CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Sanford Wheaton Medical Center

Billing Code: 72125 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$254
about 2.4× the $107 Medicare rate · typically $102–$652
modeled estimate · not a bill or quote
What this hospital charges insurers
$353
Above the fair price
about $99 over the fair price · 3.3× Medicare
Medicare pays $107 Fair price $254 This hospital $353 Cash price $1,886 Hospital's list price $2,358

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $53 Priciest $353

Black dot = this hospital, among the 9 MN 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 $254 (about 2.4× the $107 Medicare rate). Sanford Wheaton Medical Center charges insurers about $353, or about $1,886 in cash — above the fair price. Located in Wheaton, MN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $254. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $1,287 - $1,969 1205%
Blue Cross Blue Shieldmajor $353 - $1,623 330%
Aetnamajor $1,287 - $2,049 1205%
Health Net $2,122 1987%
HealthPartners $1,287 - $1,910 1205%
Medica $2,073 - $2,231 1941%
Sanford Health Plan $1,188 - $2,190 1112%
Security Health Plan $1,297 1214%
UCare $112 - $2,072 105%
+ 2 smaller / regional plans $1,312 - $2,122
Government programs also on file: Medicare.
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 401 12Th Street North, Wheaton, MN 56296
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals