CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Deaconess Henderson Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $145
  • Cash Discount Price: $541
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Deaconess Henderson Hospital is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $541. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.36x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$541

Average discount available for prompt cash payment at this facility.

Insurance Median
$145

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: $541 (507%)
Insurance Median: $145 (136%)
Cash: $541 (507% of Medicare)
Ins. Median: $145 (136% 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 $45 - $125 42%
Wellcare Il $45 - $97 42%
Caresource In Marketplace $66 - $256 62%
Ky Racing Health & Welfare Fund $66 - $523 62%
Self-Pay $66 - $541 62%
Aetna $73 - $1,749 68%
Humana $73 - $1,442 68%
Medicare (plans) $73 - $97 68%
Mhs Mco $73 - $97 68%
Molina Healthcare Of Ky $73 - $97 68%
Molina Healthcare Of Ky - Exchange $73 - $97 68%
Mytru Advantage $73 - $97 68%
Umwa $73 - $97 68%
UnitedHealthcare $73 - $366 68%
Wellcare Ky $73 - $160 68%
Center Care Narrow $76 - $896 71%
Center Care Open Access $76 - $596 71%
Caresource In $78 73%
Medicaid / KanCare $78 - $361 73%
Wellcare Ky Commercial Exchange $94 - $198 88%
Alliance Coal $100 - $439 94%
Cigna $113 - $1,154 106%
Claimdoc $113 - $1,082 106%
Hopetrust $113 - $439 106%
Hstechnology $113 - $439 106%
Noncontracted $116 - $154 109%
Amish And Mennonite Of Western Ky $123 - $476 115%
Encircle/Encore Combined $123 - $1,043 115%
Encircle/Encore Prime $123 - $973 115%
First Health Network (Coventry) $132 - $1,533 124%
Healthlink $132 - $1,352 124%
Iu Health Plans $132 - $755 124%
Phcs/Multiplan $132 - $1,623 124%
Coventry National Network $151 - $1,442 141%
Webster County Detention Center $151 - $1,442 141%
Henderson County Detention Center $170 - $1,623 159%
One Care $212 198%
Sagamore $274 - $1,587 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals