CT scan, neck (cervical spine)
Facility: Goodland Regional Medical Center
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $938
- Cash Discount Price: $938
- vs. Medicare Baseline: 8.78x 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 878% of the Medicare baseline (a markup of 778%). 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 | $458 | 429% |
| Wppa | $886 - $938 | 830% |
| UnitedHealthcare | $938 | 878% |
Consumer Guidance & Cost Commentary
For a CT scan of the cervical spine at Goodland Regional Medical Center, the facility's cash median price is $938, which is notably lower than the negotiated rates charged by major payers like Wppa ($886–$938) and UnitedHealthcare ($938). While the facility is a Critical Access Hospital in Goodland, Kansas, with a government-local ownership structure, patients should be aware that insurance contracts often include administrative overheads that inflate the final bill. If you have a high-deductible plan, paying the cash price of $938 upfront could save you money compared to your insurance's negotiated rate, provided you have not yet met your deductible. It is crucial to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly even within the same facility.
The facility's Medicare benchmarking data shows a markup of 8.8% above the federal government's standard rate of $106.81, which serves as the objective baseline for healthcare costs. Although the facility holds a 2-star rating and is located in the 67735 zip code, the primary factor influencing your cost is whether you pay out-of-pocket or through insurance. To maximize savings, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service. Additionally, always request a detailed, itemized bill rather than a summary invoice to ensure no unbundled codes or services not rendered are included in the total charge.