CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: HSHS St Clare Memorial Hospital

Billing Code: 72040 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 1.1× the $89 Medicare rate · typically $57–$213
modeled estimate · not a bill or quote
What this hospital charges insurers
$118
Above the fair price
about $24 over the fair price · 1.3× Medicare
Medicare pays $89 Fair price $94 This hospital $118 Cash price $420 Hospital's list price $637

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $28 Priciest $118

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, neck (cervical spine) is about $94 (about 1.1× the $89 Medicare rate). HSHS St Clare Memorial Hospital charges insurers about $118, or about $420 in cash — above the fair price. Located in Oconto Falls, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $94. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $153 - $496 172%
Blue Cross Blue Shieldmajor $91 - $153 102%
Aetnamajor $153 - $637 172%
Cignamajor $398 448%
Humanamajor $153 - $541 172%
Health Net $457 514%
Meridian $91 102%
Molina $97 - $318 109%
Security Health Plan $154 - $407 173%
+ 16 smaller / regional plans $89 - $637
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 855 S Main St, Oconto Falls, WI 54154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals