CT scan, neck (cervical spine)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $2,570
- Cash Discount Price: $3,427
- vs. Medicare Baseline: 24.06x 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 2406% of the Medicare baseline (a markup of 2306%). 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 | $2,056 | 1925% |
| Americas Choice Provider Network | $2,399 | 2246% |
| Quiktrip Corporation | $2,570 | 2406% |
| Velocity | $2,570 | 2406% |
| Provider Network Of America | $2,570 | 2406% |
| Usa Managed Care Organization | $2,570 | 2406% |
| Multiplan-Phcs | $2,741 | 2566% |
| Prime Health Services | $2,913 | 2727% |
| Medincrease | $3,084 | 2887% |
Consumer Guidance & Cost Commentary
For a CT scan of the cervical spine at the Rehabilitation Hospital Of Overland Park, the cash price is $3,427.00, which matches the facility's cash median. This rate is significantly higher than the state of Kansas average, which is 24.1% lower than the facility's charge. While commercial insurance plans like Blue Cross Blue Shield and Americas Choice Provider Network negotiate rates ranging from $2,056 to $2,913, these amounts often exceed the cash price. Patients with high-deductible plans may find paying the cash rate directly more cost-effective, as the insurance negotiated rates can sometimes be higher than the out-of-pocket cash cost.
To ensure you are receiving the best possible rate, it is crucial to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these can reduce the final bill. If you choose to use insurance, be aware that the No Surprises Act protects you from balance billing for out-of-network services at in-network facilities, but you should still request a full itemized bill to verify all charges. Since over 80% of hospital bills contain errors, reviewing your statement line-by-line can help identify unbundled codes or services not rendered, ensuring you are only paying for what was actually provided.