X-ray, neck (cervical spine)
Facility: Greenwood County Hospital
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $167
- Cash Discount Price: $158
- vs. Medicare Baseline: 1.88x 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 |
|---|---|---|
| Triwest - All Plans | $71 | 80% |
| Tricare | $83 | 93% |
| Choicecare Mcr Adv - All Plans | $83 | 93% |
| UnitedHealthcare | $83 - $166 | 93% |
| Integrated Health Plan - All Plans | $148 | 166% |
| Blue Cross Blue Shield | $150 - $158 | 169% |
| First Health Ccn Network | $168 | 189% |
| Beech Street - All Plans | $168 | 189% |
| First Health - All Other Plans | $168 | 189% |
| Preferred Hs (Coventry) - All Plans | $178 | 200% |
| Principal Health Care Inc - All Plans | $188 | 211% |
| Medicaid / KanCare | $198 | 223% |
| Amerigroup Mcaid-All Plans | $198 | 223% |
| Providrs Care/Wppa - All Plans | $297 | 334% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Greenwood County Hospital in Eureka, KS, the cash price of $158.00 is notably lower than the facility's median negotiated rate of $166.00 and the median paid amount of $167.00. While insurance plans like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $83 to $297 depending on the specific plan, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds this figure. It is important to note that the facility is a Critical Access Hospital with government-local ownership, and while the cash rate is competitive, patients should always verify their specific deductible status before scheduling to avoid unexpected out-of-pocket expenses.
When evaluating the cost of this service, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross charge. The Medicare amount for this procedure is $88.91, which serves as the objective baseline for fair pricing; commercial negotiated rates typically average between 200% and 300% of this figure, whereas fair pricing is generally defined as 120% to 150%. Given that the facility's cash rate of $158.00 is approximately 1.77 times the Medicare amount, it aligns closely with the lower end of the fair pricing range. To maximize savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full upfront, bypassing the administrative overhead associated with insurance claims.