CT scan, neck (cervical spine)
Facility: University Of Kansas Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $2,915
- Cash Discount Price: $1,202
- vs. Medicare Baseline: 27.29x 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 2729% of the Medicare baseline (a markup of 2629%). 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 |
|---|---|---|
| Triwest [503201703] | $98 | 92% |
| Workers Comp [503999901] | $98 - $5,710 | 92% |
| Devoted [503200068] | $98 | 92% |
| UnitedHealthcare | $98 - $156 | 92% |
| Humana | $98 - $100 | 92% |
| Lasso Healthcare [503999926] | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Aetna | $98 - $137 | 92% |
| Tricare | $98 | 92% |
| Ku Athletics [503200094] | $98 | 92% |
| Blue Cross Blue Shield | $101 - $4,613 | 95% |
| Allwell [503200078] | $101 | 95% |
| American Health Plans [503200968] | $102 | 95% |
| Oscar [503201609] | $117 | 110% |
| Centurion [5032000966] | $127 | 119% |
| Wellfit [503301514] | $161 | 151% |
| Centivo [5032000982] | $161 | 151% |
| Ambetter / Centene | $166 | 155% |
| 6 Degrees Health [503999050] | $171 - $244 | 160% |
| Alt Wppa [5032000964] | $195 - $3,641 | 183% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Occunet [503999930] | $205 | 192% |
| Multiplan [503200057] | $264 | 247% |
| Claimdoc [503301509] | $264 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $293 | 274% |
| Larned State Hospital [503200090] | $1,773 | 1660% |
| Health Plan Inc [503999941] | $2,825 | 2645% |
| Alt Carelon Behavioral Health [503200905] | $3,006 | 2814% |
| Accarent Health [503999034] | $3,006 | 2814% |
| Php [503200005] | $3,607 - $4,442 | 3377% |
| Allied National [503999937] | $3,607 | 3377% |
| Med-Pay [503200040] | $3,641 | 3409% |
| Healthlink [503200007] | $3,641 - $4,442 | 3409% |
| Inter-Americas Insurance [503999032] | $3,641 | 3409% |
| Geha [503200036] | $3,641 | 3409% |
| Cerner [503200038] | $3,641 | 3409% |
| First Health [5032000110] | $3,961 | 3708% |
| Aha-Healthcare Preferred [503200050] | $3,961 | 3708% |
| Consolidated Billing [50311256] | $4,208 | 3940% |
| Ascension Living Hope [503201517] | $4,208 | 3940% |
| Coeur Plan Services [503301517] | $4,208 | 3940% |
| Correct Care Solutions [50311253] | $4,208 | 3940% |
| Orscheln Industries [503201608] | $4,508 | 4221% |
| Alt Lucent Health Solutions [503202603] | $4,613 | 4319% |
| Empire Plan/Nyship [503200705] | $4,613 | 4319% |
| Alt Lineco [5032000976] | $4,613 | 4319% |
| Point Comfort Underwriters [503200018] | $4,809 | 4502% |
| Century Health Solutions [503200054] | $4,809 | 4502% |
| Cigna | $4,809 | 4502% |
| Quiktrip [5032000412] | $4,809 | 4502% |
| Meritain Health [503200039] | $5,049 | 4727% |
| Wppa [503200056] | $5,049 | 4727% |
| Sanford Health Plan [503999027] | $5,410 | 5065% |
| Three Rivers Provider Network [503999029] | $5,410 | 5065% |
| Usa Managed Care [503999030] | $5,410 | 5065% |
| Plan Care America [503999026] | $5,410 | 5065% |
| Employers Health Network [503999025] | $5,410 | 5065% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at University Of Kansas Hospital, the cash price is $1,202, which is significantly lower than the facility's gross charge of $6,011. While many insurance plans negotiate rates ranging from $98 to $5,410, the cash rate often represents the most affordable option for patients with high-deductible plans or those without coverage. The facility offers a prompt-pay discount for upfront payment, which can further reduce the cost, and patients should explicitly ask for self-pay pricing before scheduling to avoid being billed the full negotiated amount by their insurer.
It is important to note that the facility's cash rate of $1,202 is much lower than the state average for this procedure, making it a cost-effective choice for self-pay patients. However, if you have insurance, your allowed amount could be higher than the cash price, meaning you might end up paying more out-of-pocket if you do not meet your deductible or if the negotiated rate exceeds the cash fee. To ensure you receive the best possible price, always verify your specific plan's allowed amount and confirm whether the hospital can bill you directly as a self-pay patient rather than submitting a claim to your insurer.