CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Adventist Health Hanford

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $175
  • Cash Discount Price: $390
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Adventist Health Hanford is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $390. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.64x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$390

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $390 (365%)
Insurance Median: $175 (164%)
Cash: $390 (365% of Medicare)
Ins. Median: $175 (164% 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
Cigna $28 - $2,330 26%
Blue Shield Mcr Adv $47 - $134 44%
Fhcn Pace Mcr Adv-All Plans $47 - $134 44%
Prime Health Mcr Adv- All Plans $47 - $134 44%
Tricare $47 - $134 44%
UnitedHealthcare $47 - $1,647 44%
Central Valley Med Prov Profee Only-All Plans $50 47%
Ah Employee Health Plan - All Plans $52 - $242 49%
Kaiser - All Other Plans $64 - $1,962 60%
Kaiser Mcr Adv $64 - $134 60%
Healthnet - All Other Plans $69 - $2,095 65%
Western Growers/Pinnacle- All Plans $70 - $1,805 66%
Blue Shield Epn $92 - $1,844 86%
Blue Shield Non-Epn - All Other Plans $97 - $2,020 91%
Blue Cross Blue Shield $102 - $1,472 95%
Bc Mcal $125 - $132 117%
Healthnet Mcal $125 - $313 117%
Kaiser Mcal $125 - $239 117%
Medi-Cal $125 - $239 117%
Universal Hc Mcal Profee $125 117%
Upn Mcal Profee $125 117%
Healthnet Mcr Adv $134 125%
Key Medical Mcr Adv $134 125%
Universal Hc Mcr Adv Profee - All Other Plans $134 125%
Upn Mcr Adv Profee - All Other Plans $134 125%
Key Medical Group Commercial - All Other Plans $161 151%
Aetna $178 - $2,246 167%
Valley Childrens - All Plans $185 - $401 173%
Bright Health Mcr Adv-All Plans $211 198%
Fresno - All Plans $394 369%
Phcs Ppo- All Plans $2,550 2387%
Community Hlth Ntwork-All Plans $2,628 2460%
First Health - All Plans $3,060 2865%
Choicecare- All Plans $3,217 3012%
Multiplan- All Plans $3,256 3048%
Interplan- All Plans $3,295 3085%
Beech Street- All Plans $3,335 3122%
Preferred Health Network- All Plans $3,727 3489%
Pacific Health Alliance- All Plans $3,805 3562%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals