X-ray, neck (cervical spine)
Facility: Kansas Medical Center Llc
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $80
- Cash Discount Price: $126
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Medicaid / KanCare | $49 | 55% |
| Aetna | $52 | 58% |
| Indian Health | $72 | 81% |
| Tricare | $72 | 81% |
| Humana | $80 | 90% |
| Ambetter / Centene | $80 | 90% |
| Medadv_Wellcare | $80 | 90% |
| Blue Cross Blue Shield | $80 - $153 | 90% |
| United | $84 | 94% |
| Wppa | $84 | 94% |
| Three_Rivers | $160 | 180% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Kansas Medical Center Llc in Andover, KS, the facility's cash price is $126.00, which is lower than the median negotiated rate of $80.00 paid by most insurance plans. While many payers, including Medicaid/KanCare, Aetna, and several others, have a single plan paying exactly $49 to $84, Blue Cross Blue Shield has two plans with a range of $80 to $153. Because the cash price is often lower than the insurance negotiated rate, patients with high-deductible plans may save money by paying the cash price directly, provided they qualify for the facility's self-pay or prompt-pay discounts. It is important to note that while the facility is in-network for most of these payers, the specific allowed amount varies significantly by plan, so verifying your individual deductible status and allowed amount before scheduling is essential to avoid unexpected out-of-pocket costs.
The facility's pricing is benchmarked against Medicare, which sets a baseline of $88.91 for this procedure. The cash price of $126.00 is higher than the Medicare rate, but lower than the gross chargemaster price of $210.00. Commercial negotiated rates generally include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to the true cost of care. If you receive a bill that exceeds the allowed amount for your specific plan, it may be a balance bill, though the No Surprises Act protects patients from such unexpected charges for emergency care and non-emergency services from out-of-network providers at in-network facilities. To