X-ray, neck (cervical spine)
Facility: Overland Park Reg Med Ctr
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $377
- Cash Discount Price: $1,798
- vs. Medicare Baseline: 4.24x 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 424% of the Medicare baseline (a markup of 324%). 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 |
|---|---|---|
| Multiplan | $29 - $1,395 | 33% |
| Corvel Corporation | $34 - $1,225 | 38% |
| Oha Network | $36 - $943 | 40% |
| Aetna | $39 - $961 | 44% |
| United | $49 - $848 | 55% |
| Amerigroup | $49 | 55% |
| Humana | $50 - $64 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Healthyblue | $50 | 56% |
| Blue Cross Blue Shield | $50 - $811 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $150 | 114% |
| Ambetter / Centene | $318 - $351 | 358% |
| Nhc Advantage | $325 - $358 | 366% |
| Wppa Providrs Care Network | $342 - $377 | 385% |
| Universal Healthcare | $599 - $660 | 674% |
| Coventry | $688 - $758 | 774% |
| Coventry Kc Mo | $702 - $773 | 790% |
| College Park Family Care Center | $736 - $811 | 828% |
| Cco, Inc. | $1,284 - $1,414 | 1444% |
| Triwest Health Alliance | $1,284 - $1,414 | 1444% |
| Focus Healthcare Mgmt, Inc | $1,284 - $1,414 | 1444% |
Consumer Guidance & Cost Commentary
For the X-ray of the neck (cervical spine) at Overland Park Reg Med Ctr, the cash price is $1,798, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup common in commercial healthcare. While the facility offers negotiated rates to various insurers ranging from $29 to $1,414 depending on the plan, patients with high-deductible plans may find paying cash directly cheaper if their insurance negotiated rate exceeds the cash price. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts can result in higher out-of-pocket costs than self-pay options.
To minimize unexpected costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if you are covered by insurance, ensure you do not sign any waivers that might allow the facility to balance bill you for out-of-network services, as the No Surprises Act protects you from such surprise bills for emergency and non-emergency care at in-network facilities. If you receive a bill, always request a detailed, itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal audit dispute.