CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Jacksonville Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,076
Cash Discount Price: $4,514
vs. Medicare Baseline: 19.44x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Jacksonville Memorial Hospital is $2,076. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,514. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.44x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$4,514

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,076

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: $4,514 (4226%)

Insurance Median: $2,076 (1944%)

Cash: $4,514 (4226% of Medicare)

Ins. Median: $2,076 (1944% 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 1944% of the Medicare baseline (a markup of 1844%). 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
Commercial Workers Compensation	$11 - $1,378	10%
Blue Cross Blue Shield	$115 - $4,514	108%
Tricare	$120 - $823	112%
Coventry	$122 - $711	114%
Health Alliance	$122 - $3,070	114%
Humana	$122 - $3,850	114%
Medicare (plans)	$122 - $711	114%
UnitedHealthcare	$128 - $3,250	120%
Medicaid / KanCare	$209	196%
Molina Healthcare	$209	196%
Corvel/Corcare	$1,005 - $1,415	941%
Healthlink	$1,050 - $3,837	983%
Illinois Workers Compensation	$1,079 - $1,451	1010%
Health Alliance Mh Employee Plan	$2,076	1944%
Current Health Network	$2,483 - $3,386	2325%
6 Degrees Health	$2,708	2535%
Hope Trust	$2,708	2535%
Hst	$2,708	2535%
Cigna	$3,128	2929%
Aetna	$3,155 - $3,611	2954%
Phcs/Multiplan	$4,063	3804%
Hfn	$4,288	4015%
Liability	$4,514	4226%

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 $4,514.
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 Jacksonville Memorial 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.