CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: St Elizabeth Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,527
Cash Discount Price: $2,302
vs. Medicare Baseline: 23.66x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at St Elizabeth Hospital is $2,527. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,302. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 23.66x the Medicare baseline. Located in 1000 Lincoln St, Fort Morgan, CO.

Cash / Self-Pay

$2,302

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,527

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: $2,302 (2155%)

Insurance Median: $2,527 (2366%)

Cash: $2,302 (2155% of Medicare)

Ins. Median: $2,527 (2366% 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 2366% of the Medicare baseline (a markup of 2266%). 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	$85 - $5,583	80%
Blue Cross Blue Shield	$85 - $1,100	80%
Cigna	$85 - $5,583	80%
Denver Health	$85 - $2,527	80%
Devoted Health	$85	80%
Humana	$85	80%
Kaiser	$85	80%
Medicare (plans)	$85	80%
UnitedHealthcare	$85 - $4,967	80%
Centura Employee Plan	$337	316%
United Colorado Doctor'S Plan	$4,472	4187%
Direct To Employer	$4,720	4419%
Multiplan	$5,411 - $5,583	5066%

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 $2,302.
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 St Elizabeth 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.