CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 72040 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$44
about 0.5× the $89 Medicare rate · typically $12–$134
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $44 Cash price $91 Hospital's list price $179

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $7 - $271 8%
Blue Cross Blue Shieldmajor $7 - $298 8%
Aetnamajor $7 - $288 8%
Cignamajor $44 - $288 49%
Humanamajor $7 - $89 8%
AmeriHealth $14 - $92 16%
CareSource $7 - $145 8%
Medical Mutual $29 - $288 33%
Molina $14 - $93 16%
WellCare $7 - $80 8%
+ 14 smaller / regional plans $7 - $297
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens