CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: St Marys Good Samaritan Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$383
about 3.6× the $107 Medicare rate · typically $124–$967
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $383 Cash price $1,087 Hospital's list price $1,672

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $451 - $2,632 422%
Blue Cross Blue Shieldmajor $323 - $1,208 302%
Aetnamajor $451 - $1,338 422%
Cignamajor $451 - $1,371 422%
Humanamajor $451 - $1,254 422%
Kaiser Permanentemajor $451 422%
Ambetter (Centene) $451 422%
Amerigroup $1,672 1565%
CareSource $451 422%
Molina $451 422%
WellCare $261 - $451 244%
+ 5 smaller / regional plans $451 - $1,505
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5401 Lake Oconee Parkway, Greensboro, GA 30642
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals