CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,083
Cash Discount Price: $2,326
vs. Medicare Baseline: 10.14x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at University of Iowa Health Care Medical Center Down is $1,083. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,326. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.14x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$2,326

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,083

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: $2,326 (2178%)

Insurance Median: $1,083 (1014%)

Cash: $2,326 (2178% of Medicare)

Ins. Median: $1,083 (1014% 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 1014% of the Medicare baseline (a markup of 914%). 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
Immergrun	$89 - $831	83%
Aetna	$100 - $1,990	94%
UnitedHealthcare	$100 - $1,406	94%
Blue Cross Blue Shield	$101 - $1,595	95%
Healthpartners	$102 - $2,825	95%
Iowa Total Care	$104 - $1,329	97%
Wellpoint (Amerigroup)	$105 - $125	98%
Medical Associates	$119 - $1,662	111%
Molina Healthcare	$119 - $1,329	111%
Oscar Health	$225 - $2,093	211%
Great River Health Systems	$250 - $2,326	234%
Quad City Community Healthcare	$268 - $2,492	251%
Sedgwick	$286 - $2,658	268%
Global Excel	$303 - $2,825	284%
Sanford Health Plan	$303 - $2,825	284%
Aplos Health Plan	$309 - $2,658	289%
Employee Benefit Systems	$314 - $2,991	294%
Sisco	$314 - $2,924	294%
Healthsmart	$321 - $2,991	301%
Hfn	$328 - $3,057	307%
Multiplan	$328 - $3,057	307%
Midlands Choice	$854 - $2,160	800%

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 $2,326.
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 University of Iowa Health Care Medical Center Down 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.