X-ray, neck (cervical spine)
Facility: Hodgeman County Health Center
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $268
- Cash Discount Price: $304
- vs. Medicare Baseline: 3.01x 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 301% of the Medicare baseline (a markup of 201%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $152 - $160 | 171% |
| Humana | $243 | 273% |
| Triwest - All Plans | $243 | 273% |
| Medicaid / KanCare | $243 - $380 | 273% |
| UnitedHealthcare | $243 - $361 | 273% |
| Aetna | $304 | 342% |
| First Health - All Plans | $342 | 385% |
| Wppa (Provdrscare) - All Plans | $361 | 406% |
| Health Partners - All Plans | $361 | 406% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Hodgeman County Health Center in Jetmore, Kansas, the facility's cash median rate is $304.00, which is notably higher than the state average of $286.00. While commercial insurance plans like Blue Cross Blue Shield and Humana negotiate rates ranging from $152 to $380, patients with high-deductible plans may find the cash price more affordable if their insurer's negotiated rate exceeds $304.00. It is important to note that Medicaid/KanCare plans show a wide range of $243 to $380, suggesting significant variation based on specific plan contracts.
To ensure you receive the most accurate pricing, always ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront payment incentives can reduce the final bill. If you are billed for services rendered by out-of-network providers, such as certain lab tests or emergency physicians, the No Surprises Act protects you from balance billing for these specific services, so you should dispute any unexpected charges immediately rather than paying them out of fear. Additionally, since over 80% of hospital bills contain errors, you have the right to request a detailed, itemized audit of your statement to identify any unbundled codes or services not rendered before finalizing your payment.