CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Mary Lanning Healthcare

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,434
Cash Discount Price: $2,655
vs. Medicare Baseline: 22.79x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Mary Lanning Healthcare is $2,434. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,655. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.79x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$2,655

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,434

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: $2,655 (2486%)

Insurance Median: $2,434 (2279%)

Cash: $2,655 (2486% of Medicare)

Ins. Median: $2,434 (2279% 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 2279% of the Medicare baseline (a markup of 2179%). 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
Tricare	$102	95%
Aetna	$109 - $2,596	102%
Blue Cross Blue Shield	$109 - $2,950	102%
Medica Mcr Adv	$109	102%
Ne Total Care Mcr Adv	$109	102%
UnitedHealthcare	$109 - $2,803	102%
Va Ccn - All Plans	$109	102%
Ambetter / Centene	$489	458%
Nhn/Mna-All Plans	$2,390	2238%
Consociate Inc-All Plans	$2,478	2320%
Medica-All Other Plans	$2,567	2403%
Midlands Choice-All Plans	$2,655	2486%
Provider Network Of America-All Plans	$2,655	2486%
Multiplan-All Plans	$2,803	2624%
Workers Compensation-All Plans	$2,891	2707%

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 $2,655.
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 Mary Lanning Healthcare 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.