CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Flagstaff Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $200
  • Cash Discount Price: $1,645
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Flagstaff Medical Center is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,645. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$1,645

Average discount available for prompt cash payment at this facility.

Insurance Median
$200

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: $1,645 (1540%)
Insurance Median: $200 (187%)
Cash: $1,645 (1540% of Medicare)
Ins. Median: $200 (187% 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.

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
Carefirst $106 99%
Mercy Care Rhba $106 99%
Ahcccs $109 102%
Ahcccs Other $109 102%
Fmc Jail $109 102%
Health Choice $109 - $229 102%
Health Choice Arizona $109 102%
Health Choice Integrated Care $109 102%
Health Net Of Arizona $109 102%
Mercy Care $109 102%
Nhi Out Of State Ahcccs $109 102%
UnitedHealthcare $109 - $3,043 102%
Health Net Federal $112 105%
University Of Arizona Health Plans $116 - $129 109%
Aetna $118 - $2,800 110%
Fmc 30/70 $118 110%
Humana $118 - $3,125 110%
Medicare (plans) $118 110%
Mercy Care Advantage $118 110%
Rehabilitation Hospital Of Northern Arizona $118 110%
Snf Fmc $118 110%
Wellcare $118 110%
Wellcare By Allwell $118 110%
Fmc Ihs $119 111%
Va Pccc Triwest $119 - $127 111%
Devoted $123 - $125 115%
Ambetter / Centene $135 126%
Pnoa $176 165%
Naphcare $223 - $239 209%
Nau Athletic Department $250 - $2,632 234%
Self Pay $1,645 - $3,290 1540%
Self-Pay 50% Discount $1,645 1540%
Blue Cross Blue Shield $1,929 - $2,411 1806%
Workers Comp $2,138 2002%
Copperpoint $2,411 2257%
Cigna $2,961 2772%
Fmc 90/10 $2,961 2772%
Rural Arizona Network Multiplan $2,961 2772%
United Behavioral Health $3,290 3080%
Auto Insurance $5,000 4681%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals