CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Henry County Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $124
Cash Discount Price: $1,677
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Henry County Memorial Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,677. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$1,677

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $1,677 (1570%)

Insurance Median: $124 (116%)

Cash: $1,677 (1570% of Medicare)

Ins. Median: $124 (116% 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.

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
UnitedHealthcare	$39 - $3,539	37%
Humana	$44 - $3,826	41%
Blue Cross Blue Shield	$45 - $3,327	42%
Caresource Hip	$45 - $112	42%
Caresource Mcr Adv	$45 - $114	42%
Aetna	$48 - $3,696	45%
Caresource Marketplace-All Other Plans	$60 - $213	56%
Caresource Just4Me	$67 - $280	63%
Encore Workers Comp-All Plans	$76 - $4,131	71%
Caresource Mcaid	$102 - $124	95%
Cigna	$222 - $2,957	208%
Health Alliance-All Plans	$377 - $3,696	353%
Workers Comp - All Plans	$399 - $3,913	374%

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 $1,677.
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 Henry County 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.