CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Guttenberg Municipal Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,126
Cash Discount Price: $2,126
vs. Medicare Baseline: 19.90x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Guttenberg Municipal Hospital is $2,126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,126. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.90x the Medicare baseline. Located in 200 Main Street, Guttenberg, IA.

Cash / Self-Pay

$2,126

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,126

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: $2,126 (1990%)

Insurance Median: $2,126 (1990%)

Cash: $2,126 (1990% of Medicare)

Ins. Median: $2,126 (1990% 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 1990% of the Medicare baseline (a markup of 1890%). 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
Aetna	$1,382 - $2,658	1294%
Medical Associates	$1,382 - $2,658	1294%
Molina	$1,445 - $2,658	1353%
Wellmark	$1,781 - $2,658	1667%
Health Partners	$1,861	1742%
Midlands Choice	$1,861	1742%
Quartz	$2,126	1990%
Health Choices	$2,286	2140%
UnitedHealthcare	$2,445 - $2,658	2289%
Humana	$2,658	2489%
Iowa Total Care	$2,658	2489%

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 $2,126.
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 Guttenberg Municipal 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.