CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $53
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Southeast Iowa Regional Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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%)
Insurance Median: $53 (60%)
Ins. Median: $53 (60% 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
American Healthplan Of Iowa - Midlevel $8 - $30 9%
Medicaid / KanCare $9 - $31 10%
Aetna $10 - $32 11%
Humana $10 - $37 11%
American Healthplan Of Iowa - Md $11 - $40 12%
Blue Cross Blue Shield $18 - $99 20%
Plain Church $21 - $224 24%
UnitedHealthcare $21 - $74 24%
Midlands Choice $23 - $310 26%
Absolute Solutions $29 - $86 33%
First Agency $29 - $86 33%
Multiplan $29 - $86 33%
Henderson County $30 - $91 34%
Immergrun $56 63%
6 Degree $71 - $276 80%
Elap $76 - $109 85%
Wellpoint (Amerigroup) $193 217%
Immugrun $217 244%
Brighton Amish Church $224 252%
Geha $321 361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals