CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Northwest Health-La Porte

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$225

about 2.1× the $107 Medicare rate · typically $114–$225

modeled estimate · not a bill or quote

What this hospital charges insurers

$222

About the fair price

about $3 under the fair price · 2.1× Medicare

Medicare pays $107 Fair price $225 This hospital $222 Cash price $538 Hospital's list price $1,596

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $48 Priciest $222

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

A fair price for a CT scan, neck (cervical spine) is about $225 (about 2.1× the $107 Medicare rate). Northwest Health-La Porte charges insurers about $222, or about $538 in cash — about the fair price. Located in La Porte, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$98 - $1,661	92%
Blue Cross Blue Shieldmajor	$109 - $451	102%
Aetnamajor	$83 - $2,551	78%
Cignamajor	$79 - $2,292	74%
Humanamajor	$109 - $386	102%
CareSource	$297 - $386	278%
Devoted Health	$111	104%
Health Net	$94 - $2,715	88%
MagnaCare	$271	254%
+ 18 smaller / regional plans	$29 - $2,777

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 8 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 538), 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 Northwest Health-La Porte 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 Northwest Health-La Porte

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

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