X-ray, neck (cervical spine)
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $104
- Cash Discount Price: $283
- vs. Medicare Baseline: 1.17x 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 |
|---|---|---|
| Aetna | $24 - $84 | 27% |
| Medicaid / KanCare | $24 - $84 | 27% |
| Humana | $24 - $86 | 27% |
| Provider Partners Health Plans Contracted [320450] | $26 | 29% |
| First Health Contracted [320128] | $27 | 30% |
| Blue Cross Blue Shield | $49 - $130 | 55% |
| UnitedHealthcare | $75 - $403 | 84% |
| Kindful Hospice [20434] | $84 | 94% |
| Globalhealth Contracted [320145] | $84 | 94% |
| Elara Caring Aspire Hospice [20433] | $84 | 94% |
| Pace Of The Ozarks Contracted [320518] | $84 | 94% |
| Cross Timbers Hospice [20098] | $84 | 94% |
| Qual Choice Contracted [320325] | $84 | 94% |
| Mercy Hospice Okc [20252] | $84 | 94% |
| Mercy Mgd Behavioral Health Contracted [320259] | $84 | 94% |
| Medicare (plans) | $84 | 94% |
| Halo Hcr Inc Hospice Contracted [320432] | $84 | 94% |
| Medical Associates Health Contracted [320444] | $84 | 94% |
| Kindful Hospice Contracted [320434] | $84 | 94% |
| Halo Hcr Inc Hospice [20432] | $84 | 94% |
| Cherokee Nation Health Serv Contracted [320066] | $84 | 94% |
| Tricare | $84 | 94% |
| Cigna | $84 - $248 | 94% |
| Centivo Contracted [320505] | $86 | 97% |
| Dept Of Veteran Affairs Contracted [320106] | $86 | 97% |
| United Medical Resources Contracted [320454] | $102 - $104 | 115% |
| Insurance System Inc Contracted [320465] | $104 | 117% |
| Healthscope Contracted [320182] | $104 - $327 | 117% |
| Benefit Management Contracted [320052] | $104 | 117% |
| Health Systems Inc Contracted [320174] | $104 | 117% |
| Point C Contracted [320238] | $104 - $327 | 117% |
| Medica Contracted [320239] | $159 | 179% |
| Providrs Care Network Contracted [320484] | $163 | 183% |
| Mercy Benefit Admin Contracted [320251] | $173 - $305 | 195% |
| Show-Me Health Administrators Contracted [320483] | $173 | 195% |
| Ebms Contracted [320493] | $305 | 343% |
| Auxiant Contracted [320462] | $305 - $327 | 343% |
| Aither Health Contracted [320449] | $305 | 343% |
| Yuzu Health Contracted [320521] | $305 | 343% |
| Reflect Health Contracted [320492] | $305 | 343% |
| Imagine 360 Contracted [320494] | $305 | 343% |
| Edison Health Solutions Contracted [320502] | $305 | 343% |
| American Healthcare Alliance Contracted [320020] | $305 | 343% |
| Preferred Health Plan Contracted [320522] | $327 | 368% |
| Federal Medical Center Contracted [320127] | $327 | 368% |
| Healthlink Contracted [320179] | $327 | 368% |
| Compcare Of The Ozarks Contracted [320437] | $344 | 387% |
| Workers Comp [20426] | $349 | 393% |
| Private Health Care Systems Contracted [320320] | $403 | 453% |
| Multiplan [20270] | $414 | 466% |
| Multiplan Contracted [320270] | $414 | 466% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine (CPT code 72040) at Mercy Specialty Hospital Southeast Kansas, the facility's cash median rate is $283.00, which is 1.2 times the Medicare benchmark of $88.91. While many commercial payers negotiate rates significantly higher than the cash price—ranging from $84 to $414 depending on the insurer—patients with high-deductible plans may find paying the cash rate directly more affordable than facing a negotiated bill that exceeds their deductible. It is important to note that the facility's cash rate is substantially lower than the highest negotiated rates found in the data, such as the $414 rate from Multiplan, highlighting that the cash price can serve as a competitive baseline for self-pay patients.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront. Since the facility is an in-network location for most major payers listed, the No Surprises Act generally protects patients from balance billing for out-of-network services at this acute care hospital, though verifying the specific status of any ancillary services is still recommended. Before scheduling, consumers should confirm their deductible status and request an itemized bill to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.