CT scan, neck (cervical spine)
Facility: Osborne County Memorial Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $933
- Cash Discount Price: $876
- vs. Medicare Baseline: 8.74x 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 874% of the Medicare baseline (a markup of 774%). 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 |
|---|---|---|
| UnitedHealthcare | $784 | 734% |
| Health Partners Of Kansas | $887 | 830% |
| Wppa | $979 | 917% |
| Blue Cross Blue Shield | $1,010 | 946% |
Consumer Guidance & Cost Commentary
For the CPT code 72125 (CT scan, neck), Osborne County Memorial Hospital lists a cash median price of $876.00 and a median negotiated rate of $933.00. While the facility is a Critical Access Hospital in Osborne, Kansas, the data provided does not include specific county or state average figures for comparison. However, it is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures. For patients with high-deductible plans, paying the cash price of $876.00 upfront can sometimes be more cost-effective than relying on insurance, which may result in a higher allowed amount that exceeds the cash rate.
Patients should verify their specific plan details before scheduling, as insurance negotiated rates vary significantly by carrier. The data shows four payers with fixed negotiated amounts ranging from $784 to $1010, but these rates are subject to individual deductible status and plan terms. To minimize costs, consumers are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full. Additionally, if you have insurance, ensure you understand your deductible balance before receiving care, as paying out-of-pocket may be necessary if the deductible has not yet been met.