X-ray, neck (cervical spine)
Facility: Physicians Care Surgical Hospital
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $790
- Cash Discount Price: $632
- vs. Medicare Baseline: 8.89x 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 889% of the Medicare baseline (a markup of 789%). 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 |
|---|---|---|
| Connecticare | $69 | 78% |
| Blue Cross Blue Shield | $160 - $853 | 180% |
| Highmark | $160 | 180% |
| Allied Benefit Systems | $248 | 279% |
| Continental Benefits | $248 | 279% |
| Lucent Health | $248 | 279% |
| Geha | $248 | 279% |
| Ag Administrators Inc | $248 | 279% |
| Trustmark | $248 | 279% |
| Meritain Health | $248 | 279% |
| Aetna | $248 - $885 | 279% |
| Healthez | $248 | 279% |
| Allied Benefits Systems | $248 | 279% |
| Premier Care Network | $248 | 279% |
| Ag Administrators | $248 | 279% |
| Marpai Health | $248 | 279% |
| Coventry | $248 | 279% |
| Devon Health Services | $790 | 889% |
| Unified Health Services | $790 | 889% |
| Vibra Health Plan | $790 | 889% |
| Tricare | $790 | 889% |
| Keystone 65 HMO | $790 | 889% |
| Ibc Security 65 | $790 | 889% |
| Personal Choice 65 | $790 | 889% |
| Humana | $790 | 889% |
| Aarp | $790 | 889% |
| Shenandoah Life | $790 | 889% |
| Pcsh Aarp | $790 | 889% |
| Medicare (plans) | $790 | 889% |
| UnitedHealthcare | $790 - $1,676 | 889% |
| Gpm Health and Life Insurance Mc Supplement | $790 | 889% |
| Cigna | $790 | 889% |
| Independence Federal | $853 | 959% |
| Empire Plan | $853 | 959% |
| Keystone HMO | $853 | 959% |
| Keystone Healthplan East | $853 | 959% |
| Keystone Direct POS | $853 | 959% |
| Regence Blue Shield | $853 | 959% |
| Independence Administrators | $853 | 959% |
| Amerihealth Administrators | $853 | 959% |
| Ibc Local | $853 | 959% |
| Horizon of New Jersey | $853 | 959% |
| Carefirst Administrators | $853 | 959% |
| Ibc 2021 | $853 | 959% |
| Pcsh Ibc | $853 | 959% |
| Ibc - Local | $853 | 959% |
| Independence Bc | $853 | 959% |
| Ibc | $853 | 959% |
| Amerihealth New Jersey HMO | $853 | 959% |
| Personal Choice | $853 | 959% |
| Allsavers | $1,676 | 1885% |
| Oxford Life Insurance Company | $1,676 | 1885% |
| Golden Rule Op | $1,676 | 1885% |
| Surest | $1,676 | 1885% |
| Oxford Health Plan | $1,676 | 1885% |