CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Mercy Health Saint Mary's

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$156

about 1.5× the $107 Medicare rate · typically $108–$272

modeled estimate · not a bill or quote

What this hospital charges insurers

$136

Below the fair price — a good deal

about $20 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $156 This hospital $136 Cash price $960 Hospital's list price $1,477

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $44 Priciest $136

Black dot = this hospital, among the 9 MI 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 $156 (about 1.5× the $107 Medicare rate). Mercy Health Saint Mary's charges insurers about $136, or about $960 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

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

6 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	$107 - $1,477	100%
Blue Cross Blue Shieldmajor	$58 - $136	54%
Aetnamajor	$102 - $1,170	95%
Cignamajor	$1,078	1009%
Humanamajor	$1,124 - $1,477	1052%
Kaiser Permanentemajor	$136	127%
AmeriHealth	$1,124	1052%
CareSource	$965	903%
Dean Health Plan	$1,078	1009%
GEHA	$105 - $1,123	98%
Medical Mutual	$105	98%
Molina	$135	126%
MVP Health Care	$1,078	1009%
Oscar Health	$133	125%
Paramount	$1,078	1009%
Priority Health	$346 - $636	324%
UniCare	$1,124	1052%
+ 144 smaller / regional plans	$73 - $1,477

Government programs also on file: Medicare, Medicaid.

Excludes 9 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 960), 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 Mercy Health Saint Mary's 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 Mercy Health Saint Mary's

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

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