CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Oroville Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $185
Cash Discount Price: $510
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Oroville Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $510. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.73x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$510

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $510 (477%)

Insurance Median: $185 (173%)

Cash: $510 (477% of Medicare)

Ins. Median: $185 (173% 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.

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
Blue Cross Blue Shield	$53 - $2,027	50%
Butte County	$68 - $642	64%
Aetna	$105	98%
Community Care	$105	98%
Nivano Physicians Inc	$105	98%
UnitedHealthcare	$105 - $1,567	98%
River City Medical Group	$115	108%
Cigna	$156 - $1,474	146%
Coventry Health Care	$156 - $1,474	146%
Health Net	$156 - $1,474	146%
Multiplan	$156 - $1,474	146%
Interplan	$166 - $1,567	155%
Three Rivers Provider Network	$166 - $1,567	155%
Partnership Healthplan Of California	$173	162%
Beech Street	$176 - $1,659	165%
Healthstar	$176 - $1,659	165%
Health Payors Organization	$185 - $1,751	173%
Blue Shield Of California	$189 - $1,788	177%
Blue Shield Value Network	$364	341%

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 $510.
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 Oroville Hospital 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.