X-ray, neck (cervical spine)
Facility: Rehabilitation Hospital of Wisconsin
Billing Code: 72040 (CPT)
- CPT Billing Code: 72040
- Insurance Median: $365
- Cash Discount Price: $365
- vs. Medicare Baseline: 4.11x 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 411% of the Medicare baseline (a markup of 311%). 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 |
|---|---|---|
| Alliance PPO | $252 | 283% |
| Medica (Under Dean) | $252 | 283% |
| Dean PPO Hmo/Pos | $252 | 283% |
| UnitedHealthcare | $255 - $365 | 287% |
| Trilogy PPO | $263 - $365 | 296% |
| Wps "Insurance" PPO | $266 | 299% |
| PHCS Savility | $274 | 308% |
| Hps Solutions PPO | $277 | 312% |
| Aetna | $285 - $365 | 321% |
| Health Eos Poc | $292 | 328% |
| Coventry/First Health PPO | $299 | 336% |
| Hps (Other) | $299 | 336% |
| Health Eos Multiplan | $310 | 349% |
| PHCS / Multiplan | $336 | 378% |
| Icare McD | $365 | 411% |
| Humana | $365 | 411% |
| Wellcare McR | $365 | 411% |
| Molina (Fka Care Wisconsin) | $365 | 411% |
| Cigna | $365 | 411% |
| All Savers | $365 | 411% |
| Children's Communty Health Plan(Cchp) | $365 | 411% |
| Centivo Narrow/Value | $365 | 411% |
| Blue Cross Blue Shield | $365 | 411% |
| Security Health Plan - Advocare | $365 | 411% |
| Community Care, Inc | $365 | 411% |
| Centivo Broad | $365 | 411% |
| Network Health - Commercial | $365 | 411% |
| VA - Primary Only - Authorization Required | $365 | 411% |
| Medicaid / KanCare | $365 | 411% |
| Unity Health Plan and Unity Quartz(Hmo/Pos) | $365 | 411% |
| Managed Health Services (Mhs) | $365 | 411% |
| Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) | $365 | 411% |
| Network Health - Aca | $365 | 411% |
| Together With Cchp | $365 | 411% |
| Centivo Intermediate/Median | $365 | 411% |
| Medicare (plans) | $365 | 411% |