CT scan, neck (cervical spine)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Via Christi Research | $98 | 92% |
| Humana | $98 | 92% |
| Va | $98 | 92% |
| Vc Hope | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Saint Lukes Health Systems | $98 | 92% |
| Blue Cross Blue Shield | $100 | 94% |
| UnitedHealthcare | $100 - $275 | 94% |
| Corizon | $123 | 115% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Aetna | $324 - $408 | 303% |
| Coventry City Of Wichita | $1,199 | 1123% |
Consumer Guidance & Cost Commentary
For the CPT code 72125, representing a CT scan of the neck at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates across 13 payers range from $98 to $408, with a median negotiated amount of $99.00. This facility is located in Wichita, Kansas (ZIP 67214), and while specific cash or median paid values are not available in the current dataset, patients should be aware that cash-pay options can sometimes offer lower costs than insurance negotiated rates, particularly for those with high-deductible plans. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these incentives can significantly reduce out-of-pocket expenses by bypassing administrative fees associated with insurance claims.
The facility's pricing structure is anchored by a Medicare amount of $106.81, which serves as a critical benchmark for evaluating commercial rates. While the data does not provide explicit state or county average comparisons for this specific procedure, the presence of a Medicare rate allows consumers to assess whether commercial negotiated rates align with fair pricing standards, which typically fall between 120% and 150% of the Medicare amount. If a patient receives an itemized bill that appears inflated, they should request a full line-by-line audit to identify potential errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through formal written disputes.