CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida Raulerson Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $2,728
  • Cash Discount Price: $9,571
  • vs. Medicare Baseline: 25.54x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida Raulerson Hospital is $2,728. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,571. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.54x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$9,571

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,728

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: $9,571 (8961%)
Insurance Median: $2,728 (2554%)
Cash: $9,571 (8961% of Medicare)
Ins. Median: $2,728 (2554% 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 2554% of the Medicare baseline (a markup of 2454%). 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
United $245 - $4,307 229%
Freedom Health $823 771%
Optimum $823 771%
Avmed $890 - $4,786 833%
Aetna $1,087 - $2,871 1018%
Simply Healthcare Plans $1,244 1165%
Molina $1,818 - $2,584 1702%
Health Sun Health Plan $2,039 1909%
Corvel Corporation $2,166 2028%
Careworks (Rockport) $2,211 2070%
Prime Health $2,211 2070%
Sunshine State Health Plan $2,441 2285%
United Ppo $4,211 3943%
Plotkin Health $4,786 4481%
Prime Health Sherriff $4,786 4481%
Multiplan $7,178 - $8,135 6720%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals