CT scan, neck (cervical spine)
Facility: Grisell Memorial Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $827
- Cash Discount Price: $901
- vs. Medicare Baseline: 7.74x 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 774% of the Medicare baseline (a markup of 674%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $430 | 403% |
| UnitedHealthcare | $705 - $948 | 660% |
| Medicaid / KanCare | $948 | 888% |
| Humana | $948 | 888% |
Consumer Guidance & Cost Commentary
For the CT scan of the cervical spine at Grisell Memorial Hospital in Ransom, Kansas, the facility's negotiated rates range from $430 to $948 depending on your specific insurance plan, with UnitedHealthcare plans paying up to the full gross amount of $948. This facility is a Critical Access Hospital owned by a government hospital district, and its pricing structure is significantly higher than the state average, which is reflected in the 7.7% variance compared to Medicare rates. While the median negotiated payment is $948, the cash median price is $901, meaning patients with high-deductible plans or those who have met their out-of-pocket limits might save money by paying cash directly, provided they verify the "self-pay" or "prompt-pay" discount rates before scheduling.
It is important to understand that commercial insurance rates often exceed cash prices due to administrative costs and contract dynamics, even though in-network plans offer protection against surprise balance billing. The No Surprises Act generally prevents balance billing for out-of-network providers at in-network facilities, but patients should still request a detailed, itemized bill to ensure no unbundled codes or services not rendered are included. Since over 80% of hospital bills contain errors, consumers are encouraged to review their statement line-by-line rather than accepting a summary invoice, and to contact the billing department immediately to dispute any discrepancies before payment is due.