CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Memorial Hospital and Health Care Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $120
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Memorial Hospital and Health Care Center is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$120

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: $66 (62%)
Insurance Median: $120 (112%)
Cash: $66 (62% of Medicare)
Ins. Median: $120 (112% 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.

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 $39 - $243 37%
Aetna $44 - $429 41%
Caresource In Marketplace $44 - $150 41%
Humana $44 - $120 41%
Mdwise $44 - $122 41%
Mhs Hoosier Care Connect $44 - $122 41%
Tricare $44 - $120 41%
Chamber Care $45 42%
UnitedHealthcare $49 - $360 46%
Immergrun $52 - $144 49%
Ambetter / Centene $57 - $156 53%
Onecare $57 - $156 53%
Siho $57 - $156 53%
Noncontracted $70 - $192 66%
Patoka Valley $87 - $421 81%
Encore $89 - $410 83%
Encore Elite + $89 - $410 83%
Cigna $154 - $429 144%
Sagamore $154 - $429 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 W 9Th St, Jasper, IN 47546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals