CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Villages Regional Hospital, The

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $116
Cash Discount Price: $1,141
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Villages Regional Hospital, The is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,141. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 1451 El Camino Real, The Villages, FL.

Cash / Self-Pay

$1,141

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $1,141 (1068%)

Insurance Median: $116 (109%)

Cash: $1,141 (1068% of Medicare)

Ins. Median: $116 (109% 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.

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
Humana	$67 - $934	63%
Simply Healthcare	$67	63%
Sunshine State	$82	77%
Careplus	$111 - $114	104%
UnitedHealthcare	$111	104%
Wellcare	$112	105%
Freedom Health	$115	108%
Aetna	$117 - $1,389	110%
Ultimate Health	$117	110%
Blue Cross Blue Shield	$1,158 - $1,247	1084%
Cigna	$1,438	1346%
Mulitplan	$1,722	1612%

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 $1,141.
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 Villages Regional Hospital, The 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.