CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mobridge Regional Hospital - Cah

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $138
Cash Discount Price: $347
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mobridge Regional Hospital - Cah is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $347. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.55x the Medicare baseline. Located in 1401 10Th Ave West, Mobridge, SD.

Cash / Self-Pay

$347

Average discount available for prompt cash payment at this facility.

Insurance Median

$138

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: $347 (390%)

Insurance Median: $138 (155%)

Cash: $347 (390% of Medicare)

Ins. Median: $138 (155% 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
Medica Mcare Advan	$33 - $136	37%
Medica Mn Health Care	$35 - $143	39%
Medica Msho Mcare	$35 - $143	39%
Wellmark Indem/Ppo-All Plans	$68 - $280	76%
Medica Comm-All Other Plans	$74 - $305	83%
Avera/Dakotacare-All Plans	$84 - $348	94%
Sanford Healthplan-All Plans	$84 - $348	94%
UnitedHealthcare	$132 - $294	148%

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 $347.
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 Mobridge Regional Hospital - Cah 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.