CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Banner Ironwood Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $168
  • Cash Discount Price: $478
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Banner Ironwood Medical Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.57x the Medicare baseline. Located in 37000 North Gantzel Road, Queen Creek, AZ.
Cash / Self-Pay
$478

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $478 (448%)
Insurance Median: $168 (157%)
Cash: $478 (448% of Medicare)
Ins. Median: $168 (157% 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
Arizona Physicians Ipa $79 - $113 74%
Banner University Health Plan $79 - $113 74%
Health Choice Arizona, Inc. $79 - $170 74%
Health Net $79 - $168 74%
Mercy Care $79 - $113 74%
Aetna $113 - $1,524 106%
Banner Health $113 106%
Blue Cross Blue Shield $113 - $617 106%
Care 1St $113 106%
Cigna $113 - $1,126 106%
Gila River Health Care Corporation $113 106%
Humana $113 - $117 106%
Kaiser Foundation Health Plan $113 106%
Triwest Healthcare Alliance Corp - Va Ccn $113 106%
UnitedHealthcare $113 - $552 106%
Upmc Health Plan $113 106%
Wellpoint $113 106%
Carelon $119 111%
Devoted Health Services $119 111%
Arizona Priority Care $125 117%
Gold Kidney Health Plan $125 117%
Oscar Health Plan $170 159%
Hospice Of The Valley $925 866%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $1,189 1113%
Plotkin Health $1,189 1113%
Quiktrip Corporation $1,427 1336%
Arizona Medical Network $1,849 1731%
Provider Network Of America $1,982 1856%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37000 North Gantzel Road, Queen Creek, AZ 85140
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals