CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Central Vermont Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $87
Cash Discount Price: $593
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Central Vermont Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $593. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.98x the Medicare baseline. Located in Box 547, Barre, VT.

Cash / Self-Pay

$593

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $593 (667%)

Insurance Median: $87 (98%)

Cash: $593 (667% of Medicare)

Ins. Median: $87 (98% 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.

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
Aetna	$10 - $87	11%
Blue Cross Blue Shield	$10 - $545	11%
Coventry	$10 - $516	11%
Humana	$10 - $241	11%
Martins Point	$10 - $380	11%
Mvp	$10 - $548	11%
UnitedHealthcare	$10 - $589	11%
Veterans Affairs Community Care Network	$10 - $87	11%
Capital District Physicians' Health Plan	$16 - $474	18%
Wellpath	$17 - $326	19%
Cigna	$25 - $561	28%
Harvard Pilgrim	$25 - $474	28%

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 $593.
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 Central Vermont Medical Center 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.