CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: University of Michigan Health System

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $208
  • Cash Discount Price: $966
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at University of Michigan Health System is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $966. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.95x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$966

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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: $966 (904%)
Insurance Median: $208 (195%)
Cash: $966 (904% of Medicare)
Ins. Median: $208 (195% 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 $30 - $1,801 28%
Ambetter / Centene $30 - $84 28%
Blue Cross Blue Shield $30 - $179 28%
Buckeye Community Health Plan $30 - $84 28%
Hap Midwest $30 - $84 28%
Mclaren Health Plan Inc $30 - $1,687 28%
Medicaid / KanCare $30 - $1,364 28%
Molina Healthcare Of Michigan Inc $30 - $111 28%
Priority Health $30 - $2,729 28%
UnitedHealthcare $30 - $1,992 28%
Amerihealth Michigan Inc $31 - $87 29%
Huron Valley Pace $37 - $103 35%
Blue Care Network Of Michigan $39 - $179 37%
Health Alliance Plan $39 - $109 37%
Humana $39 - $109 37%
Medigold Trinity Health Plan Of Michigan $39 - $109 37%
Meridian Health Plan Of Michigan Inc $39 - $109 37%
Paramount Elite-Ohio $39 - $109 37%
Paramount Health Care $39 - $2,265 37%
Thome Pace $39 - $109 37%
Triwest $39 - $109 37%
Veteran Affairs Community Care Program $39 - $109 37%
Medicare (plans) $40 - $110 37%
Zing Health $41 - $114 38%
Employee Benefit Logistic $67 - $185 63%
Point Comfort Underwriters Unaccompanied Children Program $135 - $1,173 126%
Priority Health [1038] $145 - $1,828 136%
Metrocare $148 - $1,283 139%
Hap [1023] $173 - $2,047 162%
Plain Church Group $189 - $1,637 177%
First Health $205 - $2,052 192%
Cofinity $208 - $1,839 195%
Confinity Advantage $208 - $1,801 195%
Beaumont Health Network $220 - $1,910 206%
Nomi Health $220 - $1,910 206%
Provider Network Of America $220 - $1,910 206%
First Agency $236 - $2,047 221%
Parkview Health Plan Services $236 - $2,047 221%
Bronson Healthcare Group $268 - $2,320 251%
Multiplan $268 - $2,320 251%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals