CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Penn State Health Hampden Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $97
Cash Discount Price: $138
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Penn State Health Hampden Medical Center is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.09x the Medicare baseline. Located in 2200 Good Hope Road, Enola, PA.

Cash / Self-Pay

$138

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $138 (155%)

Insurance Median: $97 (109%)

Cash: $138 (155% of Medicare)

Ins. Median: $97 (109% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
[Amerihealth Caritas]	$72 - $85	81%
[Highmark Wholecare]	$72 - $85	81%
[Geisinger]	$77 - $294	87%
[Health Partners Plans]	$79 - $87	89%
[Pa Health & Wellness]	$80 - $88	90%
[Highmark]	$84 - $364	94%
UnitedHealthcare	$85 - $212	96%
[Cbc]	$85 - $220	96%
Aetna	$86 - $223	97%
Humana	$86	97%
[Healthspring]	$86	97%
[Upmc]	$87 - $325	98%
[Point Comfort Underwriters]	$106	119%
Cigna	$260	292%
[Highmark Choice Blue]	$291	327%
[Highmark Aca]	$305	343%
[Preferred Healthcare Systems]	$330	371%
[First Health]	$352	396%
[Multiplan]	$352	396%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $138.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Penn State Health Hampden Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.