CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Rush Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $180
  • Cash Discount Price: $312
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Rush Memorial Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.
Cash / Self-Pay
$312

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $312 (292%)
Insurance Median: $180 (169%)
Cash: $312 (292% of Medicare)
Ins. Median: $180 (169% 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 $39 - $378 37%
Humana $44 - $434 41%
Aetna $45 - $434 42%
Caresource Mcr Adv $45 - $146 42%
Blue Cross Blue Shield $46 - $346 43%
Today'S Option Mcr Adv-All Plans $46 - $151 43%
Viant Beech St Mcr Adv $46 - $151 43%
My True Advantage - All Plans $47 - $146 44%
Consumers Life Ins-All Plans $48 - $425 45%
Caresource Marketplace-All Other Plans $60 - $234 56%
Multiplan-All Plans $61 - $439 57%
Encore Health Services-All Plans $76 - $463 71%
Siho-All Plans $76 - $434 71%
Phcs-All Plans $107 - $378 100%
Health Net $139 - $180 130%
Cigna $180 - $378 169%
Coventry/First Health-All Plans $252 - $425 236%
Sagamore-All Plans $434 406%
Community Health Alliance-All Plans $444 416%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1300 N Main St, Rushville, IN 46173
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals