CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Winn Parish Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $3,452
  • Cash Discount Price: $1,036
  • vs. Medicare Baseline: 32.32x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Winn Parish Medical Center is $3,452. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,036. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 32.32x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$1,036

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,452

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: $1,036 (970%)
Insurance Median: $3,452 (3232%)
Cash: $1,036 (970% of Medicare)
Ins. Median: $3,452 (3232% 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 3232% of the Medicare baseline (a markup of 3132%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $201 188%
Medicare (plans) $201 188%
Aetna $336 - $3,452 315%
Self Pay $1,036 970%
Medicaid / KanCare $1,094 - $1,203 1024%
UnitedHealthcare $1,094 1024%
Wellcare $1,094 1024%
Humana $1,381 - $2,175 1293%
Ima $1,726 1616%
Multiplan Ppo $1,830 - $2,175 1713%
Cigna $1,881 - $1,947 1761%
Natl Assoc Of Letter Carr $1,881 - $3,452 1761%
Ppoplus $2,071 1939%
Zelis $2,071 1939%
La Workers Comp Corp $3,107 2909%
Workman'S Comp Op $3,107 2909%
Aflac $3,452 3232%
American Health Advantage $3,452 3232%
American Retirement $3,452 3232%
Amfirst $3,452 3232%
Apwu Health Plan $3,452 3232%
Attorney Claim $3,452 3232%
Bankers Fidelity $3,452 3232%
Commercial Miscellaneous $3,452 3232%
Correct Care Integrated $3,452 3232%
Fox Everett $3,452 3232%
Gilsbar $3,452 3232%
Guarantee Trust Life $3,452 3232%
Heart Of Hospice $3,452 3232%
Hospice Compassus $3,452 3232%
Legacy Hospice $3,452 3232%
Liberty Mutual $3,452 3232%
Medico Insurance Company $3,452 3232%
Meritain Health $3,452 3232%
Miscellaneous $3,452 3232%
Mutual Of Omaha $3,452 3232%
New Era Life Ins $3,452 3232%
Phcs $3,452 3232%
Philadephia American $3,452 3232%
Physicians Mutual $3,452 3232%
Pipeline Ind Benefit Fund $3,452 3232%
Rural Carrier Benefit $3,452 3232%
Sentinel Security Life $3,452 3232%
State Farm $3,452 3232%
United American Ins $3,452 3232%
United Of Omaha Life Ins $3,452 3232%
Usaa Life Ins Co $3,452 3232%
World Insurance Company $3,452 3232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals