CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Trinity Rock Island

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $119
Cash Discount Price: $374
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Trinity Rock Island is $119. 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 1.11x the Medicare baseline. Located in 2701 17Th St, Rock Island, IL.

Cash / Self-Pay

$374

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $119 (111%)

Cash: $374 (350% of Medicare)

Ins. Median: $119 (111% 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.

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	$44 - $509	41%
Ambetter / Centene	$44 - $177	41%
Blue Cross Blue Shield	$44 - $376	41%
Health Alliance	$44 - $119	41%
Amerivantage	$46 - $125	43%
Humana	$46 - $125	43%
Medicare (plans)	$46 - $125	43%
Meridian Health Plan	$46 - $125	43%
UnitedHealthcare	$46 - $279	43%
Iowa Total Care	$83	78%
Cigna	$92 - $1,402	86%
Bc Illinois Community	$104 - $251	97%
Health Partners Open Network	$106 - $413	99%
Wellmark Uph Self-Funded	$110 - $376	103%
Medica Exchange Inspire	$1,048	981%
Medica Exchange Insure	$1,173	1098%

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 $374.
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 Trinity Rock Island 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.