CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Lakewood Health System

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $115
Cash Discount Price: $99
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Lakewood Health System is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.29x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.

Cash / Self-Pay

$99

Average discount available for prompt cash payment at this facility.

Insurance Median

$115

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: $99 (111%)

Insurance Median: $115 (129%)

Cash: $99 (111% of Medicare)

Ins. Median: $115 (129% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ucare Msho/Special Needs	$7 - $120	8%
Blue Cross Blue Shield	$10 - $214	11%
Humana	$10 - $118	11%
Ucare Mcr Adv	$10 - $120	11%
UnitedHealthcare	$10 - $259	11%
Medica Msho/Mcr Adv	$11 - $116	12%
Health Partners - All Plans	$16 - $274	18%
Ucare Individual/Family - All Other Plans	$16 - $134	18%
Medica Choice Care	$18 - $142	20%
Medica Choice/Focus/Ifb/Mhps - All Other Plans	$18 - $260	20%
Preferred One Hmo	$20 - $276	22%
Preferred One Ppo - All Other Plans	$22 - $276	25%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $99.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lakewood Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.