CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Hannibal Regional Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,601
Cash Discount Price: $2,000
vs. Medicare Baseline: 24.35x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Hannibal Regional Hospital is $2,601. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,000. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.35x the Medicare baseline. Located in 6000 Hospital Dr, Hannibal, MO.

Cash / Self-Pay

$2,000

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,601

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,000 (1872%)

Insurance Median: $2,601 (2435%)

Cash: $2,000 (1872% of Medicare)

Ins. Median: $2,601 (2435% of 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 2435% of the Medicare baseline (a markup of 2335%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$100 - $3,001	94%
UnitedHealthcare	$102 - $2,667	95%
Health Alliance	$110 - $2,767	103%
Medicaid / KanCare	$134	125%
Healthy Blue	$146	137%
Samaritan Employee Health Plan	$210	197%
Hope Trust	$295	276%
6 Degrees Health	$2,467 - $2,667	2310%
Blue Cross Blue Shield	$2,467 - $3,001	2310%
Cigna	$2,597	2431%
Current Health Network	$2,667	2497%
Healthlink	$2,667	2497%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,000.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hannibal Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72125.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.