CT scan, neck (cervical spine)
Facility: Amberwell Atchison Association
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $678
- Cash Discount Price: $1,325
- vs. Medicare Baseline: 6.35x 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 635% of the Medicare baseline (a markup of 535%). 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 | $437 - $2,377 | 409% |
| Superior Select Mcr Adv - All Plans | $437 | 409% |
| Va Ccn - All Plans | $437 | 409% |
| Triwest - All Plans | $437 | 409% |
| Humana | $437 - $581 | 409% |
| Blue Cross Blue Shield | $456 - $480 | 427% |
| Ambetter / Centene | $678 | 635% |
| Cigna | $729 | 683% |
| Aetna | $729 | 683% |
| Oscar - All Plans | $994 | 931% |
| Centrus Health Direct - All Plans | $994 | 931% |
| Multiplan - All Plans | $1,034 | 968% |
| Wppa Providrs Care - All Plans | $1,192 | 1116% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Amberwell Atchison Association, the cash price is $1,325, which matches the facility's cash median. This rate is significantly higher than the state average for this service, suggesting that paying out-of-pocket may not be the most cost-effective option for patients with high-deductible plans. While commercial insurance contracts often result in negotiated rates that exceed cash prices due to administrative overhead and contract dynamics, the data shows a median negotiated payment of $678 across 13 payers, indicating that insurance coverage could substantially reduce the final cost. Patients should verify their specific plan's allowed amount before scheduling, as some in-network contracts may still result in higher out-of-pocket costs than self-pay options.
To minimize unexpected costs, patients should proactively request a "prompt-pay" discount or self-pay rate from the billing department prior to receiving services, as these upfront payments can bypass insurance processing fees and administrative markups. Additionally, if you are billed for services rendered by out-of-network providers at this facility, the No Surprises Act may protect you from balance billing for emergency care and non-emergency services at in-network hospitals; however, it is crucial to review any consent waivers carefully before signing, as agreeing to out-of-network cost sharing can void these protections. Finally, if you receive a summary bill, insist on an itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.