CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Henry Ford Macomb Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $46
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Henry Ford Macomb Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.43x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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%)
Insurance Median: $46 (43%)
Ins. Median: $46 (43% 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 - $801 28%
Amerihealth Michigan $30 - $102 28%
Mclaren Health Plan Inc. $30 - $46 28%
Meridian $30 - $46 28%
Priority $31 - $46 29%
Molina $32 - $141 30%
Hap $39 - $225 37%
Blue Cross Blue Shield $44 - $203 41%
Humana $44 - $106 41%
Mclaren $44 41%
Meridian Health Plan Of Mi $44 - $141 41%
Pace Se Mi $44 41%
Priority Health $44 - $375 41%
Bcn $46 - $104 43%
Cca Health Mi $46 43%
Health Alliance Plan Of Michigan $46 43%
Mount Carmel Health Plan $46 - $104 43%
United Behavioral Health, Inc. $46 43%
UnitedHealthcare $46 - $1,232 43%
Wellcare Ma $46 43%
Vitalcore Physicians Group Of Mi $60 - $240 56%
Cigna $71 - $1,193 66%
Wellcare $83 78%
Pace Of Se Mi $99 93%
Cca Health Michigan $104 97%
Hap Caresource $104 97%
Mclaren Health $104 - $783 97%
Molina Mi Health Link $104 97%
Cofinity Group Health $545 - $1,100 510%
Multiplan, Inc. $981 918%
University Of Michigan $1,189 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals