CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Medstar Good Samaritan Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $196
  • Cash Discount Price: $192
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Medstar Good Samaritan Hospital is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.84x the Medicare baseline. Located in 5601 Loch Raven Boulevard, Baltimore, MD.
Cash / Self-Pay
$192

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

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: $192 (180%)
Insurance Median: $196 (184%)
Cash: $192 (180% of Medicare)
Ins. Median: $196 (184% 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.

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
Aetna $196 184%
Amerigroup $196 184%
Amerihealth Caritas District Of Columbia $196 184%
Carefirst Advantage Inc $196 184%
Carefirst Blue Choice Inc $196 184%
Cigna $196 184%
First Health $196 184%
Hscsn $196 184%
Humana $196 184%
Kaiser Permanente $196 184%
Magellan Behavioral Health Inc $196 184%
Mamsi $196 184%
Medstar Family Choice $196 184%
Medstar Family Choice Inc $196 184%
Ncppo Healthlink Ppo $196 184%
Pfc $196 184%
Private Healthcare Systems (Phcs) $196 184%
Tricare $196 184%
United Behavioral Health Inc $196 184%
UnitedHealthcare $196 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5601 Loch Raven Boulevard, Baltimore, MD 21239
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals