CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: UPMC Carlisle

Billing Code: 72040 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$87
about 1.0× the $89 Medicare rate · typically $61–$94
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
About the fair price
about $3 under the fair price · 0.9× Medicare
Medicare pays $89 Fair price $87 This hospital $84 Cash price $188 Hospital's list price $314

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $21 Priciest $84

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, neck (cervical spine) is about $87 (about 1.0× the $89 Medicare rate). UPMC Carlisle charges insurers about $84, or about $188 in cash — about the fair price. Located in Carlisle, PA.

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 $22 - $231 25%
Blue Cross Blue Shieldmajor $34 - $263 38%
Aetnamajor $88 - $154 99%
Cignamajor $88 - $419 99%
Humanamajor $84 94%
AmeriHealth $34 38%
Geisinger $39 - $227 44%
HealthPartners $36 40%
UPMC Health Plan $34 - $220 38%
+ 6 smaller / regional plans $43 - $251
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 361 Alexander Spring Road, Carlisle, PA 17015
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals