CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: University Hospital and Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,246
Cash Discount Price: $8,640
vs. Medicare Baseline: 21.03x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at University Hospital and Medical Center is $2,246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,640. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.03x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$8,640

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,246

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: $8,640 (8089%)

Insurance Median: $2,246 (2103%)

Cash: $8,640 (8089% of Medicare)

Ins. Median: $2,246 (2103% 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 2103% of the Medicare baseline (a markup of 2003%). 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 - $3,888	229%
Freedom Health	$743 - $1,382	696%
Optimum	$743	696%
Aetna	$769 - $2,592	720%
Avmed	$890 - $4,320	833%
Simply Healthcare Plans	$1,123	1051%
Molina	$1,642 - $2,333	1537%
Health Sun Health Plan	$1,840	1723%
Mmm Of Fl (Health Advantage Plan)	$1,987	1860%
United Ppo	$2,048	1917%
Sunshine State Health Plan	$2,281	2136%
Corvel Corporation	$2,530	2369%
Careworks (Rockport)	$2,583	2418%
Prime Health	$2,583	2418%
Plotkin Health	$4,320	4045%
Prime Health Sherriff	$4,320	4045%
Medica Healthcare	$5,011	4692%
Multiplan	$6,480 - $7,344	6067%
Evernorth Bh	$6,912	6471%

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 $8,640.
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 University Hospital and Medical Center 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.