X-ray, neck (cervical spine)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $81
- Cash Discount Price: $221
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| UnitedHealthcare | $9 - $228 | 10% |
| Aetna | $9 - $77 | 10% |
| Medicaid / KanCare | $9 - $77 | 10% |
| Providrs Care | $14 - $50 | 16% |
| Tricare | $46 | 52% |
| Va | $81 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Humana | $81 - $82 | 91% |
| Smarthealth | $114 | 128% |
| Ambetter / Centene | $138 | 155% |
| Blue Cross Blue Shield | $173 - $182 | 195% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Ascension Via Christi Hospital Manhattan, Inc., the facility's cash price of $221.00 is significantly lower than the gross chargemaster rate of $552.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates ranging from $9 to $228, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and seeking prompt-pay discounts. The facility's cash rate is also notably higher than the state average for Kansas, suggesting that commercial rates in this region are marked up relative to the baseline cost of care.
To avoid unexpected costs, patients should verify their specific plan's deductible status before scheduling, as insurance payments can sometimes be higher than the cash price due to administrative overhead. If you receive a bill from an out-of-network provider or encounter a summary invoice, you have the right to request a full itemized audit to identify errors or unbundled charges. Additionally, under the No Surprises Act, you are protected from balance billing for emergency services at in-network facilities, so any surprise bill should be disputed immediately with your insurer rather than paid in full without review.