X-ray, neck (cervical spine)
Facility: Centura St. Catherine-Dodge City
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $528
- Cash Discount Price: $321
- vs. Medicare Baseline: 5.94x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 594% of the Medicare baseline (a markup of 494%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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 | $25 - $642 | 28% |
| Kansas Health | $25 | 28% |
| Cigna | $25 | 28% |
| Medicare (plans) | $25 | 28% |
| Humana | $25 | 28% |
| Blue Cross Blue Shield | $25 - $188 | 28% |
| Kaiser | $25 | 28% |
| Centura Employee Plan | $91 | 102% |
| UnitedHealthcare | $528 | 594% |
| Wpaa | $562 | 632% |
| Christian Health Aid | $642 | 722% |
| Multiplan | $642 - $723 | 722% |
| Health Partners Of Kansas | $723 | 813% |
Consumer Guidance & Cost Commentary
For the X-ray of the cervical spine at Centura St. Catherine-Dodge City, the facility's cash median price is $321.00, which is significantly lower than the state average of $528.00. While many commercial payers have negotiated rates ranging from $25 to $723, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated allowed amounts often exceed the cash rate. It is important to note that Kaiser's listed rate of $25 is an internal system rate and not a typical negotiated rate, so patients should verify their specific plan's coverage before scheduling.
To ensure you are not overcharged, always request a full itemized bill before paying, as summary bills can hide unbundled codes or services not rendered. If you receive a balance bill for out-of-network services, remember that the No Surprises Act generally protects you from paying the difference between the provider's chargemaster and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. Additionally, ask the hospital about prompt-pay discounts, which can reduce your bill by 20% to 50% if you pay upfront, effectively bypassing the administrative costs associated with insurance claims processing.