CT scan, neck (cervical spine)
Facility: Republic County Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $1,104
- Cash Discount Price: $900
- vs. Medicare Baseline: 10.34x 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 1034% of the Medicare baseline (a markup of 934%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $1,020 | 955% |
| Meritain-All Plans | $1,080 | 1011% |
| Aetna | $1,080 | 1011% |
| UnitedHealthcare | $1,104 | 1034% |
| Midlands Choice-All Plans | $1,140 | 1067% |
| First Health-All Plans | $1,140 | 1067% |
| Cigna | $1,140 | 1067% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Republic County Hospital in Belleville, KS, the facility's negotiated rates range from $1,020 to $1,140 across seven commercial payers, with a median negotiated amount of $1,104. This commercial pricing is significantly higher than the Medicare benchmark of $106.81, reflecting the standard administrative markup inherent in insurance contracts. While the facility's cash price of $900 is lower than the negotiated rates, patients with high-deductible plans may find it beneficial to pay the cash price directly, as the insurance negotiated rate often exceeds the cash price. It is important to note that the cash price does not include the administrative costs or profit margins built into the insurance contracts, so paying cash can sometimes result in a lower out-of-pocket expense if the patient's deductible has not yet been met.
The facility is a Critical Access Hospital with a voluntary non-profit ownership structure, and its pricing data is based on the 2026-06 vintage. To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since over 80% of hospital bills contain errors, consumers are advised to request a detailed, itemized bill rather than accepting a summary invoice. If a patient receives a bill that includes charges for services not rendered or unbundled codes, they should dispute the error in writing to the billing supervisor. Finally, while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should verify their