CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $117
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Poplar Bluff Regional Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.32x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $133 (150%)
Insurance Median: $117 (132%)
Cash: $133 (150% of Medicare)
Ins. Median: $117 (132% 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.

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
Medicaid / KanCare $5 - $207 6%
Self Pay $6 - $248 7%
Blue Cross Blue Shield $7 - $272 8%
Access Health Services, Llc $14 - $590 16%
Cigna $14 - $827 16%
Evolutions Healthcare $14 - $564 16%
Tyson Foods $14 - $569 16%
UnitedHealthcare $14 - $556 16%
Parker Hannifin $15 - $724 17%
First Health $16 - $672 18%
Healthlink $16 - $646 18%
Blue Traditional $19 - $798 21%
Coventry Wc $20 - $827 22%
Municipal Health $20 - $827 22%
Multiplan $22 - $900 25%
Phcs $22 - $900 25%
Compresults Wc $23 - $931 26%
Veterans Eval Services $25 - $76 28%
Node Champva $88 99%
Tricare $88 99%
Medicare (plans) $92 103%
Node United Behavioral Health Mcr Adv $92 103%
Humana $93 105%
Node Hospice Non Par Agree $93 105%
Node Va $93 105%
Node Ahs Mcr Adv $96 108%
Node Devoted Health Mcr Adv $96 108%
Node Pphp Mcr Adv $106 119%
Centurion Correctional $117 132%
Us Department Of Labor $117 132%
Naphcare $177 199%
Home State Exchange $233 262%
W W Wood $233 262%
Blue Access $318 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals