X-ray, neck (cervical spine)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $196
- Cash Discount Price: $245
- vs. Medicare Baseline: 2.20x 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 220% of the Medicare baseline (a markup of 120%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $65 | 73% |
| UnitedHealthcare | $79 - $272 | 89% |
| Berkley Net-All Plans | $109 | 123% |
| Trustmark Health Benefits-All Plans | $120 | 135% |
| Aetna | $120 - $185 | 135% |
| Meritain Health-All Plans | $122 | 137% |
| Ambetter / Centene | $131 | 147% |
| Axa Equitable - All Plans | $150 | 169% |
| Pinnacol-All Plans | $152 | 171% |
| Medi-Share-All Plans | $155 | 174% |
| Presbyterian-All Plans | $166 | 187% |
| Kasb Work Comp - All Plans | $174 | 196% |
| The Kempton Group Admin-All Plans | $188 | 211% |
| Gpha(Wppa)-All Other Plans | $190 | 214% |
| Auxiant - All Plans | $190 | 214% |
| Wppa- All Plans | $193 | 217% |
| Emc-All Plans | $196 | 220% |
| Sisco-All Plans | $196 | 220% |
| Providers Care Network- All Plans | $196 | 220% |
| Gpha Employee Benefit Plan | $199 | 224% |
| Employee Benefit-All Plans | $204 | 229% |
| Regional Care(Wppa)-All Plans | $204 | 229% |
| Triangle-All Plans | $207 | 233% |
| First Health -All Plans | $207 | 233% |
| One Call Physician-All Plans | $209 | 235% |
| Blue Cross Blue Shield | $215 | 242% |
| Christian Hospital Aid - All Plans | $218 | 245% |
| Tricare | $218 | 245% |
| Humana | $234 | 263% |
| Luminare Health- All Plans | $239 | 269% |
| Cigna | $239 | 269% |
| Coresource-All Plans | $245 | 276% |
| Deseret Mutual(Uhis)-All Plans | $245 | 276% |
| Vaccn-All Plans | $250 | 281% |
| Reserve National-All Plans | $258 | 290% |
| Hma Llc-All Plans | $258 | 290% |
| Wps Vapc-All Plans | $258 | 290% |
| Medicaid / KanCare | $272 | 306% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Satanta District Hospital, the cash price is $245.00, which is lower than the facility's negotiated rates for most commercial payers. While the facility's cash rate is higher than the state average of $196.00, it remains below the gross charges of many insurance plans, such as UnitedHealthcare and Aetna, where negotiated amounts can reach up to $272.00. This demonstrates that paying out-of-pocket can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the negotiated rate exceeds the cash price. Patients should verify their specific plan's allowed amount before scheduling, as in-network contracts vary significantly even within the same facility.
The facility's Medicare benchmarking ratio of 2.2 indicates that the cash price is more than double the federal Medicare rate of $88.91, reflecting the typical markup found in commercial pricing structures. To minimize costs, patients should 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. Additionally, asking about prompt-pay discounts before check-in may reduce the final balance, as hospitals often offer 20% to 50% reductions for upfront payments that bypass costly insurance claims processing.