CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Cleveland Clinic

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $80
  • Cash Discount Price: $365
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Cleveland Clinic is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$365

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $365 (411%)
Insurance Median: $80 (90%)
Cash: $365 (411% of Medicare)
Ins. Median: $80 (90% 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
Summacare $7 - $268 8%
Aetna $10 - $657 11%
Blue Cross Blue Shield $10 - $477 11%
Cigna $10 - $526 11%
Devoted Health $10 - $82 11%
Humana $10 - $478 11%
The Health Plan $10 - $361 11%
United $10 - $182 11%
UnitedHealthcare $10 - $420 11%
Upmc $10 - $394 11%
Valor $10 - $82 11%
Communicare $11 - $86 12%
Perennial Health $11 - $88 12%
Pphp $11 - $90 12%
Zing Health $11 - $90 12%
Cc Ehp $19 - $351 21%
Oscar $25 - $216 28%
Buckeye $26 - $62 29%
Caresource $26 - $59 29%
Paramount $26 - $61 29%
Amerihealth $28 31%
Molina $28 - $62 31%
Mmo $33 - $460 37%
Ohcp $37 - $273 42%
Ohio Healthy $38 - $393 43%
Aultcare $41 - $283 46%
Amish Community Aid Plan $43 - $296 48%
Omas $48 - $328 54%
Healthsmart $52 - $361 58%
Phphi $57 - $394 64%
Clarity Health $62 - $427 70%
United Bh $65 73%
Gms $66 - $460 74%
Quality Care Partners $66 - $460 74%
Consociate Health $71 - $493 80%
Multiplan $86 - $591 97%
Three Rivers $86 - $591 97%
Usa Managed Care $86 - $591 97%
Php $337 379%
Medical Benefit Corp $393 442%
Parkview Health Plan $393 442%
Community Health Alliance $450 506%
Frontpath $506 569%
Managed Care Services $506 569%
Tertiary Care Network $506 569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals