CT scan, neck (cervical spine)
Facility: Rawlins County Health Center
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $1,253
- Cash Discount Price: $1,224
- vs. Medicare Baseline: 11.73x 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 1173% of the Medicare baseline (a markup of 1073%). 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 | $458 | 429% |
| UnitedHealthcare | $1,253 | 1173% |
Consumer Guidance & Cost Commentary
For the CT scan of the neck at Rawlins County Health Center in Atwood, Kansas, the cash price is $1,224, which is lower than the facility's negotiated rate of $1,253. This cash price is also significantly lower than the state average for this procedure, as indicated by a 11.7% variance compared to Medicare rates. While the facility is a Critical Access Hospital, patients with high-deductible plans may find paying out-of-pocket cheaper than using insurance, especially since the negotiated rate exceeds the cash price. To maximize savings, patients should explicitly ask the billing department for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%.
Although the facility has negotiated rates with UnitedHealthcare and Blue Cross Blue Shield, these contracts do not guarantee the lowest possible price for every patient. The No Surprises Act protects consumers from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, but patients should still verify their specific plan details to avoid unexpected costs. If you receive a bill, always request a full itemized statement to review every CPT code and unit charge, as over 80% of hospital bills contain errors such as double-billing or unbundled services. Disputing these errors in writing with the billing supervisor is often more effective than paying immediately, ensuring you are only responsible for the accurate, fair cost of your care.