CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Akron Children's Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $62
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Akron Children's Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $31 (35%)
Insurance Median: $62 (70%)
Cash: $31 (35% of Medicare)
Ins. Median: $62 (70% 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 $9 - $396 10%
Blue Cross Blue Shield $9 - $455 10%
Buckeye Community Health Plan $9 - $79 10%
Caresource $9 - $77 10%
Humana $9 - $428 10%
Molina $9 - $79 10%
UnitedHealthcare $9 - $396 10%
Amerihealth Caritas Ohio $10 - $81 11%
Mmo $16 - $453 18%
Autlcare $35 - $363 39%
Summacare $37 - $377 42%
Cigna $42 - $397 47%
Cenpatico $79 89%
Healthplan (Hometown) $156 175%
Northern Ohio Handicapped Fund (Nohf $166 187%
Ohio Crippled Childrens Fund (Occf $166 187%
Amish Church Fund $230 259%
Medben $350 394%
Summa Health Employee $359 404%
Summacare Preferred Choice Network $362 407%
The Health Plan (Mountaineer Region) $370 416%
Avita-Osu Health Plan $377 424%
The Health Plan (Fna Hometown Health Network) $386 434%
Healthsmart (Fna Emerald Health Network) $402 452%
Embs/Thomas Steel $405 456%
Ohio Health Choice $405 456%
Phcs/Multiplan $405 456%
Enterprise Group Planning $414 466%
Prime Health Services $414 466%
Primenet $414 466%
Quality Care Partners $414 466%
Beechstreet $428 481%
Ohio Preferred Network $428 481%
Paramount $428 481%
Cofinity $432 486%
Health Reach Ohio Health Group $432 486%
Direct Care America $437 492%
First Health Network $437 492%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens