CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Shepherd Center, Inc.

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $211
  • Cash Discount Price: $1,837
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Shepherd Center, Inc. is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,837. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.98x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.
Cash / Self-Pay
$1,837

Average discount available for prompt cash payment at this facility.

Insurance Median
$211

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: $1,837 (1720%)
Insurance Median: $211 (198%)
Cash: $1,837 (1720% of Medicare)
Ins. Median: $211 (198% 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.

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
Blue Cross Blue Shield $39 - $265 37%
Medicare (plans) $47 - $104 44%
Humana $54 - $102 51%
Kaiser $55 - $102 51%
Coventry $71 - $2,388 66%
Aetna $77 - $3,123 72%
UnitedHealthcare $112 - $315 105%
Cigna $230 215%
Paradigm Wc $1,800 1685%
Secure Health $2,204 2063%
Coventry Wc $2,388 2236%
Alamed Wc $2,572 2408%
Fcci Wc $2,572 2408%
Multiplan $2,756 2580%
Evolution Wc $2,939 2752%
Prime Health Wc $2,939 - $3,307 2752%
Corvel Wc $3,123 2924%
Novanet Wc $3,123 2924%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 Peachtree Rd Nw, Atlanta, GA 30309
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL