X-ray, neck (cervical spine)
Facility: University Of Kansas Hospital
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $321
- Cash Discount Price: $214
- vs. Medicare Baseline: 3.61x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 361% of the Medicare baseline (a markup of 261%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Larned State Hospital [503200090] | $68 - $316 | 76% |
| Hchsync Centrus Health Direct [503999916] | $70 - $375 | 79% |
| Aetna | $81 - $114 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Humana | $81 - $83 | 91% |
| Ku Athletics [503200094] | $81 | 91% |
| Tricare | $81 | 91% |
| Triwest [503201703] | $81 | 91% |
| Devoted [503200068] | $81 | 91% |
| Lasso Healthcare [503999926] | $81 | 91% |
| UnitedHealthcare | $81 - $130 | 91% |
| Workers Comp [503999901] | $81 - $1,017 | 91% |
| Allwell [503200078] | $84 | 94% |
| Blue Cross Blue Shield | $84 - $822 | 94% |
| American Health Plans [503200968] | $85 | 96% |
| Oscar [503201609] | $98 | 110% |
| Centurion [5032000966] | $106 | 119% |
| Health Plan Inc [503999941] | $109 - $503 | 123% |
| Accarent Health [503999034] | $116 - $536 | 130% |
| Alt Carelon Behavioral Health [503200905] | $116 - $536 | 130% |
| Centivo [5032000982] | $134 | 151% |
| Wellfit [503301514] | $134 | 151% |
| Ambetter / Centene | $138 | 155% |
| Php [503200005] | $139 - $791 | 156% |
| Allied National [503999937] | $139 - $643 | 156% |
| Med-Pay [503200040] | $141 - $649 | 159% |
| Inter-Americas Insurance [503999032] | $141 - $649 | 159% |
| Cerner [503200038] | $141 - $649 | 159% |
| Geha [503200036] | $141 - $649 | 159% |
| Alt Wppa [5032000964] | $141 - $649 | 159% |
| Healthlink [503200007] | $141 - $791 | 159% |
| 6 Degrees Health [503999050] | $142 - $203 | 160% |
| Aha-Healthcare Preferred [503200050] | $153 - $706 | 172% |
| First Health [5032000110] | $153 - $706 | 172% |
| Ascension Living Hope [503201517] | $162 - $750 | 182% |
| Consolidated Billing [50311256] | $162 - $750 | 182% |
| Correct Care Solutions [50311253] | $162 - $750 | 182% |
| Coeur Plan Services [503301517] | $162 - $750 | 182% |
| Occunet [503999930] | $171 | 192% |
| Fort Hays State Student Athletes [5032000960] | $171 | 192% |
| Orscheln Industries [503201608] | $174 - $803 | 196% |
| Alt Lineco [5032000976] | $178 - $822 | 200% |
| Alt Lucent Health Solutions [503202603] | $178 - $822 | 200% |
| Empire Plan/Nyship [503200705] | $178 - $822 | 200% |
| Point Comfort Underwriters [503200018] | $186 - $857 | 209% |
| Cigna | $186 - $857 | 209% |
| Quiktrip [5032000412] | $186 - $857 | 209% |
| Century Health Solutions [503200054] | $186 - $857 | 209% |
| Meritain Health [503200039] | $195 - $900 | 219% |
| Wppa [503200056] | $195 - $900 | 219% |
| Plan Care America [503999026] | $209 - $964 | 235% |
| Employers Health Network [503999025] | $209 - $964 | 235% |
| Usa Managed Care [503999030] | $209 - $964 | 235% |
| Three Rivers Provider Network [503999029] | $209 - $964 | 235% |
| Sanford Health Plan [503999027] | $209 - $964 | 235% |
| Claimdoc [503301509] | $219 | 246% |
| Multiplan [503200057] | $219 | 246% |
| Advanced Medical Pricing Solutions [503301513] | $244 | 274% |
Consumer Guidance & Cost Commentary
For patients paying out of pocket, the most critical information to know first is that the cash median rate for this X-ray, neck (cervical spine) procedure at University Of Kansas Hospital is $214. This self-pay price is significantly lower than the facility's gross charge of $1,069 and may offer savings compared to insurance coverage depending on your specific plan. While the facility's negotiated rates with insurers range from a low of $68 to a high of $1,067, the cash price of $214 could be the most cost-effective option for individuals with high-deductible plans or those without insurance, provided they secure a "self-pay" or "prompt-pay" discount before scheduling.
Regarding broader pricing context, the facility is located in Kansas City, KS, and is rated 5 stars. The cash rate of $214 is notably higher than the state average of $321 for the median negotiated rate, though it remains well below the gross charge. It is important to note that while the facility is a Government - Hospital District or Authority, balance billing protections under the No Surprises Act apply, meaning patients should not face unexpected bills for out-of-network services at this in-network facility. To ensure the lowest possible cost, patients are encouraged to request an itemized billing audit to verify all charges and confirm that no unbundled codes or services not rendered are included in the final statement.