CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $81
  • Cash Discount Price: $358
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Memorial Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $358. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.91x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.
Cash / Self-Pay
$358

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

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: $358 (403%)
Insurance Median: $81 (91%)
Cash: $358 (403% of Medicare)
Ins. Median: $81 (91% 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 $34 - $646 38%
Summacare $34 - $358 38%
Paramount Healthcare Inc $35 - $309 39%
Blue Cross Blue Shield $36 - $431 40%
Buckeye Community Health Plan $36 - $387 40%
Frontpath $36 - $337 40%
Health Alliance Plan $36 - $404 40%
Humana $36 - $525 40%
Molina Healthcare Of Ohio $36 - $807 40%
Caresource $37 - $165 42%
UnitedHealthcare $40 - $435 45%
Cigna $41 - $384 46%
Meridian Health Plan Of Mi $48 - $525 54%
Health Ohio Network $50 - $380 56%
Amerihealth $59 - $83 66%
Medical Mutual Of Ohio $118 - $368 133%
Multiplan $118 - $496 133%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 South Taft Avenue, Fremont, OH 43420
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals