CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Norton Scott Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $826
Cash Discount Price: $512
vs. Medicare Baseline: 7.73x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Norton Scott Hospital is $826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $512. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.73x the Medicare baseline. Located in 1451 N Gardner St, Scottsburg, IN.

Cash / Self-Pay

$512

Average discount available for prompt cash payment at this facility.

Insurance Median

$826

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: $512 (479%)

Insurance Median: $826 (773%)

Cash: $512 (479% of Medicare)

Ins. Median: $826 (773% 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 773% of the Medicare baseline (a markup of 673%). 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
Caresource Indiana Healthy Indiana Plan (Hip)	$99	93%
Managed Health Services (Mhs)	$99 - $614	93%
Managed Health Services (Mhs) Hoosier Care Connect	$99	93%
UnitedHealthcare	$99 - $1,526	93%
Caresource Indiana Hoosier Healthwise (Hhw)	$100	94%
Mdwise Hoosier Healthwise (Hhw)	$104	97%
Molina Healthcare	$110 - $113	103%
Aetna	$300	281%
Blue Cross Blue Shield	$563 - $1,502	527%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip)	$614	575%
Mdwise Healthy Indiana Plan (Hip)	$614	575%
Communicare Advantage	$633	593%
Caresource Indiana Just4Me	$922	863%
Cigna	$1,247	1167%
Multiplan	$2,048 - $2,176	1917%
Encore Health Network	$2,176	2037%
Prime Health	$2,176	2037%
Ppom	$2,253	2109%
Intercommunity Health Network (Ihn)	$2,304	2157%

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 $512.
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 Norton Scott 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.