CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Banner Fort Collins Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $129
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Banner Fort Collins Medical Center is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.45x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $80 (90%)
Insurance Median: $129 (145%)
Cash: $80 (90% of Medicare)
Ins. Median: $129 (145% 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
Banner Health $63 71%
UnitedHealthcare $86 - $168 97%
Blue Cross Blue Shield $88 - $200 99%
Cigna $88 99%
Clear Spring Health $88 99%
Healthspring Life & Health Insurance Company, Inc. $88 99%
Medica $88 - $127 99%
Medicare (plans) $88 99%
Humana $91 102%
Longevity $91 102%
Devoted Health Services $93 105%
Assist Health Group $106 119%
Hue Health, Inc $107 - $226 120%
Rocky Mountain Health Plans $129 145%
Apostrophe, Inc. $130 146%
Decent Health $130 146%
First Choice Health Network $138 155%
Pinnacol Assurance Workers Comp $139 156%
Multiplan $144 162%
First Choice Of The Midwest $145 163%
Aetna $153 172%
Denver Health Medical Plan $158 178%
Centivo $212 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals