X-ray, neck (cervical spine)
Facility: Ohio Valley Surgical Hospital
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $265
- Cash Discount Price: $346
- vs. Medicare Baseline: 2.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 298% of the Medicare baseline (a markup of 198%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Genworth | $45 - $27,708 | 51% |
| Ngs Coresource | $45 - $27,708 | 51% |
| Mail Handlers | $45 - $27,708 | 51% |
| Mhbp | $45 - $27,708 | 51% |
| Meritain Heatlh | $45 - $27,708 | 51% |
| Geha | $45 - $27,708 | 51% |
| Pacific Source | $45 - $27,708 | 51% |
| Personify Health | $45 - $27,708 | 51% |
| Nippon Life | $45 - $27,708 | 51% |
| Meritain | $45 - $27,708 | 51% |
| Aetna | $45 - $27,708 | 51% |
| Wellcare By Allwell | $84 - $14,922 | 94% |
| Molina McR McD | $84 - $14,922 | 94% |
| Patient No Pay | $84 - $14,922 | 94% |
| Mmoh | $84 - $14,922 | 94% |
| Aarp Supplemental | $84 - $14,922 | 94% |
| Champus | $84 - $14,922 | 94% |
| Molina Marketplace | $84 - $14,922 | 94% |
| Molina McR+McD | $84 - $14,922 | 94% |
| Bankers Life and Casualty | $84 - $14,922 | 94% |
| American Continental Insurance | $84 - $14,922 | 94% |
| Gateway Health Plan | $84 - $14,922 | 94% |
| Communicare Advantage | $84 - $14,922 | 94% |
| Prosperity Supplement | $84 - $14,922 | 94% |
| Aarp | $84 - $14,922 | 94% |
| American Continental Life | $84 - $14,922 | 94% |
| Molina | $84 - $14,922 | 94% |
| Humana | $84 - $15,804 | 94% |
| Bankers Fidelity | $84 - $14,922 | 94% |
| Medicare (plans) | $84 - $15,398 | 94% |
| Cigna | $84 - $24,606 | 94% |
| Molina Dual McR | $84 - $14,922 | 94% |
| American Retirement | $84 - $14,922 | 94% |
| Molina Dual McR | $84 - $14,922 | 94% |
| Everest | $84 - $14,922 | 94% |
| UnitedHealthcare | $84 - $22,930 | 94% |
| Central States | $84 - $14,922 | 94% |
| American Republic | $84 - $14,922 | 94% |
| Wraparound Pl Supp | $84 - $14,922 | 94% |
| Medigold | $84 - $14,922 | 94% |
| Aultcare Primetime Health Plan | $84 - $14,922 | 94% |
| Blue Cross Blue Shield | $84 - $50,591 | 94% |
| Molina McR | $84 - $14,922 | 94% |
| The Health Plan | $88 - $15,669 | 99% |
| Self Pay Imaging | $95 - $14,922 | 107% |
| Employer Direct | $97 - $20,205 | 109% |
| Devoted Health | $98 - $18,175 | 110% |
| Medicaid / KanCare | $126 - $22,383 | 142% |
| Caresource | $126 - $22,383 | 142% |
| Caresourse | $126 - $22,383 | 142% |
| Shl | $132 - $22,060 | 148% |
| Surest | $132 - $22,060 | 148% |
| Medica | $132 - $22,060 | 148% |
| Golden Rule | $132 - $22,060 | 148% |
| Oxford | $132 - $22,060 | 148% |
| Ushealth | $132 - $22,060 | 148% |
| Unified Group | $136 - $24,606 | 153% |
| Samba | $136 - $24,606 | 153% |
| Healthgram | $136 - $24,606 | 153% |
| Nalc | $136 - $24,606 | 153% |
| Sbma | $136 - $24,606 | 153% |
| Mmo Cin. HMO | $265 - $363 | 298% |
| Mmoh (Supermed) | $265 - $268 | 298% |
| Luminare Health | $518 | 583% |
| Preferred Health | $518 | 583% |
| Medben | $518 | 583% |
| Ohio Health | $518 | 583% |