CMS Price Transparency Data
X-ray, neck (cervical spine)
Facility: Mercyone Waterloo Medical Center
Billing Code: 72040 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$20
about 0.2× the $89 Medicare rate · typically $14–$36
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $20 Cash price $59 Hospital's list price $81
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 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 | $10 - $198 | 11% |
| Blue Cross Blue Shieldmajor | $10 - $89 | 11% |
| Aetnamajor | $10 - $152 | 11% |
| Cignamajor | $10 - $141 | 11% |
| Humanamajor | $10 - $43 | 11% |
| Kaiser Permanentemajor | $18 - $89 | 20% |
| Ambetter (Centene) | $11 - $141 | 12% |
| Clover Health | $10 - $26 | 11% |
| GEHA | $21 - $195 | 24% |
| Health Net | $11 - $81 | 12% |
| HealthPartners | $11 - $130 | 12% |
| Medica | $141 | 159% |
| Medical Mutual | $152 | 171% |
| Meridian | $10 - $26 | 11% |
| Molina | $11 - $20 | 12% |
| Oscar Health | $18 - $128 | 20% |
| Paramount | $11 - $20 | 12% |
| Presbyterian | $10 - $26 | 11% |
| Sanford Health Plan | $17 - $47 | 19% |
| Tufts Health Plan | $11 - $20 | 12% |
| UCare | $18 - $52 | 20% |
| WellMed | $10 - $26 | 11% |
| WellSense | $11 - $20 | 12% |
| + 359 smaller / regional plans | $10 - $198 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 17 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercyone Waterloo Medical Center
Compare: X-ray, neck (cervical spine) at other IA hospitals
- Madison County Health Care System · Winterset $19
- Winnmed · Decorah $20
- Iowa Specialty Hospital - Belmond · Belmond $21
- Mercyone North Iowa Medical Center · Mason City $22
- Orange City Area Health System · Orange City $22
- Iowa Specialty Hospital - Clarion · Clarion $25
- Mercyone Centerville Medical Center · Centerville $26
- Clarke County Hospital · Osceola $29
Insurance negotiated median for the same procedure, sorted lowest first.