CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $1,451
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 13.58x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Intermountain Health St. Mary's Regional Hospital is $1,451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.58x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,451

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%)
Insurance Median: $1,451 (1358%)
Ins. Median: $1,451 (1358% 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 1358% of the Medicare baseline (a markup of 1258%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Select Health $107 100%
UnitedHealthcare $107 - $1,697 100%
Blue Cross Blue Shield $669 - $1,446 626%
Monument Health $963 902%
Cigna $1,187 - $1,376 1111%
Allegiance $1,376 1288%
Aetna $1,451 - $1,701 1358%
Kaiser Perm Ppo/Pos $1,561 1461%
Geha $1,610 - $1,697 1507%
Meritain Health $1,610 1507%
Humana $1,693 1585%
Cofinity $1,701 1593%
First Health Network $1,701 1593%
Private Hlthcare Sys $1,789 1675%
Public Employees Health $1,866 1747%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2635 N 7Th St, Grand Junction, CO 81501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals