CT scan, neck (cervical spine)
Facility: Stanton County Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $1,672
- Cash Discount Price: $1,759
- vs. Medicare Baseline: 15.65x 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 1565% of the Medicare baseline (a markup of 1465%). 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 | $456 - $1,672 | 427% |
| Healthy Blue Mcr Adv - All Other Plans | $1,724 | 1614% |
| Healthy Blue Mcaid | $1,759 | 1647% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Stanton County Hospital in Johnson, KS, the cash price is $1,759, which matches the facility's gross chargemaster rate. While the hospital is a Critical Access Hospital owned by the local government, the cash price is significantly higher than the state average for this procedure, which is $1,698. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price directly might be more cost-effective than using insurance, as the negotiated rate for in-network payers like Blue Cross Blue Shield averages $1,672 but could still result in out-of-pocket costs exceeding the cash price if your deductible is high.
Patients should be aware that commercial insurance rates often include administrative overhead that inflates the baseline price, and the facility's negotiated rate of $1,672 reflects these contract dynamics. To minimize costs, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can sometimes reduce the total amount owed. Additionally, if you receive a bill from an out-of-network provider at this facility, the No Surprises Act may protect you from balance billing for emergency services, so it is advisable to dispute any unexpected charges in writing rather than paying immediately. Always request a full itemized bill to verify that all charges are accurate and that no services were unbundled or incorrectly billed.