CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Cannon Memorial Hospital
Billing Code: 72040 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72040
- Insurance Median: $30
- Cash Discount Price: $38
- vs. Medicare Baseline: 0.34x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Cannon Memorial Hospital is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.34x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$38
Average discount available for prompt cash payment at this facility.
Insurance Median
$30
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: $38 (43%)
Insurance Median: $30 (34%)
Cash: $38 (43% of Medicare)
Ins. Median: $30 (34% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $8 - $414 | 9% |
| Medicaid / KanCare | $8 - $575 | 9% |
| Select Health Of Sc [637] | $9 - $105 | 10% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $10 - $37 | 11% |
| Absolute Total Care Mcr Plans [41] | $10 - $37 | 11% |
| Absolute Total Care [58] | $10 - $111 | 11% |
| Aetna | $10 - $327 | 11% |
| Blue Choice Health Plan [922] | $10 - $391 | 11% |
| Blue Cross Blue Shield | $10 - $546 | 11% |
| Champva [604] | $10 - $37 | 11% |
| Cigna | $10 - $575 | 11% |
| Devoted Health Alt Payer [9401] | $10 - $36 | 11% |
| Devoted Health [94] | $10 - $36 | 11% |
| First Choice Vip Careplus Alt Payer [3301] | $10 - $37 | 11% |
| First Choice Vip [33] | $10 - $37 | 11% |
| Medicare (plans) | $10 - $575 | 11% |
| Molina Dual Options Alt Payer [1501] | $10 - $37 | 11% |
| Molina Dual Options [15] | $10 - $37 | 11% |
| Nhc Advantage Alt Payer [6101] | $10 - $37 | 11% |
| Nhc Advantage [61] | $10 - $37 | 11% |
| Tricare | $10 - $37 | 11% |
| UnitedHealthcare | $10 - $575 | 11% |
| Vaccn - Va Community Care Network [16] | $10 - $36 | 11% |
| Veterans Administration [633] | $10 - $36 | 11% |
| Bright Health Alt Payer [1001] | $12 - $40 | 13% |
| Employee Benefit Management Services [869] | $12 - $161 | 13% |
| Geha [302] | $13 - $306 | 15% |
| Golden Rule Ins Co [584] | $13 - $306 | 15% |
| Ambetter / Centene | $14 - $51 | 16% |
| Bright Health [11] | $14 - $45 | 16% |
| First Choice Next [96] | $14 - $51 | 16% |
| Molina Marketplace [97] | $14 - $51 | 16% |
| Preferred Administrators [19] | $14 - $345 | 16% |
| Mail Handlers Benefit Plan [327] | $16 - $327 | 18% |
| Rural Carrier Benefit Plan [406] | $16 - $327 | 18% |
| Workers Compensation [622] | $16 - $57 | 18% |
| Edison Health Solutions [95] | $17 - $62 | 19% |
| Healthscope [98] | $17 - $62 | 19% |
| Nalc Health Benefit Plan [291] | $18 - $342 | 20% |
| Planned Administrators [886] | $20 - $363 | 22% |
| Thomas Cooper & Company [315] | $20 - $363 | 22% |
| Phcs [940] | $21 - $380 | 24% |
| Medcost [206] | $26 - $518 | 29% |
| Other Hospital Payers [1991] | $101 - $575 | 114% |
| Coventry Health [245] | $359 - $414 | 404% |
| American Continental Ins [778] | $575 | 647% |
| American Republic Life Ins [722] | $575 | 647% |
| Business Office [6000] | $575 | 647% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $575 | 647% |
| First Health [946] | $575 | 647% |
| Guarantee Trust Life Insurance [236] | $575 | 647% |
| Home Health Infusion Payer [6001] | $575 | 647% |
| Manhattan Life Ins Co [932] | $575 | 647% |
| Miscellaneous Commercial [1] | $575 | 647% |
| New Era Life Ins Co [437] | $575 | 647% |
| Non-Contracted [22] | $575 | 647% |
| Physicians Mutual [773] | $575 | 647% |
| Reference Based Pricing/Limited Plan [21] | $575 | 647% |
| State Farm Ins Co [373] | $575 | 647% |
| Sterling Investors Life [244] | $575 | 647% |
| Supermed/Med Mutual Of Ohio [539] | $575 | 647% |
| United American Ins Co [277] | $575 | 647% |