CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Steele Memorial Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,384
Cash Discount Price: $1,104
vs. Medicare Baseline: 12.96x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Steele Memorial Medical Center is $1,384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,104. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.96x the Medicare baseline. Located in 203 South Daisy Street, Salmon, ID.

Cash / Self-Pay

$1,104

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,384

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: $1,104 (1034%)

Insurance Median: $1,384 (1296%)

Cash: $1,104 (1034% of Medicare)

Ins. Median: $1,384 (1296% 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 1296% of the Medicare baseline (a markup of 1196%). 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	$662 - $1,398	620%
Pacific Source Mcr Adv	$692	648%
Windsor Hp Mcr Adv - All Plans	$692	648%
Select Health Mcr Adv	$699	654%
Blue Cross Blue Shield	$706 - $1,472	661%
Liberty Healthshare - All Plans	$1,176	1101%
Pacific Source - All Other Plans	$1,325	1241%
Cigna	$1,357	1270%
Mountain Health Co-Op - All Plans	$1,398	1309%
Select Health Inc - All Other Plans	$1,398	1309%
UnitedHealthcare	$1,398	1309%
Multiplan - All Plans	$1,443	1351%
Three Rivers - All Plans	$1,443	1351%
Ichn, Llc - All Plans	$1,472	1378%
Regence Blue Shield - All Plans	$3,680	3445%

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 $1,104.
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 Steele Memorial Medical Center 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.