CT scan, neck (cervical spine)
Facility: Kansas Surgery & Recovery Center
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $207
- Cash Discount Price: $782
- vs. Medicare Baseline: 1.94x 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 |
|---|---|---|
| Aetna | $96 - $470 | 90% |
| Blue Cross Blue Shield | $96 - $458 | 90% |
| UnitedHealthcare | $98 - $534 | 92% |
| Cigna | $251 | 235% |
Consumer Guidance & Cost Commentary
For a CT scan of the cervical spine at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $782.00, which is significantly lower than the facility's gross charge of $786.00. While the facility's negotiated rates with major insurers like Aetna, Blue Cross Blue Shield, and UnitedHealthcare range from $96 to $534, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the commercial negotiated rates can exceed the cash price, potentially resulting in higher out-of-pocket costs if the patient's deductible has not yet been met.
To ensure you are receiving the best possible rate, it is important to understand that commercial insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40% compared to direct cash payments. Before scheduling, you should explicitly request a "self-pay" or "prompt-pay" discount, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle. Additionally, if you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to dispute balance billing under the No Surprises Act, and you should always demand a full itemized CPT-coded bill rather than accepting a summary invoice to identify any errors or unbundled codes before making a payment.