CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $161
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Intermountain Health St Vincent Regional Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.81x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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%)
Insurance Median: $161 (181%)
Ins. Median: $161 (181% 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
First Choice Health $56 - $193 63%
Other $56 - $193 63%
Exchange Other $63 - $142 71%
Mt Health Co-Op $63 - $142 71%
Blue Cross Blue Shield $64 - $181 72%
Ebms-Employee Benefit Mng $64 - $211 72%
Meritain Health $64 - $161 72%
Pacificsource $70 - $220 79%
Allegiance $80 - $242 90%
Cigna $80 - $194 90%
Medicare (plans) $88 99%
UnitedHealthcare $90 - $198 101%
Aetna $137 154%
Sibanye Stillwater Health Partners $167 188%
Coastal Administrative Services $176 198%
Preferred One $185 - $201 208%
Interwest $194 218%
Private Hlthcare Sys $196 220%
Geha $198 223%
Pacific Steel And Recycling $220 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals