CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,325
Cash Discount Price: $3,171
vs. Medicare Baseline: 21.77x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Sharp Coronado Hospital and Hlthcr Ctr is $2,325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,171. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.77x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$3,171

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,325

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: $3,171 (2969%)

Insurance Median: $2,325 (2177%)

Cash: $3,171 (2969% of Medicare)

Ins. Median: $2,325 (2177% 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 2177% of the Medicare baseline (a markup of 2077%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$634 - $3,382	594%
Health Net	$634 - $3,171	594%
UnitedHealthcare	$1,184 - $2,697	1109%
Managed Health Network	$1,256	1176%
Epic Americas	$1,268 - $1,776	1187%
Aetna	$1,438 - $2,875	1346%
Interplan	$1,438	1346%
California Health And Wellness	$1,691	1583%
Indian Health Council	$1,691	1583%
Community Health Group	$2,114 - $3,171	1979%
Medicare (plans)	$2,114	1979%
Multiplan	$2,114	1979%
Humana	$2,325 - $2,960	2177%
Kaiser	$2,325	2177%
Molina	$2,325 - $4,143	2177%
Medi-Cal	$2,642	2474%
Blue Shield	$2,875 - $4,143	2692%
Allianz Global Assistance	$2,917	2731%

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 $3,171.
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 Sharp Coronado Hospital and Hlthcr Ctr 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.