CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Henrico Doctors' Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $182
Cash Discount Price: $1,337
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Henrico Doctors' Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,337. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.05x the Medicare baseline. Located in 1602 Skipwith Road, Richmond, VA.

Cash / Self-Pay

$1,337

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $1,337 (1504%)

Insurance Median: $182 (205%)

Cash: $1,337 (1504% of Medicare)

Ins. Median: $182 (205% 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 205% of the Medicare baseline (a markup of 105%). 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
Blue Cross Blue Shield	$33 - $180	37%
United	$182 - $602	205%
Cigna	$188 - $197	211%
Lifeworks	$254	286%
Universal Healthcare Group	$294	331%
Virginia Health Network	$468 - $869	526%
Greenvbrier Sporting Club	$802	902%
Corvel	$963	1083%
Occunet Workers Comp	$1,070	1203%
4Most Health Nework	$1,203	1353%
Multiplan	$1,203	1353%

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 $1,337.
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 Henrico Doctors' Hospital 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.