CT scan, neck (cervical spine)
Facility: Labette Health
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $109
- Cash Discount Price: $1,720
- 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 |
|---|---|---|
| Healthy Blue | $61 - $109 | 57% |
| Medicaid / KanCare | $61 - $109 | 57% |
| Humana | $98 | 92% |
| Wellcare | $98 | 92% |
| UnitedHealthcare | $98 - $2,138 | 92% |
| Blue Cross Blue Shield | $98 - $480 | 92% |
| Kansas Superior Select | $101 | 95% |
| Ambetter / Centene | $113 | 106% |
| Uhccp | $125 - $250 | 117% |
| Montgomery County | $180 | 169% |
| Multiplan | $2,088 | 1955% |
| Health Partners Of Kansas, Inc | $2,211 | 2070% |
| Choicecare (First Health Network) | $2,211 | 2070% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Labette Health in Parsons, Kansas, the facility's cash price of $1,720 is significantly lower than the gross charge of $2,457. While many commercial payers negotiate rates that exceed this cash amount—such as UnitedHealthcare, which ranges from $98 to $2,138, and Health Partners of Kansas, Inc., which charges $2,211—patients with high-deductible plans may find paying out-of-pocket cheaper. The facility offers a prompt-pay discount, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the administrative costs and collection fees associated with insurance billing cycles. To secure this reduced rate, patients should request a self-pay classification and sign a waiver of insurance submission before check-in, ensuring the hospital does not automatically submit a claim that would void the cash agreement.
The negotiated rates for this service vary widely among the 13 payers, with the lowest allowed amount being $61 for Healthy Blue and Medicaid/KanCare, while the highest is $2,211 for Health Partners of Kansas, Inc. Although the data does not provide specific county or state average comparisons for this procedure, the facility's ownership is government-local, and the Medicare benchmark for this code is $106.81. This stark difference between the Medicare rate and commercial negotiated rates highlights how administrative structures and contract dynamics can inflate prices. Consumers are advised to verify their specific plan's deductible status and allowed amounts before scheduling, as paying the full negotiated rate without meeting a deductible can result in substantial out-of-pocket costs that far exceed the cash price.