CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Platte County Hospital

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $451
Cash Discount Price: $356
vs. Medicare Baseline: 5.07x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Platte County Hospital is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.07x the Medicare baseline. Located in 201 14Th Street, Wheatland, WY.

Cash / Self-Pay

$356

Average discount available for prompt cash payment at this facility.

Insurance Median

$451

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: $356 (400%)

Insurance Median: $451 (507%)

Cash: $356 (400% of Medicare)

Ins. Median: $451 (507% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 507% of the Medicare baseline (a markup of 407%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$226 - $445	254%
Banner Health	$268	301%
Humana	$268	301%
Medica	$268 - $446	301%
Triwest Healthcare Alliance Corp - Va Ccn	$268	301%
Interwest Health	$273 - $461	307%
Prime Health Services	$273 - $461	307%
Platte County Detention Center	$376	423%
Blue Cross Blue Shield	$446	502%
First Choice Health Network	$446	502%
Hue Health, Inc	$446	502%
Imagine Health, Llc (Wka Wise Provider Network)	$446	502%
Mountain Health Cooperative (Co-Op)	$446	502%
Coventry	$451	507%
First Health	$451	507%
Midlands Choice	$451	507%
Cigna	$456	513%
Multiplan	$456	513%

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 $356.
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 Platte County Hospital 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.