CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Springfield Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $847
Cash Discount Price: $797
vs. Medicare Baseline: 9.53x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Springfield Hospital is $847. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $797. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.53x the Medicare baseline. Located in Po Box 2003, Springfield, VT.

Cash / Self-Pay

$797

Average discount available for prompt cash payment at this facility.

Insurance Median

$847

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: $797 (896%)

Insurance Median: $847 (953%)

Cash: $797 (896% of Medicare)

Ins. Median: $847 (953% 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 953% of the Medicare baseline (a markup of 853%). 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	$397 - $1,077	447%
Mvp Health Plan	$397 - $829	447%
UnitedHealthcare	$397 - $969	447%
Wellsense	$397 - $1,077	447%
Harvard Pilgrim Health Care	$401 - $891	451%
Wellcare	$409 - $422	460%
Tufts Health Plan	$643 - $662	723%
Cigna	$734 - $1,120	826%
Multiplan	$868 - $894	976%
Aetna	$994 - $1,023	1118%
Coventry	$994 - $1,023	1118%
Beacon Health	$1,046 - $1,077	1176%
Manage Behavioral Health	$1,046 - $1,077	1176%
Martin'S Point Healthcare	$1,046 - $1,077	1176%

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 $797.
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 Springfield 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.