CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Regional West Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $55
Cash Discount Price: $348
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Regional West Medical Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.62x the Medicare baseline. Located in 4021 Ave B, Scottsbluff, NE.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$55

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: $348 (391%)

Insurance Median: $55 (62%)

Cash: $348 (391% of Medicare)

Ins. Median: $55 (62% 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.

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
Aetna	$10 - $539	11%
Humana	$10 - $90	11%
Medica	$10 - $493	11%
Medica Cost	$10 - $95	11%
Wellcare	$10 - $95	11%
UnitedHealthcare	$12 - $246	13%
Naphcare	$15 - $136	17%
Ambetter / Centene	$19 - $136	21%
Blue Cross Blue Shield	$19 - $464	21%
Winhealth	$19 - $493	21%
Cigna	$26 - $522	29%
Rci Insurance Group	$26 - $487	29%

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 $348.
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 Regional West 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.