CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Grady Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $111
Cash Discount Price: $7,208
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Grady Memorial Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,208. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$7,208

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $7,208 (6748%)

Insurance Median: $111 (104%)

Cash: $7,208 (6748% of Medicare)

Ins. Median: $111 (104% 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
Aetna	$45 - $3,208	42%
Ambetter / Centene	$45 - $1,067	42%
Blue Cross Blue Shield	$45 - $5,766	42%
Cigna	$45 - $4,264	42%
Humana	$45 - $106	42%
Kaiser	$45 - $5,464	42%
Medicare (plans)	$45 - $106	42%
UnitedHealthcare	$45 - $5,190	42%
Vaccn	$45 - $106	42%
Wellcare	$45 - $106	42%
Clear Spring Health	$48 - $111	45%
Clover	$48 - $111	45%
Usp Naphcare	$50 - $4,325	47%
Amerigroup	$52 - $1,172	49%
Caresource	$52 - $1,075	49%
Peach State	$52 - $1,075	49%
Oscar Health	$64 - $4,685	60%
Multiplan	$5,550	5196%

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 $7,208.
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 Grady Memorial 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.