CT scan, neck (cervical spine)
Facility: Salina Regional Health Center
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $2,432
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 22.77x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 2277% of the Medicare baseline (a markup of 2177%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $479 - $504 | 448% |
| Preferred Phsic | $1,622 | 1519% |
| Preferred Healthcare - All Other Plans | $2,189 | 2049% |
| Multiplan (Mpi)-All Plans | $2,432 | 2277% |
| Cigna | $2,432 | 2277% |
| Aetna | $2,432 | 2277% |
| Providers Care (Wppa)-All Plans | $2,432 | 2277% |
Consumer Guidance & Cost Commentary
For the CT scan of the cervical spine at Salina Regional Health Center, the facility's cash price of $1,892 is lower than the median negotiated rate of $2,432 paid by most insurance plans, including Preferred Phsic, Multiplan, Cigna, and Aetna. While the facility's negotiated rates align with the state average of $2,432, the cash price represents a significant discount for self-pay patients. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price directly may result in lower out-of-pocket costs compared to having your insurance negotiate a higher rate, provided you can afford the upfront payment.
Patients should verify their specific plan details before scheduling to ensure they are aware of any "self-pay" or "prompt-pay" discounts that could further reduce the bill. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to request a full itemized bill before paying to avoid errors or unbundled charges. If you receive a bill that appears higher than expected, you have the right to dispute it in writing with the billing supervisor rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected.