - $104 | 17% |
| Independent Health | $15 - $104 | 17% |
| Medicaid / KanCare | $15 | 17% |
| Mvp Health Plans | $15 - $104 | 17% |
| Senior Whole Health | $15 - $104 | 17% |
| UnitedHealthcare | $15 - $182 | 17% |
| Aetna | $45 - $104 | 51% |
| Self Pay | $50 | 56% |
| Mail Handlers Benefit Plan | $54 | 61% |
| Meritain Health | $54 | 61% |
| Nippon Life Insurance Company Of America | $54 | 61% |
| Salvation Army | $54 | 61% |
| Blue Cross Blue Shield | $62 - $104 | 70% |
| Zadroga | $71 | 80% |
| Apwu | $93 | 105% |
| Centivo | $93 - $116 | 105% |
| Cigna | $93 - $380 | 105% |
| Daniel H Cook | $93 | 105% |
| Nalc | $93 | 105% |
| Samba | $93 | 105% |
| Centers Plan For Healthy Living | $104 | 117% |
| Healthspring | $104 | 117% |
| Liberty Health | $104 | 117% |
| Longevity Health Plan | $104 | 117% |
| Medicare (plans) | $104 - $109 | 117% |
| Orthonet - Uniformed Services Family Health Plan | $104 | 117% |
| Pmc | $104 | 117% |
| Tricare | $104 | 117% |
| Universal Healthcare | $104 | 117% |
| Us Family Health Plan | $104 | 117% |
| Veterans Affairs | $104 | 117% |
| Humana | $106 | 119% |
| Agewell New York | $108 | 121% |
| Partners Health Plan | $109 | 123% |
| Wellcare Health Plan Inc | $115 | 129% |
| Local 1199 | $124 | 139% |
| Surest | $182 | 205% |
| American Plan Administrators | $234 | 263% |
| Amerihealth Administrators | $234 | 263% |
| Benefit Services | $234 | 263% |
| Ghi Cbp Ny City Employee Alternate | $234 | 263% |
| International Benefit Administrator | $234 | 263% |
| Ultra Benefits Inc. | $234 | 263% |
| Oscar Health | $239 | 269% |
| Brighton | $292 - $409 | 328% |
| Allied Wellfare Fund | $380 | 427% |
| American Group Administrators | $380 | 427% |
| Bakery & Confectionery Union | $380 | 427% |
| Comprehensive Benefits Consultant | $380 | 427% |
| Guardian Life Insurance Company Of America | $380 | 427% |
| Maloney And Assoc | $380 | 427% |
| Multiplan | $380 | 427% |
| Performax | $380 | 427% |
| Phcs | $380 | 427% |
| Pomco | $380 | 427% |
| Tpa Inc | $380 | 427% |
| Unicare | $380 | 427% |
| United Employees Health Plan | $380 | 427% |
| Coventry | $432 - $496 | 486% |
| Magellan | $467 | 525% |
| Galaxy | $526 | 592% |
| Three Rivers Provider Network | $526 | 592% |
| Aither Health | $584 | 657% |
| Alpha Care | $584 | 657% |
| Dentaquest | $584 | 657% |