CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Stillwater Billings Clinic

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $50
  • Cash Discount Price: $162
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Stillwater Billings Clinic is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.56x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$162

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

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: $162 (182%)
Insurance Median: $50 (56%)
Cash: $162 (182% of Medicare)
Ins. Median: $50 (56% 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
Blue Cross Blue Shield $10 - $274 11%
Humana $10 - $198 11%
Pacific Source Mcr Advantage $10 - $196 11%
Tricare $10 - $196 11%
Allegiance Direct Ppo - All Other Plans $17 - $274 19%
Allegiance State Of Mt $17 - $403 19%
All Savers-All Plans $18 - $274 20%
UnitedHealthcare $18 - $274 20%
Aetna $19 - $279 21%
Boon Chapman First Choice Health $19 - $279 21%
Cigna $19 - $274 21%
Ebms First Choice Health $19 - $279 21%
First Choice- All Plans $19 - $279 21%
Mountain Health Coop - All Plans $19 - $265 21%
Pacific Source Billings Clinic $19 - $216 21%
Pacific Source Voyager - All Other Plans $19 - $274 21%
Pacificsource Nav $19 - $274 21%
Rci First Choice Health - All Other Plans $19 - $279 21%
Rci Wyoben $19 - $259 21%
Trustmark First Choice Health $19 - $279 21%
Wyo-Ben Inc- All Plans $19 - $259 21%
Zenith First Choice Health- All Plans $19 - $279 21%
Pacific Steel Direct - All Plans $21 - $202 24%
Ebms Interwest $29 - $274 33%
Gpa Interwest- All Plans $29 - $274 33%
Interwest Health-All Plans $29 - $274 33%
Rci Interwest $29 - $274 33%
Allied Core Value $30 - $251 34%
Ebms Town Pump $32 - $274 36%
Town Pump Inc- All Plans $32 - $274 36%
Blackhawk - All Plans $33 - $274 37%
Mtada- All Plans $33 - $274 37%
Prodegi (Y-Tex Corp)- All Plans $33 - $274 37%
Murdoch Oil - All Plans $34 - $279 38%
Ryegate Public Schools - All Plans $34 - $279 38%
Savatree - All Plans $34 - $279 38%
Tabs - All Plans $34 - $279 38%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals