CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Buena Vista Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $152
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Buena Vista Regional Medical Center is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.71x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$152

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: $126 (142%)
Insurance Median: $152 (171%)
Cash: $126 (142% of Medicare)
Ins. Median: $152 (171% 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
Ambetter / Centene $83 - $157 93%
Champus $83 93%
Champva $83 93%
Health Partners $83 - $157 93%
Iowa Health Advantage $83 - $157 93%
Medicare (plans) $83 - $157 93%
UnitedHealthcare $83 - $157 93%
Wellcare $83 - $157 93%
American Postal Workers $126 142%
Avera $133 150%
Cigna $141 159%
Aetna $152 - $157 171%
First Administrators $152 171%
Golden Rule $152 171%
Great West $152 171%
Healthscope $152 171%
Medical Associates $152 171%
Meritain $152 171%
Midlands Choice $152 171%
Blue Cross Blue Shield $157 177%
Humana $157 177%
Wellpoint $157 177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1525 West 5Th Street, Storm Lake, IA 50588
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals