X-ray, neck (cervical spine)
Facility: Providence Medical Center
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Comp Alliance - Fka Compresults Worker Compensation | $32 | 36% |
| Oha Networks | $35 | 39% |
| Worker Compensation | $36 | 40% |
| Aetna | $40 - $82 | 45% |
| Medicaid / KanCare | $49 | 55% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Cigna | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Tricare | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Kansas Superior Select | $86 | 97% |
| Corizon | $107 | 120% |
| Well Path Prison | $115 | 129% |
| Employer Direct Healthcare | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
| Blue Cross Blue Shield | $131 - $212 | 147% |
| First Health | $750 | 844% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Providence Medical Center in Kansas City, KS, the facility's negotiated rates range from $32 to $750 depending on the insurance plan, with a median negotiated amount of $82.00. This facility is a voluntary non-profit church-owned acute care hospital located in zip code 66112. While the facility's cash price of $81.00 is slightly lower than the median negotiated rate, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allows a negotiated rate that exceeds the cash price. It is important to note that commercial insurance rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to direct payment.
The Medicare benchmark for this service is $88.91, which serves as a scientifically validated baseline for the true cost of care. The facility's cash price of $81.00 is slightly below the Medicare amount, while the median negotiated rate of $82.00 is also very close to the Medicare benchmark. When comparing to the state of Kansas, the facility's pricing structure aligns closely with federal standards, as the negotiated rates do not show significant deviation from the Medicare baseline. Patients should be aware that balance billing is generally prohibited for emergency services at in-network facilities under the No Surprises Act, and they should request a full itemized bill to ensure no unbundled codes or services not rendered are included in the final charge.