CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Good Samaritan Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $3,143
Cash Discount Price: $20,952
vs. Medicare Baseline: 29.43x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Good Samaritan Hospital is $3,143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,952. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 29.43x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.

Cash / Self-Pay

$20,952

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,143

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: $20,952 (19616%)

Insurance Median: $3,143 (2943%)

Cash: $20,952 (19616% of Medicare)

Ins. Median: $3,143 (2943% 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 2943% of the Medicare baseline (a markup of 2843%). 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
Santa Clara Family Health Plan	$79	74%
Physicians Medical Group	$129	121%
Blue Cross Blue Shield	$142 - $717	133%
United	$245 - $5,343	229%
Aetna	$2,044 - $5,074	1914%
Blue Shield	$2,362	2211%
Medcare Partners	$3,143	2943%
Nx Health Network	$12,571	11769%
Sutter Select	$12,571	11769%
Multiplan	$13,619 - $16,762	12751%
Humana	$14,667	13732%
First Health	$15,924 - $20,952	14909%
Cigna	$16,762	15693%
Healthsmart	$16,762 - $17,810	15693%
Intercontinental Corporation	$16,762	15693%
Pha Pacific Health Alliance	$16,762	15693%
Ppo Next	$16,762	15693%

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 $20,952.
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 Good Samaritan 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.