CT scan, neck (cervical spine)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $96
- Cash Discount Price: $1,041
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $94 | 88% |
| UnitedHealthcare | $96 - $116 | 90% |
| Blue Cross Blue Shield | $96 - $462 | 90% |
| Aetna | $96 - $120 | 90% |
| Providrs Care Network | $96 | 90% |
| United Mine Workers Of America | $96 | 90% |
| Lantern Specialty Care | $153 | 143% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Kansas Spine & Specialty Hospital in Wichita, the cash median price is $1,041, which is significantly lower than the facility's gross charge of $1,602. While the hospital is a physician-owned acute care facility, the negotiated rates paid by insurance plans range from $94 to $462, depending on the specific carrier and plan. For patients with high-deductible plans, paying the cash price of $1,041 upfront may be more cost-effective than relying on insurance, as the negotiated rates for many payers exceed the cash amount. To secure the lowest possible rate, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final bill.
This procedure's pricing is evaluated against federal benchmarks to ensure transparency. The Medicare amount for this service is $106.81, and the facility's cash rate is approximately 9.7 times higher than the Medicare benchmark, reflecting standard commercial pricing structures. Although the data does not provide specific state or county average comparisons for this exact code, the significant gap between the Medicare rate and the cash price highlights the importance of understanding the true cost of care. Consumers are advised to request a full itemized bill to verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute. Additionally, if a patient receives care from an out-of-network provider at this facility, the No Surprises Act protects them from balance billing for emergency and non-emergency services, so they should not feel pressured to accept unexpected