CT scan, neck (cervical spine)
Facility: Mcpherson Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $107
- Cash Discount Price: $987
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| UnitedHealthcare | $38 - $2,282 | 36% |
| Tricare | $39 - $85 | 37% |
| Ambetter / Centene | $44 - $111 | 41% |
| Healthy Blue Mcr Adv | $44 - $96 | 41% |
| Humana | $44 - $96 | 41% |
| Aetna | $44 - $2,282 | 41% |
| Va Ccn - All Plans | $44 - $96 | 41% |
| Blue Cross Blue Shield | $44 - $96 | 41% |
| Wellcare Mcr Adv - All Plans | $44 - $96 | 41% |
| Multiplan - All Plans | $55 - $2,054 | 51% |
| Medicaid / KanCare | $107 - $2,282 | 100% |
| Health Blue Mcaid - All Other Plans | $109 - $2,328 | 102% |
| Medical Associates - All Plans | $289 - $1,712 | 271% |
| Central Plains - All Plans | $289 - $1,712 | 271% |
| Health Partners - All Plans | $366 - $2,168 | 343% |
| Cigna | $366 - $2,168 | 343% |
| Wppa - All Plans | $1,597 | 1495% |
| Christian Health Aid - All Plans | $1,826 | 1710% |
| First Health - All Plans | $2,168 | 2030% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at McPherson Hospital in McPherson, Kansas, the cash price is $987.00, which is lower than the facility's negotiated rates with most major payers. While the hospital's gross charge is $1,334.00, insurance companies typically pay between $38.00 and $2,282.00 depending on the plan, with many commercial payers negotiating rates significantly higher than the cash price. This pricing structure highlights a common billing dynamic where paying out-of-pocket upfront can result in lower costs than what insurance allows, particularly for patients with high deductibles or plans that do not fully cover the service.
The facility's negotiated rates are notably higher than the Medicare benchmark of $106.81, which serves as a federal cost baseline for this procedure. Although the hospital is a voluntary non-profit acute care facility, the wide variation in allowed amounts across 19 different payers means that individual patient costs could range from the low end of $38.00 to the high end of $2,328.00. To minimize potential costs, patients should verify their specific plan's allowed amount before scheduling and inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by offering immediate payment incentives.