CT scan, neck (cervical spine)
Facility: Centura St. Catherine-Dodge City
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $897
- Cash Discount Price: $545
- vs. Medicare Baseline: 8.40x 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 840% of the Medicare baseline (a markup of 740%). 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 |
|---|---|---|
| Cigna | $75 | 70% |
| Medicare (plans) | $75 | 70% |
| Kansas Health | $75 | 70% |
| Aetna | $75 - $1,090 | 70% |
| Kaiser | $75 | 70% |
| Humana | $75 | 70% |
| Blue Cross Blue Shield | $75 - $565 | 70% |
| Centura Employee Plan | $337 | 316% |
| UnitedHealthcare | $897 | 840% |
| Wpaa | $954 | 893% |
| Multiplan | $1,090 - $1,226 | 1021% |
| Christian Health Aid | $1,090 | 1021% |
| Health Partners Of Kansas | $1,226 | 1148% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Centura St. Catherine-Dodge City in Dodge City, KS, the facility's cash median price is $545.00, which is significantly lower than the state average of $80.00 for this specific service. While many commercial payers have negotiated rates ranging from $75 to $1,226, patients with high-deductible plans may find that paying the cash price upfront is more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that Kaiser's listed rate of $75 is an internal system rate and not a typical negotiated rate, so patients should verify their specific plan's allowed amount before scheduling.
To maximize savings, consumers should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing costly insurance claims processing. Additionally, since over 80% of hospital bills contain errors, patients should request a full itemized CPT-coded statement rather than accepting a summary bill, which can help identify unbundled codes or services not rendered. While the facility's facility rating is 3 and it operates as a proprietary acute care hospital, the most critical step for avoiding surprise costs is ensuring the billing department classifies the visit as self-pay to secure the lowest possible rate before any insurance claim is submitted.