CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida Palms West Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,467
Cash Discount Price: $14,463
vs. Medicare Baseline: 23.10x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida Palms West Hospital is $2,467. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,463. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 23.10x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$14,463

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,467

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: $14,463 (13541%)

Insurance Median: $2,467 (2310%)

Cash: $14,463 (13541% of Medicare)

Ins. Median: $2,467 (2310% 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 2310% of the Medicare baseline (a markup of 2210%). 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 - $6,508	229%
Healthy Palm Beaches	$550	515%
Aetna	$868 - $4,339	813%
Avmed	$890 - $7,232	833%
Freedom Health	$1,244 - $2,314	1165%
Optimum	$1,244	1165%
Simply Healthcare Plans	$1,880	1760%
Corvel Corporation	$2,417	2263%
Careworks (Rockport)	$2,467	2310%
Prime Health	$2,467	2310%
Molina	$2,748 - $3,905	2573%
Health Sun Health Plan	$3,081	2885%
Aids Healthcare	$3,182 - $17,356	2979%
Mmm Of Fl (Health Advantage Plan)	$3,326	3114%
United Ppo	$3,428	3209%
Sunshine State Health Plan	$3,760	3520%
Health Care District	$7,232	6771%
Palm Beach Juvenile Correction	$7,232	6771%
Plotkin Health	$7,232	6771%
Prime Health Sherriff	$7,232	6771%
Medica Healthcare	$8,389	7854%
Multiplan	$10,847 - $12,294	10155%

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 $14,463.
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 Palms West 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.