X-ray, neck (cervical spine)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $443
- Cash Discount Price: $591
- vs. Medicare Baseline: 4.98x 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 498% of the Medicare baseline (a markup of 398%). 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 | $355 | 399% |
| Americas Choice Provider Network | $414 | 466% |
| Provider Network Of America | $443 | 498% |
| Velocity | $443 | 498% |
| Quiktrip Corporation | $443 | 498% |
| Usa Managed Care Organization | $443 | 498% |
| Multiplan-Phcs | $473 | 532% |
| Prime Health Services | $502 | 565% |
| Medincrease | $532 | 598% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at the Rehabilitation Hospital Of Overland Park, the cash price is $591.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 5.0% variance compared to Medicare benchmarks. While commercial insurance plans like Blue Cross Blue Shield and Americas Choice Provider Network negotiate specific rates ranging from $355 to $532, these negotiated amounts often exceed the cash price. Patients with high-deductible plans or those who have not yet met their out-of-pocket maximum may find paying the cash rate directly more cost-effective than relying on insurance, which could result in higher allowed amounts after deductibles are applied.
To minimize potential costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling any services, as these upfront payment incentives can reduce the final bill. It is also important to request a full itemized CPT-coded bill rather than accepting a summary invoice, as hospitals may include unbundled charges or services not rendered that inflate the total. If a balance bill is received from an out-of-network provider, such as for emergency services or ancillary tests, patients should not pay immediately out of fear of credit damage; instead, they should dispute the charge with their insurer and request a No Surprises Act audit to ensure they are not being billed for the difference between the provider's chargemaster rate and the insurer's allowed amount.