CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Brattleboro Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $68
  • Cash Discount Price: $368
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Brattleboro Memorial Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.76x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.
Cash / Self-Pay
$368

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $368 (414%)
Insurance Median: $68 (76%)
Cash: $368 (414% of Medicare)
Ins. Median: $68 (76% 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
Amerihealth-Caritas $9 - $68 10%
New Hampshire Healthy Families $9 - $68 10%
Wellsense $9 - $90 10%
Blue Cross Blue Shield $10 - $474 11%
Cigna $10 - $500 11%
Harvard Pilgrim Health Care $10 - $458 11%
Martin'S Point $10 - $84 11%
Mvp Healthcare $10 - $474 11%
New Hampshire Healthy Families (Wellcare) $11 - $89 12%
Tufts Health Plan $27 - $481 30%
Vermont Health Plan $33 - $471 37%
UnitedHealthcare $59 - $500 66%
Humana $84 94%
Multiplan $93 - $511 105%
Aetna $511 575%
Coventry $511 575%
Health New England $511 575%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17 Belmont Ave, Brattleboro, VT 05301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals