CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: UPMC Muncy

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $562
Cash Discount Price: $637
vs. Medicare Baseline: 6.32x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at UPMC Muncy is $562. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $637. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.32x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$637

Average discount available for prompt cash payment at this facility.

Insurance Median

$562

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: $637 (716%)

Insurance Median: $562 (632%)

Cash: $637 (716% of Medicare)

Ins. Median: $562 (632% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 632% of the Medicare baseline (a markup of 532%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$21 - $726	24%
Geisinger	$29 - $712	33%
Upmc Health Plan	$29 - $463	33%
Amerihealth Caritas	$30 - $2,208	34%
Highmark Wholecare (Prev Gateway)	$30 - $159	34%
Pa Health & Wellness	$45 - $2,316	51%
Upmc Work Partners	$90	101%
Three Rivers Provider Network	$96 - $956	108%
Cigna	$167 - $727	188%
Blue Cross Blue Shield	$417 - $491	469%
Aetna	$431 - $701	485%
Coventry/First Health	$532 - $715	598%
Wirerope Works	$590	664%
Multiplan	$828 - $1,009	931%
America'S Choice	$850	956%
Intergroup	$850	956%

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 $637.
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 UPMC Muncy 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.