CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Lee County Community Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $89
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Lee County Community Hospital is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.00x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $68 (76%)
Insurance Median: $89 (100%)
Cash: $68 (76% of Medicare)
Ins. Median: $89 (100% 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
Blue Cross Blue Shield $36 - $295 40%
UnitedHealthcare $40 - $295 45%
Cigna $54 - $295 61%
Aetna $65 - $295 73%
Ambetter / Centene $65 73%
Amerigroup $65 - $295 73%
Managed Medicaire $65 73%
Medicare (plans) $65 73%
Mountain Empire Pace $65 73%
Sentara Health $65 - $76 73%
United Mine Workers Of America $65 73%
Humana $66 74%
Devoted Health Plan $68 76%
Molina Healthcare $68 - $105 76%
Nhc Advantage $68 76%
Optima Health $101 114%
Seven Corners, Inc. $156 175%
First Health Coventry $295 332%
Medcost $295 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals