CT scan, neck (cervical spine)
Facility: Kingman Healthcare Center
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $107
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.00x 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.
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 |
|---|---|---|
| Healthy Blue | $107 | 100% |
| Medicaid / KanCare | $107 | 100% |
| Aetna | $410 | 384% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Kingman Healthcare Center, the median amount paid by insurance is $614.00, which matches the Medicare benchmark of $106.81 exactly (a ratio of 1.0). This indicates that the facility's negotiated rates for this service are aligned with federal cost standards rather than inflated. While the facility is a Critical Access Hospital in Kansas with a voluntary non-profit ownership, the data shows no cash or self-pay median available in this report. However, patients with high-deductible plans should be aware that paying cash upfront can sometimes be cheaper than the insurance negotiated rate if the facility offers a prompt-pay discount, which typically reduces the bill by 20% to 50% for immediate payment.
The report lists specific negotiated rates for three payers, with Healthy Blue and Medicaid/KanCare contracts set at $107 and Aetna at $410. These figures represent the contractual ceilings for in-network members and do not reflect the full chargemaster list price. Because commercial insurance rates often include administrative overhead for claims processing, the actual cost to a patient could be lower if they qualify for a self-pay or prompt-pay discount before scheduling. It is important to verify these rates directly with the hospital, as automatic claims submission can void any potential cash savings. Patients should request a waiver of insurance submission prior to check-in to ensure they receive the most favorable pricing available for this procedure.