CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Sarasota Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $107
Cash Discount Price: $2,189
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Sarasota Memorial Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,189. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$2,189

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $2,189 (2049%)

Insurance Median: $107 (100%)

Cash: $2,189 (2049% of Medicare)

Ins. Median: $107 (100% 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.

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
Simply Healthcare Oncology	$38 - $69	36%
Sunshine State Oncology	$38 - $69	36%
Amerihealth Caritas Oncology	$39 - $72	37%
Community Care Plan Oncology	$39 - $72	37%
Molina Oncology	$39 - $71	37%
Blue Cross Blue Shield	$44 - $134	41%
Florida Community Care Oncology	$47 - $101	44%
UnitedHealthcare	$48 - $4,697	45%
Wellcare Oncology	$49 - $86	46%
Simply Freedom Optimum Oncology	$51 - $90	48%
Aetna	$58 - $5,003	54%
Simply Healthcare	$67 - $71	63%
Sunshine State	$71	66%
Molina	$73	68%
Amerihealth Caritas	$74	69%
Community Care Plan	$74	69%
Florida Community Care	$74 - $117	69%
Oscar Oncology	$78 - $139	73%
Simply Freedom Optimum	$112	105%
Wellcare	$112	105%
Ambetter / Centene	$124 - $288	116%
Careworks	$2,548 - $2,638	2386%
Enlyte	$2,548 - $2,638	2386%
Avmed	$3,424 - $4,565	3206%
Usa Managed Care	$3,752 - $5,003	3513%
First Health	$3,893 - $5,191	3645%

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 $2,189.
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 Sarasota Memorial 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.