CT scan, neck (cervical spine)
Facility: Kearny County Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $1,395
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 13.06x 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 1306% of the Medicare baseline (a markup of 1206%). 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 | $1,395 | 1306% |
| Wps Gha - Mac J5 Part A | $1,395 | 1306% |
| Blue Cross Blue Shield | $1,395 | 1306% |
| Meritain Health | $1,395 | 1306% |
| Community Care Health Plan Of | $1,395 | 1306% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Kearny County Hospital, the commercial negotiated rate is $1,395, which matches the facility's cash price and the median amount paid by all five major payers in this network. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting a markup of 1,311% over the federal baseline. While the facility is a Critical Access Hospital in Lakin, KS, the data does not provide specific county or state average figures for comparison. Because the negotiated rate equals the cash price, patients with high-deductible plans may find it beneficial to pay the full $1,395 upfront rather than relying on insurance, as the commercial rate does not exceed the cash option.
To ensure you are receiving the most accurate pricing, it is important to request an itemized bill before finalizing payment. Hospitals often issue summary bills that obscure individual charges, but an itemized statement will reveal the exact CPT codes and unit costs, helping you identify any unbundled services or charges for items not rendered. Additionally, since the cash price is already at the negotiated rate, asking for a prompt-pay discount is unlikely to reduce the total cost further. However, you should always verify your specific plan details and confirm with the hospital whether any self-pay or prompt-pay incentives apply, as these discounts can vary by payer and facility policy.