CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Howard County Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $114
  • Cash Discount Price: $364
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Howard County Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.28x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$364

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $364 (409%)
Insurance Median: $114 (128%)
Cash: $364 (409% of Medicare)
Ins. Median: $114 (128% 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
Aetna $10 - $346 11%
Medica Standard Premier $10 - $36 11%
Medica Elevate $20 - $70 22%
Midland'S Choice $21 - $74 24%
Humana $30 34%
Blue Cross Blue Shield $35 - $346 39%
Great Plains $35 - $207 39%
Medica Chi $35 - $207 39%
Tricare $35 - $273 39%
UnitedHealthcare $35 - $349 39%
Molina Healthcare $37 - $182 42%
Nebraska Total Care - Wellcare $37 42%
Oscar Health $62 70%
Ambetter / Centene $71 80%
Beshp $71 80%
Nebraska Total Care $182 205%
Medica Chi Aco $331 372%
Medica Choice National $331 372%
Medica Ifb Aco $349 393%
Medica Ifb Open Access $349 393%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals