CT scan, neck (cervical spine)
Facility: Lindsborg Community Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $2,473
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 23.15x 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 2315% of the Medicare baseline (a markup of 2215%). 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 | $453 | 424% |
| Tricare | $1,270 | 1189% |
| Coventry Mcr Adv | $1,283 | 1201% |
| Cigna | $2,297 | 2151% |
| Coventry Comm-All Other Plans | $2,432 | 2277% |
| UnitedHealthcare | $2,432 | 2277% |
| Multiplan-All Plans | $2,513 | 2353% |
| Phcs Preferred-All Plans | $2,513 | 2353% |
| Century Health-All Plans | $2,567 | 2403% |
| Wppa-All Plans | $2,567 | 2403% |
| Coventry Wc | $2,567 | 2403% |
| Health Partners -All Plans | $2,567 | 2403% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Lindsborg Community Hospital, the cash price is $1,892, which is lower than the facility's negotiated rate of $2,473 and the median paid by insurers of $2,513. While the facility is a Critical Access Hospital in Kansas, the provided data does not include specific county or state average comparisons for this procedure, so no regional benchmarking is available. Patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates from payers like Cigna and UnitedHealthcare exceed the cash amount. It is always advisable to ask the hospital about self-pay or prompt-pay discounts before scheduling, as these upfront incentives can further reduce the final bill.
The Medicare benchmark for this service is $106.81, which serves as the objective baseline for evaluating pricing markups. The facility's cash rate of $1,892 represents a significant markup over the Medicare amount, reflecting the complexity of the procedure and local cost factors. Commercial negotiated rates often include administrative overhead for claims processing and contract management, which can inflate the baseline price by 20% to 40% compared to the true cost of care. To ensure you are receiving fair pricing, patients should request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. Disputing any errors in writing is the most effective way to avoid unnecessary medical debt, as over 80% of hospital bills contain mistakes that can be corrected through a formal audit.