CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Research Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $425
Cash Discount Price: $2,261
vs. Medicare Baseline: 4.78x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Research Medical Center is $425. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,261. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.78x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.

Cash / Self-Pay

$2,261

Average discount available for prompt cash payment at this facility.

Insurance Median

$425

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: $2,261 (2543%)

Insurance Median: $425 (478%)

Cash: $2,261 (2543% of Medicare)

Ins. Median: $425 (478% 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 478% of the Medicare baseline (a markup of 378%). 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
Multiplan	$29 - $1,673	33%
Corvel Corporation	$34 - $1,470	38%
Oha Network	$36 - $1,131	40%
Aetna	$39 - $1,153	44%
United	$49 - $1,018	55%
Blue Cross Blue Shield	$50 - $882	56%
Healthyblue	$50	56%
Humana	$50 - $1,470	56%
Medicaid / KanCare	$50	56%
Amerigroup	$51	57%
Unicare	$51	57%
Home State Health Plan	$59	66%
Cigna	$101 - $1,131	114%
Ambetter / Centene	$421	474%
Nhc Advantage	$430	484%
Wppa Providrs Care Network	$452	508%
Universal Healthcare	$792	891%
Coventry	$909	1022%
Coventry Kc Mo	$927	1043%
College Park Family Care Center	$972	1093%
Emerging Therapy Solutions	$1,085 - $1,131	1220%
Focus Healthcare Mgmt, Inc	$1,696	1908%
Triwest Health Alliance	$1,696	1908%
Cco, Inc.	$1,809	2035%
Evernorth Behavioral Health	$1,809	2035%
UnitedHealthcare	$2,013 - $2,261	2264%

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 $2,261.
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 Research Medical 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.