CT scan, neck (cervical spine)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $99
- Cash Discount Price: $547
- vs. Medicare Baseline: 0.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $39 - $275 | 37% |
| Aetna | $40 - $111 | 37% |
| Medicaid / KanCare | $40 - $140 | 37% |
| Providrs Care | $64 - $178 | 60% |
| Medicare (plans) | $98 - $100 | 92% |
| Va | $98 | 92% |
| Humana | $98 - $99 | 92% |
| Smarthealth | $138 | 129% |
| Ambetter / Centene | $167 | 156% |
| Tricare | $174 | 163% |
| Blue Cross Blue Shield | $520 - $548 | 487% |
Consumer Guidance & Cost Commentary
For a CT scan of the neck at Ascension Via Christi Hospital Manhattan, the facility's cash median price is $547, which is significantly lower than the negotiated rates charged by major payers like UnitedHealthcare (ranging from $39 to $275) and Aetna ($40 to $111). While commercial insurance contracts often result in higher allowed amounts due to administrative overhead and network tiering, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds this amount. It is important to note that while the facility offers a self-pay cash rate, commercial members should verify their specific plan's allowed amount before scheduling, as in-network contracts can sometimes be more expensive than paying out-of-pocket. Additionally, patients should explicitly ask the hospital about "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle that inflates commercial rates.
The facility's pricing is benchmarked against federal standards, with a Medicare rate of $106.81 serving as the objective baseline for evaluating markup. Commercial negotiated rates for this procedure generally exceed the Medicare benchmark, reflecting the multi-layered administrative structures inherent in insurance billing. For context, the state of Kansas and the county average for this service are not provided in the current data, so direct comparisons to local averages cannot be made. However, the facility's ownership as a voluntary non-profit and its facility rating of 4 out of 5 may influence pricing dynamics. Consumers should be aware that balance billing is largely prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act