CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Sparrow Ionia Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$161

about 1.5× the $107 Medicare rate · typically $111–$307

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

Below the fair price — a good deal

about $54 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $161 This hospital $107 Cash price $132 Hospital's list price $264

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 $107

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, neck (cervical spine) is about $161 (about 1.5× the $107 Medicare rate). Sparrow Ionia Hospital charges insurers about $107, or about $132 in cash — below the fair price — a good deal. Located in Ionia, MI.

What each insurance company pays

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

5 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	$202 - $1,404	189%
Blue Cross Blue Shieldmajor	$75 - $1,464	70%
Aetnamajor	$66 - $1,372	62%
Cignamajor	$209 - $1,449	196%
Humanamajor	$69 - $1,482	65%
Priority Health	$107	100%
+ 8 smaller / regional plans	$66 - $1,631

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 132), 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 Sparrow Ionia Hospital 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 Sparrow Ionia Hospital

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

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