CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Harrison County Community Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $870
Cash Discount Price: $975
vs. Medicare Baseline: 8.15x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Harrison County Community Hospital is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $975. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.15x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$975

Average discount available for prompt cash payment at this facility.

Insurance Median

$870

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: $975 (913%)

Insurance Median: $870 (815%)

Cash: $975 (913% of Medicare)

Ins. Median: $870 (815% 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 815% of the Medicare baseline (a markup of 715%). 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
Multiplan	$114 - $1,200	107%
Cigna	$115 - $1,200	108%
Provider Partners Health Plans	$115 - $940	108%
Care Improvement Plus	$118 - $870	110%
Blue Cross Blue Shield	$123 - $1,320	115%
Healthy Blue	$129 - $135	121%
Home State	$129 - $135	121%
UnitedHealthcare	$129 - $1,275	121%
Allwell	$132 - $870	124%
Ambetter / Centene	$132 - $870	124%
Blue Advantage Plus	$132 - $870	124%
Humana	$132 - $1,350	124%
Aetna	$161 - $1,320	151%
6 Degrees Health	$166 - $1,200	155%
Wellmark	$1,200	1123%

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 $975.
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 Harrison County Community 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.