CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Finley Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $125
  • Cash Discount Price: $374
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Finley Hospital is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $374. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.17x the Medicare baseline. Located in 350 North Grandview Avenue, Dubuque, IA.
Cash / Self-Pay
$374

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $374 (350%)
Insurance Median: $125 (117%)
Cash: $374 (350% of Medicare)
Ins. Median: $125 (117% 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
Aetna $44 - $509 41%
Blue Cross Blue Shield $44 - $299 41%
Molina $44 - $121 41%
Amerivantage $46 - $125 43%
Humana $46 - $125 43%
Meridian $46 - $125 43%
UnitedHealthcare $46 - $224 43%
Medical Associates Health Plan $65 - $245 61%
Wellmark Uph Self-Funded $90 - $254 84%
Cigna $92 - $803 86%
Amerigroup $94 88%
Iowa Total Care $94 88%
Health Partners Open Network $106 - $413 99%
Bc Illinois Community $110 - $376 103%
Dean Health Plan $147 - $1,216 138%
Medica Exchange Inspire $560 524%
Medica Exchange Insure $626 586%
Quartz Health $1,216 1138%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 North Grandview Avenue, Dubuque, IA 52001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals