CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Community Memorial Hospital - Ventura

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $189
  • Cash Discount Price: $335
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Community Memorial Hospital - Ventura is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.77x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.
Cash / Self-Pay
$335

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

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: $335 (314%)
Insurance Median: $189 (177%)
Cash: $335 (314% of Medicare)
Ins. Median: $189 (177% 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
Seaview $103 96%
Valley Care $112 - $189 105%
Tricare $128 120%
Aetna $135 - $1,715 126%
Blue Cross Blue Shield $135 - $411 126%
California Workers Compensation $135 126%
Medicare (plans) $135 - $138 126%
Non Contracted $135 - $334 126%
Wellcare Of California $135 126%
Alignment Health Plan $138 129%
Humana $138 129%
Scan Health Plan $138 129%
UnitedHealthcare $138 - $236 129%
Ventura County Health Care Plan $140 131%
Gold Coast Health Plan $195 - $500 183%
Medicaid / KanCare $195 - $488 183%
Cigna $275 257%
Medi-Cal $334 313%
Multiplan $335 314%
Health Net Commercial $469 439%
Kaiser Commercial $1,061 993%
Blue Shield Epn $1,161 1087%
Blue Shield Commercial $1,302 1219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 147 North Brent Street, Ventura, CA 93003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals