CT scan, neck (cervical spine)
Facility: Logan County Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $1,031
- Cash Discount Price: $375
- vs. Medicare Baseline: 9.65x 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 965% of the Medicare baseline (a markup of 865%). 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 | $480 | 449% |
| Humana | $636 | 595% |
| Health Partners - All Plans | $1,425 | 1334% |
| Medicaid / KanCare | $1,500 | 1404% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Logan County Hospital in Oakley, Kansas, the negotiated rates for major payers like Blue Cross Blue Shield and Humana range from $480 to $636, while Medicaid / KanCare pays the full gross amount of $1,500. These commercial rates are significantly higher than the facility's cash price of $375 and the state median paid amount of $1,031. Because the insurance negotiated rates exceed the cash price, patients with high-deductible plans may save money by paying out-of-pocket upfront and seeking a prompt-pay discount, which can reduce the final bill by 20% to 50% if requested before check-in.
The facility's Medicare benchmarking rate of $106.81 serves as the objective baseline for evaluating pricing, showing that the commercial negotiated rates represent a substantial markup compared to the federal government's cost-based reimbursement. While the facility is a Critical Access Hospital owned by the local government, patients should verify their specific plan's allowed amount before scheduling to avoid balance billing, as the No Surprises Act protects against surprise bills for out-of-network services at in-network facilities. To ensure the lowest possible cost, consumers are encouraged to request an itemized bill and confirm whether their specific insurance plan qualifies for the facility's prompt-pay discount prior to receiving care.