CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Southcoast Hospitals Group

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$136

about 1.3× the $107 Medicare rate · typically $133–$187

modeled estimate · not a bill or quote

What this hospital charges insurers

$131

About the fair price

about $5 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $136 This hospital $131 Cash price $742 Hospital's list price $1,484

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $113 Priciest $131

Black dot = this hospital, among the 9 MA 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 $136 (about 1.3× the $107 Medicare rate). Southcoast Hospitals Group charges insurers about $131, or about $742 in cash — about the fair price. Located in Fall River, MA.

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✓ Cigna HumanaKaiser 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	$126 - $168	118%
Blue Cross Blue Shieldmajor	$126 - $491	118%
Aetnamajor	$126 - $1,129	118%
Cignamajor	$587	550%
Harvard Pilgrim	$214	200%
Priority Health	$890	833%
Tufts Health Plan	$110 - $620	103%
WellSense	$96 - $317	90%
+ 8 smaller / regional plans	$126 - $890

Government programs also on file: Medicare.

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 742), 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 Southcoast Hospitals Group 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 Southcoast Hospitals Group

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

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