CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: The Children's Mercy Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $119
Cash Discount Price: $988
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at The Children's Mercy Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $988. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.11x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$988

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $988 (925%)

Insurance Median: $119 (111%)

Cash: $988 (925% of Medicare)

Ins. Median: $119 (111% 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.

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
UnitedHealthcare	$41 - $2,659	38%
Healthy Blue	$43 - $273	40%
Medicaid / KanCare	$44 - $70	41%
Home State Health	$50 - $240	47%
Cigna	$53 - $2,750	50%
Healthlink	$61 - $3,482	57%
Wppa Providrs Care	$61 - $2,572	57%
Health Midwest Comprehensive Care	$64 - $2,576	60%
American Healthcare Alliance	$67 - $3,363	63%
Quiktrip	$82 - $2,576	77%
Wellfit/Centrus	$89 - $2,572	83%
Centivo	$92 - $2,572	86%
Medica	$92 - $2,307	86%
Nebraska Furniture Mart	$94 - $2,572	88%
Humana	$98 - $2,631	92%
Orscheln	$99 - $2,572	93%
Blue Cross Blue Shield	$102 - $2,928	95%
Multiplan	$102 - $3,007	95%
Aetna	$104 - $2,691	97%
Mercy Health	$115 - $2,968	108%
Coxhealth Network	$117 - $2,928	110%
Coventry Health Care Of Kansas	$132 - $2,928	124%
National Preferred Provider Network	$139 - $3,561	130%

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 $988.
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 The Children's Mercy 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.