CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida Northwest Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,657
Cash Discount Price: $6,323
vs. Medicare Baseline: 15.51x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida Northwest Hospital is $1,657. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,323. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.51x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$6,323

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,657

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: $6,323 (5920%)

Insurance Median: $1,657 (1551%)

Cash: $6,323 (5920% of Medicare)

Ins. Median: $1,657 (1551% 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 1551% of the Medicare baseline (a markup of 1451%). 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
United	$245 - $2,845	229%
Freedom Health	$544 - $1,012	509%
Optimum	$544	509%
Aetna	$769 - $1,897	720%
Simply Healthcare Plans	$822	770%
Avmed	$890 - $3,162	833%
Molina	$1,201 - $1,707	1124%
Health Sun Health Plan	$1,347	1261%
Mmm Of Fl (Health Advantage Plan)	$1,454	1361%
United Ppo	$1,499	1403%
Sunshine State Health Plan	$1,669	1563%
Blis	$2,213	2072%
Corvel Corporation	$2,530	2369%
Careworks (Rockport)	$2,583	2418%
Prime Health	$2,583	2418%
Plotkin Health	$3,162	2960%
Prime Health Sherriff	$3,162	2960%
Medica Healthcare	$3,667	3433%
Multiplan	$4,742 - $5,375	4440%

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 $6,323.
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 HCA Florida Northwest 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.