X-ray, neck (cervical spine)
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $87
- Cash Discount Price: $395
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $24 - $86 | 27% |
| Humana | $24 - $84 | 27% |
| Aetna | $24 - $517 | 27% |
| Blue Cross Blue Shield | $49 - $192 | 55% |
| UnitedHealthcare | $75 - $410 | 84% |
| Halo Hcr Inc Hospice [20432] | $84 | 94% |
| Kindful Hospice Contracted [320434] | $84 | 94% |
| Cross Timbers Hospice [20098] | $84 | 94% |
| Dept Of Veteran Affairs Contracted [320106] | $84 | 94% |
| Elara Caring Aspire Hospice [20433] | $84 | 94% |
| Medicare (plans) | $84 - $88 | 94% |
| Kindful Hospice [20434] | $84 | 94% |
| Pace Of The Ozarks Contracted [320518] | $84 | 94% |
| Tricare | $84 | 94% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $84 | 94% |
| Mercy Hospice Okc [20252] | $84 | 94% |
| Halo Hcr Inc Hospice Contracted [320432] | $84 | 94% |
| Ambetter / Centene | $86 | 97% |
| Home State Health Plan Contracted [320187] | $86 | 97% |
| Providrs Care Network Contracted [320484] | $163 | 183% |
| Health Choice Contracted [320166] | $198 | 223% |
| Medica Contracted [320239] | $221 | 249% |
| Cigna | $242 - $248 | 272% |
| United Medical Resources Contracted [320454] | $410 | 461% |
| Imagine 360 Contracted [320494] | $486 | 547% |
| Ebms Contracted [320493] | $486 | 547% |
| Healthlink Contracted [320179] | $486 | 547% |
| Reflect Health Contracted [320492] | $486 | 547% |
| Aither Health Contracted [320449] | $486 | 547% |
| American Healthcare Alliance Contracted [320020] | $486 | 547% |
| Auxiant Contracted [320462] | $486 | 547% |
| Yuzu Health Contracted [320521] | $486 | 547% |
| Edison Health Solutions Contracted [320502] | $486 | 547% |
| Workers Comp [20426] | $486 | 547% |
| Mercy Benefit Admin Contracted [320251] | $486 | 547% |
| First Health Contracted [320128] | $517 | 581% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Mercy Hospital Pittsburg, Inc., the facility's cash price is $395.00, which is significantly lower than the negotiated rates charged to most insurance plans. While the facility's cash rate is also lower than the state average for this procedure, patients with high-deductible plans may find the cash price more affordable than their insurance allowed amounts, which range from $84 to $517 depending on the carrier. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to direct cash payments.
To minimize costs, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can bypass costly claims processing and reduce the final bill. Additionally, because over 80% of hospital bills contain errors, patients should request a full itemized CPT-coded statement rather than accepting a summary invoice, which may obscure unbundled charges or services not rendered. By comparing the facility's rates directly to the Medicare benchmark of $88.91, patients can see that while the cash price is higher than the federal baseline, it remains substantially lower than the commercial rates charged by many in-network payers.