CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Porter Hospital Inc

Billing Code: 72040 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$43

about 0.5× the $89 Medicare rate · typically $11–$172

modeled estimate · not a bill or quote

Medicare pays $89 Fair price $43 Cash price $256 Hospital's list price $256

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7 - $450	8%
Blue Cross Blue Shieldmajor	$12 - $428	13%
Aetnamajor	$10 - $400	11%
Cignamajor	$15 - $414	17%
Humanamajor	$10 - $84	11%
Fidelis Care	$9 - $192	10%
Harvard Pilgrim	$12 - $364	13%
MVP Health Care	$9 - $424	10%
+ 3 smaller / regional plans	$10 - $432

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 256), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72040.

Insurance Before you use insurance

Call your insurance company to confirm Porter Hospital Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 72040.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Porter Hospital Inc

Compare: X-ray, neck (cervical spine) at other VT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.