CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Northwestern Medicine Marianjoy Rehabilitation Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,716
Cash Discount Price: $3,168
vs. Medicare Baseline: 25.43x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Northwestern Medicine Marianjoy Rehabilitation Hospital is $2,716. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,168. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.43x the Medicare baseline. Located in 26W171 Roosevelt Rd, Wheaton, IL.

Cash / Self-Pay

$3,168

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,716

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: $3,168 (2966%)

Insurance Median: $2,716 (2543%)

Cash: $3,168 (2966% of Medicare)

Ins. Median: $2,716 (2543% 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 2543% of the Medicare baseline (a markup of 2443%). 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	$1,901 - $4,526	1780%
Imagine Health [6032]	$1,901	1780%
Cigna	$2,263 - $2,716	2119%
The Alliance [1703]	$2,460	2303%
Blue Cross Blue Shield	$2,467 - $2,942	2310%
Humana	$2,716 - $4,526	2543%
Healthlink [125]	$2,851	2669%
First Health Plan [6034]	$3,028 - $4,526	2835%
Multiplan/Phcs [142]	$3,621 - $4,526	3390%
Health'S Finest Network [126]	$3,938	3687%
UnitedHealthcare	$4,526	4237%

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 $3,168.
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 Northwestern Medicine Marianjoy Rehabilitation 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.