CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Rochelle Community Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $3,051
Cash Discount Price: $3,937
vs. Medicare Baseline: 28.56x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Rochelle Community Hospital is $3,051. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,937. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 28.56x the Medicare baseline. Located in 900 N 2Nd St, Rochelle, IL.

Cash / Self-Pay

$3,937

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,051

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: $3,937 (3686%)

Insurance Median: $3,051 (2856%)

Cash: $3,937 (3686% of Medicare)

Ins. Median: $3,051 (2856% 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 2856% of the Medicare baseline (a markup of 2756%). 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	$184 - $1,968	172%
Blue Cross Blue Shield	$184 - $3,937	172%
Medicaid / KanCare	$184	172%
Health Alliance Mcr Adv	$1,378	1290%
Humana	$1,378 - $3,150	1290%
UnitedHealthcare	$1,378 - $3,543	1290%
Va Ccn - All Plans	$1,378	1290%
Wellcare Mcr Adv - All Plans	$1,406	1316%
Cigna	$2,953	2765%
Osf Dan Ppo - All Plans	$2,953	2765%
Beech Street-All Plans	$3,150	2949%
First Health - All Plans	$3,150	2949%
Health Alliance-All Other Plans	$3,150	2949%
Ecoh-All Plans	$3,346	3133%
Hfn-All Plans	$3,346	3133%
The Alliance-All Plans	$3,346	3133%
Quartz Health Solutions-All Plans	$3,465	3244%
Multiplan-All Plans	$3,701	3465%

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 $3,937.
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 Rochelle Community 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.