CT scan, neck (cervical spine)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $819
- Cash Discount Price: $1,919
- vs. Medicare Baseline: 7.67x 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 767% of the Medicare baseline (a markup of 667%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $531 - $819 | 497% |
| Tricare | $788 | 738% |
| Humana | $819 | 767% |
| Medadv_Allwell | $819 | 767% |
| Va_Ccn | $819 | 767% |
| Aetna | $819 | 767% |
| Medicare (plans) | $819 | 767% |
| Medadv_Uhc | $819 | 767% |
| Ambetter / Centene | $1,289 | 1207% |
| Wppa_Providrscare | $2,123 | 1988% |
| United | $2,129 | 1993% |
| Hpk | $2,430 | 2275% |
| Coventry | $2,430 | 2275% |
| Cigna | $2,430 | 2275% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Neosho Memorial Regional Medical Center in Chanute, Kansas, the facility's cash price is $1,919, which is lower than the negotiated rates charged to most major insurance plans, including Blue Cross Blue Shield, Humana, and United. While the facility is a Critical Access Hospital with a government-local ownership structure, patients should be aware that commercial insurance contracts often result in higher allowed amounts than the cash price due to administrative costs and multi-layered billing structures. If you have a high-deductible plan or have not yet met your deductible, paying the cash price or a prompt-pay discount upfront could save you money compared to the insurance negotiated rate of $819 to $2,430 depending on the specific carrier.
It is important to distinguish between the facility's gross charge of $2,558 and the actual amounts paid by insurers, as the latter reflects the true cost to the patient. The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating fair pricing, though commercial rates naturally exceed this federal standard. To ensure you are not overcharged, we recommend requesting an itemized billing audit to verify that all services rendered are accurately coded and that no unbundled charges or services not delivered are included in your final invoice. Additionally, since balance billing protections under the No Surprises Act apply to emergency care and non-emergency services at in-network facilities, you should verify your network status before scheduling to avoid unexpected out-of-network bills.