CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Oakdale Community Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,633
Cash Discount Price: $561
vs. Medicare Baseline: 15.29x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Oakdale Community Hospital is $1,633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $561. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.29x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.

Cash / Self-Pay

$561

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,633

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: $561 (525%)

Insurance Median: $1,633 (1529%)

Cash: $561 (525% of Medicare)

Ins. Median: $1,633 (1529% 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 1529% of the Medicare baseline (a markup of 1429%). 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
Blue Cross Blue Shield	$184	172%
Aetna	$336 - $1,576	315%
Meritain	$336 - $1,576	315%
Amfirst	$561	525%
Self Pay	$561	525%
Medicaid / KanCare	$621	581%
UnitedHealthcare	$621	581%
Humana	$683 - $1,767	639%
Web-Tpa	$1,402	1313%
Cigna	$1,529 - $1,582	1432%
Ima	$1,683 - $2,805	1576%
Ppo Plus	$1,683	1576%
Wc Gulf South Risk Srvcs	$2,524	2363%
Wc Martco	$2,524	2363%
Wc Misc	$2,524	2363%
Wc Risk Mgmnt-Baton Rouge	$2,524	2363%
Wc Sedwick Workmans Comp	$2,524	2363%
Wc Us Department Of Labor	$2,524	2363%
American Public Life	$2,805	2626%
American Retirement Life	$2,805	2626%
Apwu	$2,805	2626%
Auto Liability	$2,805	2626%
Bankers Life	$2,805	2626%
Correct Care	$2,805	2626%
Fox Everitt	$2,805	2626%
Mailhandlers Benefit Plan	$2,805	2626%
Medishare	$2,805	2626%
Medplus	$2,805	2626%
Misc Commerical	$2,805	2626%
Phcs	$2,805	2626%
Physicians Mutual	$2,805	2626%
State Farm-La	$2,805	2626%
Triwest	$2,805	2626%
Us Family Health Plan	$2,805	2626%
Usaa	$2,805	2626%

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 $561.
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 Oakdale Community 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.