CT scan, neck (cervical spine)
Facility: Sheridan County Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $662
- Cash Discount Price: $914
- vs. Medicare Baseline: 6.20x 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 620% of the Medicare baseline (a markup of 520%). 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 |
|---|---|---|
| Celtic Insurance | $553 | 518% |
| Blue Cross Blue Shield | $662 | 620% |
| UnitedHealthcare | $868 | 813% |
Consumer Guidance & Cost Commentary
For a CT scan of the cervical spine at Sheridan County Hospital in Hoxie, KS, the cash price is $914.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average of $662.00, though it aligns closely with the negotiated rate for Blue Cross Blue Shield. Because commercial insurance contracts often include administrative overhead that inflates the baseline price, paying cash directly can sometimes result in a lower total cost than using an in-network plan, particularly for patients with high deductibles who may otherwise face the full negotiated rate.
While the facility is a Critical Access Hospital owned by the local government, patients should verify their specific plan details before scheduling to avoid unexpected costs. If you are self-pay or have a high-deductible plan, ask the hospital about "prompt-pay" discounts, which can reduce the bill by 20% to 50% if settled upfront. Additionally, if you receive care from an out-of-network provider at this facility, be aware that the No Surprises Act protects you from balance billing for emergency services and non-emergency care at in-network hospitals, meaning you should not feel pressured to sign away your rights to dispute any surprise charges immediately.