CT scan, neck (cervical spine)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $546
- Cash Discount Price: $682
- vs. Medicare Baseline: 5.11x 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 511% of the Medicare baseline (a markup of 411%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $182 | 170% |
| UnitedHealthcare | $220 - $758 | 206% |
| Berkley Net-All Plans | $303 | 284% |
| Trustmark Health Benefits-All Plans | $334 | 313% |
| Aetna | $334 - $515 | 313% |
| Meritain Health-All Plans | $341 | 319% |
| Ambetter / Centene | $364 | 341% |
| Axa Equitable - All Plans | $417 | 390% |
| Pinnacol-All Plans | $424 | 397% |
| Medi-Share-All Plans | $432 | 404% |
| Presbyterian-All Plans | $462 | 433% |
| Kasb Work Comp - All Plans | $485 | 454% |
| The Kempton Group Admin-All Plans | $523 | 490% |
| Auxiant - All Plans | $531 | 497% |
| Gpha(Wppa)-All Other Plans | $531 | 497% |
| Wppa- All Plans | $538 | 504% |
| Emc-All Plans | $546 | 511% |
| Providers Care Network- All Plans | $546 | 511% |
| Sisco-All Plans | $546 | 511% |
| Gpha Employee Benefit Plan | $553 | 518% |
| Regional Care(Wppa)-All Plans | $568 | 532% |
| Employee Benefit-All Plans | $568 | 532% |
| First Health -All Plans | $576 | 539% |
| Triangle-All Plans | $576 | 539% |
| One Call Physician-All Plans | $584 | 547% |
| Blue Cross Blue Shield | $599 | 561% |
| Christian Hospital Aid - All Plans | $606 | 567% |
| Tricare | $606 | 567% |
| Humana | $652 | 610% |
| Cigna | $667 | 624% |
| Luminare Health- All Plans | $667 | 624% |
| Coresource-All Plans | $682 | 639% |
| Deseret Mutual(Uhis)-All Plans | $682 | 639% |
| Vaccn-All Plans | $697 | 653% |
| Wps Vapc-All Plans | $720 | 674% |
| Reserve National-All Plans | $720 | 674% |
| Hma Llc-All Plans | $720 | 674% |
| Medicaid / KanCare | $758 | 710% |
Consumer Guidance & Cost Commentary
For the CPT code 72125, representing a CT scan of the neck at Satanta District Hospital, the facility's cash price is $682.00, which is notably higher than the state of Kansas average of $546.00. While the facility is a Critical Access Hospital owned by a government district, commercial insurance plans negotiate rates that vary significantly; for instance, UnitedHealthcare plans pay up to $758.00, while Direct Benefit-All Plans pay a flat $182.00. Because commercial negotiated rates often include administrative overhead and can exceed cash prices, patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, provided they secure a "waiver of insurance submission" to avoid automatic claims processing that could void any cash discount.
The facility's median negotiated rate is $546.00, which aligns with the state average but remains substantially higher than the Medicare benchmark of $106.81, indicating a markup of 5.1 times the federal rate. This disparity highlights the importance of verifying your specific plan's allowed amount before scheduling, as in-network rates can vary widely among carriers. To minimize costs, patients should explicitly request a "prompt-pay" discount for upfront payment, which can reduce the bill by 20% to 50% by bypassing costly insurance billing cycles. Additionally, since over 80% of hospital bills contain errors, it is recommended to request a full itemized statement before paying to ensure no unbundled charges or services not rendered are included in the final invoice.