CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: South Sunflower County Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $102
Cash Discount Price: $70
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at South Sunflower County Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 121 East Baker Street, Indianola, MS.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $70 (66%)

Insurance Median: $102 (95%)

Cash: $70 (66% of Medicare)

Ins. Median: $102 (95% 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
Primewell Mcr Adv	$44 - $97	41%
UnitedHealthcare	$49	46%
Primewell Comm - All Other Plans	$71 - $241	66%
Advanced Health Systems - All Plans	$81 - $1,390	76%
Medicaid / KanCare	$90 - $102	84%
Trucare - All Plans	$91 - $103	85%
Multiplan - All Plans	$234 - $542	219%
Aetna	$478	448%
Blue Cross Blue Shield	$542	507%
Physician Care Network - All Plans	$1,116	1045%

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 $70.
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 South Sunflower County 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.