CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: McDowell Arh Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$439
about 4.1× the $107 Medicare rate · typically $146–$542
modeled estimate · not a bill or quote
What this hospital charges insurers
$542
Above the fair price
about $103 over the fair price · 5.1× Medicare
Medicare pays $107 Fair price $439 This hospital $542 Cash price $2,537 Hospital's list price $4,229

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Highest price of the 9 KY hospitals we have prices for — worth calling around.

Cheapest $56 Priciest $542

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, neck (cervical spine) is about $439 (about 4.1× the $107 Medicare rate). McDowell Arh Hospital charges insurers about $542, or about $2,537 in cash — above the fair price. Located in Mc Dowell, KY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $439. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $719 - $3,146 673%
Blue Cross Blue Shieldmajor $542 - $719 507%
Aetnamajor $719 - $3,722 673%
Humanamajor $719 673%
Molina $733 686%
WellCare $719 - $726 673%
+ 1 smaller / regional plan $2,749

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 9879 Kentucky Route 122, Mc Dowell, KY 41647
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals