CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $84
  • Cash Discount Price: $655
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Univ. of Vermont - Fletcher Allen Health Care is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $655. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.
Cash / Self-Pay
$655

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: $655 (737%)
Insurance Median: $84 (94%)
Cash: $655 (737% 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
Blue Cross Blue Shield $6 - $634 7%
UnitedHealthcare $7 - $645 8%
Mvp $9 - $523 10%
Aetna $10 - $89 11%
Capital District Physicians' Health Plan $10 - $491 11%
Humana $10 - $183 11%
Martins Point $10 - $91 11%
St. Regis $10 - $89 11%
Veterans Affairs Community Care Network $10 - $89 11%
Fidelis Care $12 - $98 13%
Wellpath $14 - $360 16%
Ebpa $38 - $563 43%
Harvard Pilgrim $39 - $524 44%
Magnacare $39 - $524 44%
Coventry $42 - $557 47%
Nppn $44 - $590 49%
Cigna $45 - $590 51%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 Colchester Ave, Burlington, VT 05401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals