CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Uh Regional Hospitals

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $278
  • Cash Discount Price: $416
  • vs. Medicare Baseline: 3.13x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Uh Regional Hospitals is $278. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $416. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.13x the Medicare baseline. Located in 13207 Ravenna Road, Chardon, OH.
Cash / Self-Pay
$416

Average discount available for prompt cash payment at this facility.

Insurance Median
$278

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: $416 (468%)
Insurance Median: $278 (313%)
Cash: $416 (468% of Medicare)
Ins. Median: $278 (313% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 313% of the Medicare baseline (a markup of 213%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $69 - $145 78%
Blue Cross Blue Shield $82 - $350 92%
Cigna $82 - $405 92%
Devoted Health $82 92%
Humana $82 92%
Medical Mutual Of Ohio $82 - $388 92%
Molina $82 92%
Primetime Health Plan $82 92%
Summacare $82 - $283 92%
The Health Plan $82 - $366 92%
UnitedHealthcare $82 - $341 92%
Wellcare By Allwell $82 92%
Paramount $84 94%
Perennial Advantage Of Ohio $86 97%
Valor Health Plans $86 97%
University Health Employee Plan (Contigo) $88 99%
Ambetter / Centene $147 165%
Caresource $147 165%
Amish Aid Community Plan $255 287%
Amish Church Fund And Workers Aid Plan $255 287%
Buckeye Plain Ministries $255 287%
Clarity $266 299%
Jp Farley $266 299%
Christian Healthcare Ministries $278 313%
Immergrun $278 313%
Sunrise Plan Communities $278 313%
Aultcare $305 343%
Healthsmart $361 406%
Ohio Health Choice $361 - $500 406%
Beech Street $444 - $500 499%
Ohio Preferred Network $444 - $500 499%
First Health $461 519%
Century Health Network $472 531%
Private Healthcare System $477 536%
Configurenet $500 562%
Fortified Provider Network $500 562%
Multiplan $500 562%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13207 Ravenna Road, Chardon, OH 44024
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals