CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $196
  • Cash Discount Price: $245
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Satanta District Hospital, Clinics, & Ltcu is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.20x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$245

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $245 (276%)
Insurance Median: $196 (220%)
Cash: $245 (276% of Medicare)
Ins. Median: $196 (220% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals