CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: University Health System, Inc

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $84
  • Cash Discount Price: $82
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at University Health System, Inc is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $82. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$82

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $82 (92%)
Insurance Median: $84 (94%)
Cash: $82 (92% of Medicare)
Ins. Median: $84 (94% 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 $10 - $228 11%
American Health $10 - $85 11%
Blue Cross Blue Shield $10 - $209 11%
Bluecare $10 - $11 11%
Choicecare $10 - $14 11%
Cigna $10 - $247 11%
Humana $10 - $80 11%
Nhc $10 - $85 11%
Signature $10 11%
UnitedHealthcare $10 - $228 11%
Wellpoint $10 - $85 11%
Tenncare $11 12%
Multiplan $15 - $196 17%
Coventry $16 - $228 18%
First Health $17 19%
Initial Group $17 19%
Novanet $18 20%
Beechstreet $19 - $244 21%
Devoted Health $84 94%
Wellcare-Windsor Medadv $84 94%
Medicare (plans) $85 - $86 96%
Fentress County Sheriffs Dept $130 146%
Nx Health $196 220%
Phcs $196 220%
Naphcare $212 238%
Prime Health $244 - $326 274%
Seven Corners $244 274%
Usa $261 294%
Evolutions $293 330%
Galaxy $293 330%
Healthsmart $293 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals