CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida Capital Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $4,875
Cash Discount Price: $10,236
vs. Medicare Baseline: 45.64x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida Capital Hospital is $4,875. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,236. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 45.64x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$10,236

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,875

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: $10,236 (9583%)

Insurance Median: $4,875 (4564%)

Cash: $10,236 (9583% of Medicare)

Ins. Median: $4,875 (4564% 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 4564% of the Medicare baseline (a markup of 4464%). 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 - $4,825	229%
Aetna	$1,258 - $3,217	1178%
Simply	$1,502 - $1,651	1406%
Avmed	$1,695 - $5,361	1587%
Molina Healthcare	$1,853 - $3,431	1735%
Corvel Corporation	$2,141	2004%
Prime Health	$2,186	2047%
Careworks (Rockport Community)	$2,254	2110%
Sunshine State Health Plan	$2,486 - $2,734	2327%
Plotkin Health	$4,875 - $5,361	4564%
Prime Health Sheriff	$4,875 - $5,361	4564%
Multiplan	$7,605 - $9,114	7120%
Evernorth	$7,800 - $8,578	7303%
Evolutions Healthcare	$8,288 - $9,114	7760%
Ppo Next	$8,288 - $9,114	7760%
Novanet	$8,776 - $9,650	8216%
Beacon Health Options	$9,751 - $10,722	9129%

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 $10,236.
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 Capital 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.