CT scan, neck (cervical spine)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $100
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Va | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Humana | $98 | 92% |
| Vc Hope | $98 | 92% |
| Blue Cross Blue Shield | $100 | 94% |
| UnitedHealthcare | $100 - $275 | 94% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Aetna | $172 - $723 | 161% |
| Cigna | $236 | 221% |
| Coventry City Of Wichita | $1,199 | 1123% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $98 to $275 depending on your specific insurance plan. While some payers like Va and Humana have a consistent rate of $98, others such as Aetna and UnitedHealthcare show significant variation, with Aetna's range spanning from $172 to $723. It is important to note that cash-pay rates are not available for this service, so patients cannot utilize self-pay discounts or prompt-pay incentives to lower their out-of-pocket costs. Additionally, since the facility is a Part A provider, Medicare serves as the benchmark for pricing; the Medicare amount for this procedure is $106.81, which provides a clear baseline for evaluating the facility's commercial rates against the true cost of care.
When comparing these rates to broader market standards, the data indicates that the facility's lowest negotiated rate of $98 aligns with the state average for this procedure. However, the highest negotiated rate of $723 from Aetna significantly exceeds the state average, highlighting the variability in commercial pricing. Patients should be aware that while in-network insurance contracts cap charges at negotiated rates, these amounts often exceed cash prices due to administrative overhead and contract dynamics. If you have a high-deductible plan, you might find that paying out-of-pocket is more cost-effective if the facility offered a cash rate lower than your insurance's allowed amount, though no such cash rate exists here. To avoid unexpected costs, always verify your specific plan's allowed amount before scheduling and request a detailed itemized bill to ensure no errors or unbundled charges are included