CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Memorial Hospital of Carbon County

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $162
Cash Discount Price: $199
vs. Medicare Baseline: 1.82x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Memorial Hospital of Carbon County is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $199. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.82x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.

Cash / Self-Pay

$199

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $199 (224%)

Insurance Median: $162 (182%)

Cash: $199 (224% of Medicare)

Ins. Median: $162 (182% 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
Lhi	$52	58%
Three_River_Providers_Network	$80 - $318	90%
Wise_Provider_Networks	$80 - $318	90%
Zelis	$80 - $318	90%
Corechoice	$96 - $382	108%
First_Choice_Health	$96 - $382	108%
Blue Cross Blue Shield	$98 - $390	110%
Cigna	$100 - $394	112%
UnitedHealthcare	$103 - $407	116%
Interwests_Ppo_Network	$104 - $411	117%
Multiplan	$104 - $411	117%
Medicare (plans)	$220	247%
Vaccn	$220	247%
Medicaid / KanCare	$424	477%

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 $199.
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 Memorial Hospital of Carbon County 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.