CT scan, neck (cervical spine)
Facility: Overland Park Reg Med Ctr
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $2,068
- Cash Discount Price: $9,785
- vs. Medicare Baseline: 19.36x 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 1936% of the Medicare baseline (a markup of 1836%). 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 |
|---|---|---|
| Amerigroup | $60 | 56% |
| United | $60 - $4,653 | 56% |
| Healthyblue | $61 | 57% |
| Medicaid / KanCare | $62 | 58% |
| Aetna | $62 - $5,273 | 58% |
| Unicare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Cigna | $122 - $181 | 114% |
| Multiplan | $171 - $7,651 | 160% |
| Corvel Corporation | $203 - $6,720 | 190% |
| Oha Network | $212 - $5,170 | 198% |
| Blue Cross Blue Shield | $325 - $4,446 | 304% |
| Humana | $365 - $471 | 342% |
| Ambetter / Centene | $1,717 - $1,923 | 1608% |
| Nhc Advantage | $1,754 - $1,964 | 1642% |
| Wppa Providrs Care Network | $1,846 - $2,068 | 1728% |
| Universal Healthcare | $3,231 - $3,619 | 3025% |
| Coventry | $3,711 - $4,156 | 3474% |
| Coventry Kc Mo | $3,785 - $4,239 | 3544% |
| College Park Family Care Center | $3,969 - $4,446 | 3716% |
| Focus Healthcare Mgmt, Inc | $6,923 - $7,754 | 6482% |
| Cco, Inc. | $6,923 - $7,754 | 6482% |
| Triwest Health Alliance | $6,923 - $7,754 | 6482% |
Consumer Guidance & Cost Commentary
For the CT scan of the cervical spine at Overland Park Reg Med Ctr, the cash price is $9,785, which is significantly higher than the state average of $106.81. While this facility offers a negotiated rate of $2,068 for in-network patients, commercial insurance plans often pay much higher amounts due to administrative costs and contract structures; for example, United Health plans may pay up to $4,653, while Aetna plans can reach $5,273. Because these negotiated rates frequently exceed the cash price, patients with high-deductible plans might save money by paying out-of-pocket directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling.
It is important to understand that commercial insurance rates are not always the lowest available option, as some in-network contracts can result in payments far above the cash rate. Additionally, patients should be aware of balance billing risks if they receive care from out-of-network providers, even at an in-network hospital, where the provider could bill the difference between their full charge and the insurance allowed amount. To avoid unexpected costs, consumers should request a full itemized bill to check for errors such as unbundled codes or services not rendered, and dispute any surprise charges in writing rather than accepting summary invoices or verbal assurances.