CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Alhambra Hospital Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $181
  • Cash Discount Price: $4,289
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Alhambra Hospital Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,289. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$4,289

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $4,289 (4016%)
Insurance Median: $181 (169%)
Cash: $4,289 (4016% of Medicare)
Ins. Median: $181 (169% 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
Citrus Valley Health Partners $125 117%
La Care Pasc Seiu Misc $125 117%
Blue Shield 65 Plus $127 119%
Apa Aco $130 122%
Altamed Senior Services $132 124%
Blue Cross Blue Shield $132 - $387 124%
Brand New Day Sr $132 124%
Central Health Plan Of Ca Senior Hmo $132 124%
Health Net Senior Hmo $132 124%
Medicare (plans) $132 - $2,359 124%
Aetna $134 - $283 125%
Humana $134 125%
La Care Exchange $134 125%
Miscellaneous Senior Hmo $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $178 125%
Wellcare Senior Hmo $134 125%
Alignment Senior Hmo $139 130%
La Care Medi-Cal Hmo $144 135%
Health Net Salud Con Hmo $164 154%
Molina Exchange $165 154%
Health Net Exchange $166 155%
Miscellaneous Work Comp Hmo $179 168%
Ahmc Health $198 185%
Allied Physicians Of Ca Commercial $202 189%
Health Net Ppo/Epo/Pos $280 262%
Health Net Medi-Cal $334 313%
Kaiser Medi-Cal $334 313%
Medi-Cal $334 313%
Miscellaneous Medi-Cal Hmo $334 313%
Ahmc-Reciprocity-Comm/Senior $345 323%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $345 323%
Molina Health Plan $450 421%
Cigna $940 - $1,513 880%
Self Pay $1,716 1607%
Health Net Exchange Enhanced Ppo $1,819 1703%
Blue Shield Value Network Exchange $2,247 2104%
Blue Shield Hmo/Ppo $2,505 2345%
Kaiser Commercial $2,659 2489%
Multiplan $3,431 3212%
Miscellaneous Commercial Ppo/Hmo $4,289 4016%
Stewart Mg Senior Hmo $4,289 4016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals