CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Wabash General Hospital 1

Billing Code: 72125 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$319

about 3.0× the $107 Medicare rate · typically $113–$935

modeled estimate · not a bill or quote

What this hospital charges insurers

$258

Below the fair price — a good deal

about $61 under the fair price · 2.4× Medicare

Medicare pays $107 Fair price $319 This hospital $258 Cash price $3,270 Hospital's list price $3,270

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $76 Priciest $258

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, neck (cervical spine) is about $319 (about 3.0× the $107 Medicare rate). Wabash General Hospital 1 charges insurers about $258, or about $3,270 in cash — below the fair price — a good deal. Located in Mount Carmel, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,014 - $2,616	949%
Blue Cross Blue Shieldmajor	$258 - $2,845	242%
Aetnamajor	$258 - $2,780	242%
Cignamajor	$2,453	2297%
Health Net	$2,943	2755%
HealthLink	$2,289	2143%
Meridian	$258	242%
Molina	$258	242%
+ 5 smaller / regional plans	$1,034 - $2,780

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,270), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72125.

Insurance Before you use insurance

Call your insurance company to confirm Wabash General Hospital 1 is in-network.
Ask your insurer whether prior approval is required for CPT code 72125.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wabash General Hospital 1

Compare: CT scan, neck (cervical spine) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.