CT scan, neck (cervical spine)
Facility: Via Christi Hospital Wichita St Teresa, 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 |
|---|---|---|
| Vc Hope | $98 | 92% |
| Va | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Saint Lukes Health Systems | $98 | 92% |
| Via Christi Research | $98 | 92% |
| Humana | $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 (CT scan, neck), the negotiated rates at Via Christi Hospital Wichita St Teresa, Inc. range from $98 to $408, with a median negotiated amount of $99.00. This facility is a voluntary non-profit church-owned acute care hospital located in Wichita, KS (ZIP 67235). While specific cash and median paid values are not available in the current data, patients should be aware that cash-pay options can sometimes be more cost-effective 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, which can significantly reduce the final bill by bypassing administrative claim processing fees.
The facility's pricing is benchmarked against the Medicare rate of $106.81, which serves as a scientifically validated baseline for healthcare costs. The median negotiated rate of $99.00 is slightly lower than the Medicare amount, indicating a competitive pricing structure relative to the federal standard. However, the highest negotiated rate recorded is $408 for UnitedHealthcare, which represents a significant markup compared to the Medicare benchmark. Consumers are encouraged to review their specific insurance plan details to understand their out-of-pocket responsibilities and to request an itemized billing audit if they receive a summary bill, as over 80% of hospital bills contain errors that can be resolved through formal written disputes.