CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Childrens Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$322

about 3.0× the $107 Medicare rate · typically $97–$357

modeled estimate · not a bill or quote

What this hospital charges insurers

$324

About the fair price

about $2 over the fair price · 3.0× Medicare

Medicare pays $107 Fair price $322 This hospital $324 Cash price $711 Hospital's list price $2,635

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

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

Cheapest $80 Priciest $324

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

A fair price for a CT scan, neck (cervical spine) is about $322 (about 3.0× the $107 Medicare rate). Childrens Hospital charges insurers about $324, or about $711 in cash — about the fair price. Located in New Orleans, LA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$176 - $1,710	165%
Blue Cross Blue Shieldmajor	$182 - $1,328	170%
Aetnamajor	$1,207 - $1,687	1130%
Cignamajor	$1,710 - $1,816	1601%
Humanamajor	$1,811	1696%
Ambetter (Centene)	$85 - $1,272	80%
CDPHP	$986 - $1,710	923%
Harvard Pilgrim	$1,023 - $1,360	958%
Tufts Health Plan	$1,236 - $1,239	1157%
UniCare	$623	583%
+ 8 smaller / regional plans	$1,224 - $1,811

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 711), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72125.

Insurance Before you use insurance

Call your insurance company to confirm Childrens Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72125.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Childrens Hospital

Compare: CT scan, neck (cervical spine) at other LA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.