CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $115
  • Cash Discount Price: $1,555
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Munson Healthcare Cadillac Hospital is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,555. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.08x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
$1,555

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $1,555 (1456%)
Insurance Median: $115 (108%)
Cash: $1,555 (1456% of Medicare)
Ins. Median: $115 (108% 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
Blue Cross Blue Shield $30 - $213 28%
Mclaren Health Plan $30 - $1,151 28%
Meridian $30 - $54 28%
Molina $30 - $123 28%
Priority Health $30 - $294 28%
UnitedHealthcare $30 - $1,134 28%
American Health Associates $46 - $123 43%
Autumnwood Of Mcbain Skilled Nursing $46 - $123 43%
Blue Care Network $46 - $123 43%
Hap (Health Alliance Plan) $46 - $1,463 43%
Humana $46 - $123 43%
Medicare (plans) $46 - $123 43%
Michigan Amish Medical Board $46 - $123 43%
Promedica $46 - $123 43%
Samaritas Senior Living Skilled Nursing $46 - $123 43%
Wellcare (Meridian) $46 - $123 43%
Provider Network Of America Group Health $64 - $1,555 60%
Aetna $66 - $1,390 62%
Cofinity $66 - $1,427 62%
Asr/Physicians Care $69 - $1,463 65%
Cigna $70 - $294 66%
Employee Benefits Logistics $78 - $208 73%
Munson Hospice $852 - $1,280 798%
Hospice Of Michigan $1,097 1027%
Enterprise Group Planning/Employee Benefit Plan $1,463 1370%
Medical Cost Savings Solution $1,463 1370%
Nomi Health $1,463 1370%
Robbing Group And Regency Employee Benefits $1,463 1370%
First Health/Coventry Network $1,555 1456%
Three Rivers Provider Network $1,555 1456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals