CT scan, neck (cervical spine)
Facility: Greenwood County Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $749
- Cash Discount Price: $709
- vs. Medicare Baseline: 7.01x 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 701% of the Medicare baseline (a markup of 601%). 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 |
|---|---|---|
| Triwest - All Plans | $316 | 296% |
| Choicecare Mcr Adv - All Plans | $372 | 348% |
| Tricare | $372 | 348% |
| UnitedHealthcare | $372 - $744 | 348% |
| Blue Cross Blue Shield | $430 - $453 | 403% |
| Integrated Health Plan - All Plans | $664 | 622% |
| First Health Ccn Network | $753 | 705% |
| Beech Street - All Plans | $753 | 705% |
| First Health - All Other Plans | $753 | 705% |
| Preferred Hs (Coventry) - All Plans | $797 | 746% |
| Principal Health Care Inc - All Plans | $842 | 788% |
| Amerigroup Mcaid-All Plans | $886 | 830% |
| Medicaid / KanCare | $886 | 830% |
| Providrs Care/Wppa - All Plans | $1,329 | 1244% |
Consumer Guidance & Cost Commentary
For this CT scan of the cervical spine at Greenwood County Hospital in Eureka, Kansas, the facility's cash price of $709.00 is notably lower than the median negotiated rate of $744.00 paid by insurers. While the hospital is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs due to administrative overhead and network tiering. Specifically, the gross charge of $886.00 is significantly higher than the Medicare benchmark of $106.81, illustrating how commercial rates can exceed fair market value. If you have a high-deductible plan, paying the cash price of $709.00 upfront might be more cost-effective than relying on insurance, which could otherwise result in a negotiated rate exceeding the cash amount.
To minimize costs, we recommend requesting a prompt-pay discount before scheduling your visit, as hospitals often offer reductions of 20% to 50% for upfront payments that bypass expensive claims processing. Additionally, since the No Surprises Act prohibits balance billing for emergency and non-emergency services at in-network facilities, you can avoid unexpected charges by ensuring your provider is in-network and refusing to sign waivers that allow out-of-network billing. Finally, always request an itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written audit dispute.