CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida South Shore Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,681
Cash Discount Price: $16,348
vs. Medicare Baseline: 25.10x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida South Shore Hospital is $2,681. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,348. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.10x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$16,348

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,681

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: $16,348 (15306%)

Insurance Median: $2,681 (2510%)

Cash: $16,348 (15306% of Medicare)

Ins. Median: $2,681 (2510% 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 2510% of the Medicare baseline (a markup of 2410%). 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 - $7,513	229%
Avmed	$738 - $1,863	691%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$752 - $785	704%
Aetna	$913 - $5,009	855%
Access 2 Healthcare Physicians Freedom Health	$1,152 - $1,202	1079%
Access 2 Healthcare Physicians Optimum	$1,152 - $1,202	1079%
Freedom Health Care	$1,248 - $1,302	1168%
Optimum Healthcare	$1,248 - $1,302	1168%
Corvel Corporation	$2,336	2187%
Rockport Healthcare Group	$2,336	2187%
Prime Health	$2,386	2234%
Simply Healthcare	$2,464 - $2,571	2307%
Molina	$3,040 - $4,508	2846%
Sunshine State Health Plan	$4,080 - $4,257	3820%
Plotkin Health	$8,001 - $8,348	7491%
Prime Health Sheriff	$8,001 - $8,348	7491%
Evolutions Healthcare Systems	$8,801 - $15,360	8240%
Multiplan	$12,001 - $14,191	11236%

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 $16,348.
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 South Shore 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.