X-ray, neck (cervical spine)
Facility: Labette Health
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $75
- Cash Discount Price: $148
- vs. Medicare Baseline: 0.84x 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 |
|---|---|---|
| Uhccp | $19 - $31 | 21% |
| Aetna | $34 | 38% |
| Kansas Superior Select | $36 - $84 | 40% |
| Montgomery County | $38 - $149 | 43% |
| Medicaid / KanCare | $49 - $81 | 55% |
| Healthy Blue | $50 - $75 | 56% |
| Multiplan | $75 - $320 | 84% |
| Blue Cross Blue Shield | $81 - $160 | 91% |
| UnitedHealthcare | $81 - $328 | 91% |
| Humana | $81 | 91% |
| Wellcare | $81 | 91% |
| Ambetter / Centene | $94 | 106% |
| Choicecare (First Health Network) | $339 | 381% |
| Health Partners Of Kansas, Inc | $339 | 381% |
Consumer Guidance & Cost Commentary
For this X-ray of the cervical spine at Labette Health in Parsons, KS, the cash price is $148, which is lower than the facility's gross charge of $211. While the facility is in-network for most major payers, their negotiated rates range from $19 to $339, with the median negotiated amount being $75. It is important to note that for patients with high-deductible plans, paying the cash price of $148 upfront may be more cost-effective than relying on insurance, as the insurer's allowed amount could exceed the cash rate. Additionally, patients should inquire about "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within 30 days, effectively bypassing administrative fees and claim processing delays.
The facility's pricing is benchmarked against Medicare, which sets the rate at $88.91 for this procedure. The cash price of $148 represents a markup of 0.8 times the Medicare rate, while the median negotiated rate of $75 is significantly lower than the gross charge but still varies widely by insurer. Given that Labette Health is a government-owned acute care facility, patients should verify their specific plan details before scheduling to ensure they understand their out-of-pocket responsibilities. If you receive a bill, always request a full itemized statement to review every line item and code, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.