CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Terre Haute Regional Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $366
Cash Discount Price: $7,851
vs. Medicare Baseline: 3.43x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Terre Haute Regional Hospital is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,851. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.43x the Medicare baseline. Located in 3901 S Seventh St, Terre Haute, IN.

Cash / Self-Pay

$7,851

Average discount available for prompt cash payment at this facility.

Insurance Median

$366

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: $7,851 (7350%)

Insurance Median: $366 (343%)

Cash: $7,851 (7350% of Medicare)

Ins. Median: $366 (343% 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 343% of the Medicare baseline (a markup of 243%). 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
Blue Cross Blue Shield	$161 - $526	151%
United	$245	229%
Hospice Of Bloomington Hospital	$386	361%
Caresource	$394	369%
Mdwise Hoosier Alliance	$398	373%
Molina	$425	398%
Aetna	$3,075	2879%

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 $7,851.
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 Terre Haute Regional 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.