CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Bienville Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,255
Cash Discount Price: $1,395
vs. Medicare Baseline: 11.75x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Bienville Medical Center is $1,255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,395. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.75x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.

Cash / Self-Pay

$1,395

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,255

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: $1,395 (1306%)

Insurance Median: $1,255 (1175%)

Cash: $1,395 (1306% of Medicare)

Ins. Median: $1,255 (1175% 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 1175% of the Medicare baseline (a markup of 1075%). 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
Aetna	$136 - $2,324	127%
Medicaid / KanCare	$136 - $1,364	127%
Mmd Amerihealth Caritas	$136 - $1,364	127%
Mmd Healthy Blue	$136 - $1,364	127%
Mmd La Hlth Conn	$136 - $1,364	127%
Mmd Misc	$136 - $1,364	127%
UnitedHealthcare	$136 - $1,364	127%
Cashiering	$930 - $1,395	871%
Cigna	$1,162	1088%
Ambetter / Centene	$1,255	1175%
Humana	$1,255 - $1,501	1175%
Mcr American Hlth Adv	$1,255	1175%
Medicare (plans)	$1,255	1175%
Misc Mgd Care	$1,255 - $2,324	1175%
Mmc Blue Advantage	$1,255	1175%
Mmc Misc	$1,255	1175%
Peoples Health Mcr Adv	$1,255	1175%
Va Health	$1,255	1175%
Blue Cross Blue Shield	$1,399	1310%
Wc City Of Arcadia	$2,092	1959%
Wc House Of Raeford	$2,092	1959%
Wc Misc	$2,092	1959%
Wc Stonetrust	$2,092	1959%
Aarp	$2,324	2176%
Allegiance Health Managme	$2,324	2176%
Amfirst	$2,324	2176%
Apwu	$2,324	2176%
Liberty Mutual	$2,324	2176%
Misc Comm A-L	$2,324	2176%
Misc Comm M-Z	$2,324	2176%
Tricare	$2,324	2176%

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 $1,395.
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 Bienville Medical Center 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.