CT scan, neck (cervical spine)
Facility: Cheyenne County Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $732
- Cash Discount Price: $655
- vs. Medicare Baseline: 6.85x 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 685% of the Medicare baseline (a markup of 585%). 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 |
|---|---|---|
| UnitedHealthcare | $215 - $770 | 201% |
| Blue Cross Blue Shield | $453 | 424% |
| First Health - All Plans | $539 | 505% |
| Healthy Blue Mcr Adv | $554 | 519% |
| Tricare | $554 | 519% |
| Aetna | $554 - $732 | 519% |
| Choice Care - All Plans | $560 | 524% |
| Firstguard - All Plans | $616 | 577% |
| Wppa - All Plans | $693 | 649% |
| Cpm - All Plans | $732 | 685% |
| Preferred Hc - All Plans | $732 | 685% |
| Midlands Choice - All Plans | $747 | 699% |
| Integrated Hp - All Plans | $755 | 707% |
| Unicare - All Plans | $755 | 707% |
| Ppo Next - All Plans | $755 | 707% |
| Health Partners - All Plans | $755 | 707% |
| Healthwave Mcaid - All Plans | $770 | 721% |
| Healthy Blue Mcaid - All Other Plans | $770 | 721% |
| Childrens Mercy - All Plans | $770 | 721% |
| Providers Care-All Plans | $1,155 | 1081% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Cheyenne County Hospital, the facility's cash median price is $655, which is lower than the state average of $693. While many insurance plans negotiate rates ranging from $453 to $1,155, the cash price often represents the most affordable option for patients with high-deductible plans or those without insurance. To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is important to note that simply having insurance does not guarantee the lowest rate; in some cases, the negotiated amount paid by the insurer may exceed the cash price, making out-of-pocket payment the smarter financial choice.
The facility's negotiated rate of $732 is higher than the cash price and reflects the administrative costs and contract structures inherent in insurance billing. When comparing this to the Medicare benchmark of $106.81, the commercial rates represent a significant markup, highlighting the importance of understanding the difference between the hospital's gross charge and the actual amount billed. Patients should avoid accepting summary bills that obscure individual line items and instead demand a full itemized audit to identify any unbundled codes or services not rendered. Furthermore, if a patient receives care from an out-of-network provider at this in-network facility, they may be subject to balance billing, though the No Surprises Act protects against surprise bills for emergency services and non-emergency care from out-of-network providers at in-network hospitals.