CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Cass County Memorial Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $119
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Cass County Memorial Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.34x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.
Cash / Self-Pay
$194

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $194 (218%)
Insurance Median: $119 (134%)
Cash: $194 (218% of Medicare)
Ins. Median: $119 (134% 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
Midlands Choice Medica Mcr $55 62%
UnitedHealthcare $108 - $116 121%
Wellmark Hmo $109 123%
Triwest - All Plans $113 127%
Aetna $116 - $263 130%
Amerigroup Mcr Adv - All Other Plans $116 130%
Medica Mcr Adv $116 130%
Tricare $116 130%
Va Ccn - All Plans $116 130%
Wellmark Mcr Adv $118 133%
Iowa Total Care Mcaid $119 134%
Iowa Total Care Mcr $119 134%
Molina Mcaid - All Plans $119 134%
American Hlth Mcr Adv - All Plans $120 135%
Medicaid / KanCare $120 135%
Wellmark Ppo - All Other Plans $120 135%
Iowa Total Care Comm - All Other Plans $128 144%
Midlands Choice New Bus $180 202%
Medica Comm - All Other Plans $244 274%
Midlands Choice Pho (Ppo) - All Other Plans $249 280%
Multiplan - All Plans $263 296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 East Tenth Street, Atlantic, IA 50022
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals