CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Poudre Valley Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $890
Cash Discount Price: $1,747
vs. Medicare Baseline: 8.33x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Poudre Valley Hospital is $890. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,747. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.33x the Medicare baseline. Located in 1024 S Lemay Ave, Fort Collins, CO.

Cash / Self-Pay

$1,747

Average discount available for prompt cash payment at this facility.

Insurance Median

$890

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: $1,747 (1636%)

Insurance Median: $890 (833%)

Cash: $1,747 (1636% of Medicare)

Ins. Median: $890 (833% 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 833% of the Medicare baseline (a markup of 733%). 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
Aetna	$107 - $2,063	100%
Blue Cross Blue Shield	$107 - $1,551	100%
Cigna	$107 - $890	100%
Cms	$107	100%
Devoted Health	$107	100%
Humana	$107	100%
Kaiser	$107	100%
Select Health	$107 - $1,063	100%
UnitedHealthcare	$107 - $889	100%
Simplified Benefits Administration	$307 - $1,971	287%
First Health	$1,472	1378%
Denver Health Medical Plan	$1,946	1822%
Midlands Choice	$2,246	2103%
Rocky Mountain Health Plans	$2,246	2103%
Multiplan	$2,270	2125%
Phcs	$2,270	2125%
First Choice Of The Midwest	$2,420	2266%

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 $1,747.
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 Poudre Valley 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.