CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Hancock Regional Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $1,549
  • Cash Discount Price: $1,549
  • vs. Medicare Baseline: 14.50x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Hancock Regional Hospital is $1,549. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,549. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.50x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$1,549

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,549

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: $1,549 (1450%)
Insurance Median: $1,549 (1450%)
Cash: $1,549 (1450% of Medicare)
Ins. Median: $1,549 (1450% 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 1450% of the Medicare baseline (a markup of 1350%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $99 - $1,446 93%
Mhs/Mdwise Mcaid-All Plans $99 93%
UnitedHealthcare $99 - $1,500 93%
Iu Health Mcr Adv $111 104%
Triwest - All Plans $111 104%
Va Ccn - All Plans $111 104%
Caresource Mcr Adv $113 106%
Beech Street Mcr Adv $114 107%
Humana $114 - $1,839 107%
Allwell Mcr Adv - All Plans $116 109%
Communicare Mcr Adv - All Plans $116 109%
Ambetter / Centene $221 207%
Caresource Comm - All Other Plans $277 259%
Iu Health-All Other Plans $304 285%
Ascension - All Plans $1,452 1359%
Aetna $1,471 - $1,936 1377%
Cigna $1,549 1450%
Encore Encircle $1,549 1450%
Hancock Phys Network-All Plans $1,549 1450%
Unified Group Services- All Plans $1,549 1450%
Advantage Self Funded Ppo-All Other Plans $1,588 1487%
Healthmark/Healthchoice-All Plans $1,588 1487%
Sagamore-All Plans $1,588 1487%
Encore-All Other Plans $1,646 1541%
Consumers Life-All Plans $1,704 1595%
St Vincent Cmo-All Plans $1,704 1595%
Siho-All Plans $1,742 1631%
Great West-All Plans $1,781 1667%
Savility - All Plans $1,781 1667%
Cofinity/Ppom - All Plans $1,800 1685%
First Health/Coventry-All Plans $1,820 1704%
Mail Handlers-All Plans $1,820 1704%
Golden Rule Ins-All Plans $1,839 1722%
Indiana Health Network-All Plans $1,839 1722%
Phcs-All Plans $1,839 1722%
Beech Street Ppo - All Other Plans $1,859 1740%
Comm Hlth Alliance - All Plans $1,878 1758%
Multiplan-All Plans $1,897 1776%
Advantage Preferred Plus $1,936 1813%
Healthy Indiana Plan-All Plans $1,936 1813%
Copps - All Plans $3,987 3733%
Pro Health - All Plans $5,808 5438%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals