CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: The Women's Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $132
  • Cash Discount Price: $1,269
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at The Women's Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,269. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.24x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$1,269

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $1,269 (1188%)
Insurance Median: $132 (124%)
Cash: $1,269 (1188% of Medicare)
Ins. Median: $132 (124% 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
UnitedHealthcare $38 - $1,721 36%
Amish $39 - $256 37%
Chamber Care $44 - $1,506 41%
Aetna $45 - $1,432 42%
Blue Cross Blue Shield $45 - $359 42%
Meridian Health Il $45 - $98 42%
Molina Il $45 - $98 42%
Immergrun $53 - $899 50%
Self Pay $66 - $1,269 62%
Encorecombined $70 - $1,506 66%
Encoreprime $70 - $1,462 66%
Caresource $76 - $98 71%
Humana $76 - $495 71%
Iu Health $76 - $1,075 71%
Mhs $76 - $98 71%
Molina Ky $76 - $98 71%
Molina Ky Dual $76 - $98 71%
Patoka Valley Health Care (80/20 Plan) $76 - $1,333 71%
Patoka Valley Health Care (90/10 Plan) $76 - $1,290 71%
Wellcare Ky $76 - $495 71%
Caresource Hip $78 - $99 73%
Caresource In $78 - $99 73%
Mdwise Hip $78 - $99 73%
Mhs Behavioral $78 - $99 73%
Ambetter / Centene $88 - $152 82%
Caresource Marketplace (Just4Me) $99 - $147 93%
One Care $99 - $1,506 93%
Hst $103 - $147 96%
Alliance Coal $105 - $1,491 98%
Allied National/Zelis - Freedom Plan $107 - $439 100%
Claimdoc $110 - $498 103%
Center Care $113 - $1,678 106%
Cigna $113 - $1,341 106%
Sagamore $113 - $1,341 106%
Hope Trust $122 - $162 114%
Noncontracted $122 - $157 114%
Claritev (Formerly Phcs/Mulitplan) $132 - $1,484 124%
First Health/Coventry $132 - $1,592 124%
Healthlink $132 - $1,828 124%
Passport Molina Ky $160 - $495 150%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals