CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Jefferson Healthcare

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $138
  • Cash Discount Price: $186
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Jefferson Healthcare is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $186. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.55x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.
Cash / Self-Pay
$186

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $186 (209%)
Insurance Median: $138 (155%)
Cash: $186 (209% of Medicare)
Ins. Median: $138 (155% 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
Chpw Mcr Adv $11 - $163 12%
Tricare $11 - $151 12%
Aetna $12 - $388 13%
Medicare (plans) $12 - $154 13%
Molina Mcr Adv $12 - $151 13%
Molina Marketplace-All Other Plans $13 - $189 15%
Chpw Commercial-All Other Plans $16 - $366 18%
Coord Care Comm/Exchge-All Other Plans $17 - $388 19%
Amerigroup Mcaid-All Plans $25 - $142 28%
Chpw Mcaid $25 - $135 28%
Molina Mcaid $25 - $138 28%
Regence-All Other Plans $25 - $323 28%
Premera-All Plans $28 - $366 31%
Cigna $30 - $388 34%
Coord Care Mcaid Ip/Op Only $144 162%
UnitedHealthcare $241 271%
Coord Care Cascade Ip/Op Only $388 436%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 834 Sheridan Street, Port Townsend, WA 98368
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals