CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Centerpoint Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $489
Cash Discount Price: $1,597
vs. Medicare Baseline: 5.50x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Centerpoint Medical Center is $489. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,597. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.50x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$1,597

Average discount available for prompt cash payment at this facility.

Insurance Median

$489

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: $1,597 (1796%)

Insurance Median: $489 (550%)

Cash: $1,597 (1796% of Medicare)

Ins. Median: $489 (550% 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 550% of the Medicare baseline (a markup of 450%). 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
Global Sports Services	$25	28%
Multiplan	$29 - $2,222	33%
Corvel Corporation	$34 - $1,952	38%
Oha Network	$36 - $1,501	40%
Aetna	$39 - $1,531	44%
United	$49 - $1,351	55%
Blue Cross Blue Shield	$50 - $1,381	56%
Healthyblue	$50	56%
Humana	$50 - $64	56%
Medicaid / KanCare	$50	56%
Amerigroup	$51	57%
Home State Health Plan	$51	57%
Unicare	$51	57%
Cigna	$101 - $2,402	114%
Ambetter / Centene	$222 - $558	250%
Nhc Advantage	$227 - $570	255%
Wppa Providrs Care Network	$238 - $601	268%
Universal Healthcare	$417 - $1,051	469%
Coventry	$479 - $1,207	539%
Coventry Kc Mo	$489 - $1,231	550%
College Park Family Care Center	$513 - $1,291	577%
Cco, Inc.	$1,013 - $2,552	1139%
Focus Healthcare Mgmt, Inc	$1,073 - $2,702	1207%

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 $1,597.
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 Centerpoint 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.