CT scan, neck (cervical spine)
Facility: Saint John Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $109
- Cash Discount Price: $98
- vs. Medicare Baseline: 1.02x 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 $106.81 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Aetna | $98 - $210 | 92% |
| Cigna | $98 | 92% |
| Midland Care Connection | $98 | 92% |
| Tricare | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| UnitedHealthcare | $98 - $138 | 92% |
| Kansas Superior Select | $100 | 94% |
| Celtic | $103 - $158 | 96% |
| Healthy Blue | $103 - $109 | 96% |
| Corizon | $138 | 129% |
| Well Path | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
| Comp Alliance Workers Comp | $193 | 181% |
| Oha Networks | $208 | 195% |
| Worker Compensation | $214 | 200% |
| Blue Cross Blue Shield | $228 - $480 | 213% |
Consumer Guidance & Cost Commentary
For a CT scan of the cervical spine at Saint John Hospital in Leavenworth, KS, the cash median price is $98.00, which is significantly lower than the negotiated rates charged by most insurance plans. While commercial payers like Aetna and UnitedHealthcare negotiate rates ranging from $98 to $214, the cash price remains the most affordable option for patients without insurance or those with high-deductible plans. Because insurance contracts often include administrative overhead and multi-layered pricing structures, the cash rate can sometimes be cheaper than the amount your insurer would allow, even if you are in-network. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket may result in immediate savings compared to waiting for insurance reimbursement.
Patients should be aware that while the facility is a voluntary non-profit acute care hospital, the gross chargemaster rate of $5,537.00 is not the amount billed to most members. The median negotiated rate across all payers is $109.00, which serves as a more accurate benchmark for commercial coverage than the full list price. If you receive a bill that exceeds these negotiated amounts, it may indicate balance billing for out-of-network ancillary services or errors in the claim submission. To protect yourself from unexpected costs, always request a full itemized bill before paying and dispute any charges that do not align with the facility's published rates or your insurance allowed amount. Additionally, ask the billing department about prompt-pay discounts, which can further reduce the final cost if you choose to settle the account directly.