CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: The Children's Mercy Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $25
  • Cash Discount Price: $153
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at The Children's Mercy Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.28x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.
Cash / Self-Pay
$153

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $153 (172%)
Insurance Median: $25 (28%)
Cash: $153 (172% of Medicare)
Ins. Median: $25 (28% 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
UnitedHealthcare $9 - $407 10%
Cigna $10 - $421 11%
Healthy Blue $10 - $226 11%
Home State Health $10 - $198 11%
Medicaid / KanCare $10 - $57 11%
Healthlink $14 - $533 16%
Wppa Providrs Care $14 - $394 16%
American Healthcare Alliance $15 - $515 17%
Health Midwest Comprehensive Care $15 - $395 17%
Quiktrip $15 - $395 17%
Blue Cross Blue Shield $16 - $448 18%
Medica $19 - $353 21%
Multiplan $19 - $461 21%
Aetna $20 - $412 22%
Wellfit/Centrus $20 - $394 22%
Centivo $21 - $394 24%
Humana $21 - $403 24%
Nebraska Furniture Mart $21 - $394 24%
Orscheln $22 - $394 25%
Mercy Health $23 - $454 26%
Coxhealth Network $24 - $448 27%
Coventry Health Care Of Kansas $25 - $448 28%
National Preferred Provider Network $28 - $545 31%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens