CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Sanford Behavioral Health Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $276
Cash Discount Price: $334
vs. Medicare Baseline: 3.10x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Sanford Behavioral Health Center is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $334. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.10x the Medicare baseline. Located in 120 Labree Avenue South, Thief River Falls, MN.

Cash / Self-Pay

$334

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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: $334 (376%)

Insurance Median: $276 (310%)

Cash: $334 (376% of Medicare)

Ins. Median: $276 (310% 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 310% of the Medicare baseline (a markup of 210%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Primewest	$92 - $176	103%
Ucare	$92 - $367	103%
Blue Cross Blue Shield	$144 - $289	162%
Sanford Health Plan Align	$159	179%
Aetna	$172 - $363	193%
Health Partners	$172 - $339	193%
Medicare (plans)	$172	193%
UnitedHealthcare	$172 - $349	193%
Sanford Health Plan	$224 - $263	252%
Security Health Plan	$230	259%
Medica	$367 - $395	413%
Cigna	$376	423%
First Choice Health Network	$376	423%
Healthez	$376	423%
Multiplan	$376	423%

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 $334.
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 Sanford Behavioral Health Center 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.