CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Crestwood Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $5,240
  • Cash Discount Price: $2,358
  • vs. Medicare Baseline: 49.06x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Crestwood Medical Center is $5,240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,358. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 49.06x the Medicare baseline. Located in One Hospital Dr Se, Huntsville, AL.
Cash / Self-Pay
$2,358

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,240

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: $2,358 (2208%)
Insurance Median: $5,240 (4906%)
Cash: $2,358 (2208% of Medicare)
Ins. Median: $5,240 (4906% 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 4906% of the Medicare baseline (a markup of 4806%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $90 84%
Veterans Eval Services $92 86%
Blue Cross Blue Shield $93 - $174 87%
Humana $93 87%
Medicare (plans) $93 87%
Node Windsor Mcr Adv $93 87%
UnitedHealthcare $93 - $224 87%
Viva Health $93 87%
Node Select Health Mcr Adv $94 88%
Alacare Hospice $95 89%
Cigna $95 - $407 89%
Hospice $95 89%
Node Champva $95 89%
Node Devoted Health Mcr Adv $95 89%
Node Va $95 89%
Aetna $96 - $632 90%
Node Clover Health Mcr Adv $96 90%
Node Wellcare Mcr Adv $97 91%
Node Prime Health Mcr Adv $100 94%
Node Us Dept Of Labor $117 110%
Occunet $118 110%
Ambetter / Centene $142 133%
Medicaid / KanCare $148 139%
Alamed $930 871%
Self Pay $2,022 - $2,751 1893%
American Employee Alliance $4,492 - $5,240 4206%
Wc Hart & Cooley $4,492 - $5,240 4206%
Wc Acs Compiq Xerox $6,918 - $8,069 6477%
Fortified $7,783 - $10,480 7287%
Core Choice $7,862 - $9,582 7361%
Prime Health $7,862 - $10,087 7361%
Coventry $7,956 - $9,280 7449%
Rockport $8,042 - $9,381 7529%
America'S Choice $8,215 - $10,480 7691%
Novanet $8,215 - $9,825 7691%
Wc Al $8,648 - $10,087 8097%
Multiplan $9,546 - $11,135 8937%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Dr Se, Huntsville, AL 35801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals