CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Sanford Jackson Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,986
Cash Discount Price: $2,521
vs. Medicare Baseline: 18.59x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Sanford Jackson Medical Center is $1,986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,521. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.59x the Medicare baseline. Located in 1430 North Highway, Jackson, MN.

Cash / Self-Pay

$2,521

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,986

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: $2,521 (2360%)

Insurance Median: $1,986 (1859%)

Cash: $2,521 (2360% of Medicare)

Ins. Median: $1,986 (1859% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1859% of the Medicare baseline (a markup of 1759%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ucare	$112 - $2,768	105%
Blue Cross Blue Shield	$353 - $1,092	330%
Sanford Health Plan Align	$989	926%
Wellmark Sd	$1,062	994%
Aetna	$1,071 - $2,738	1003%
Health Partners	$1,071 - $2,521	1003%
Medicare (plans)	$1,071	1003%
UnitedHealthcare	$1,071 - $2,631	1003%
Primewest	$1,092 - $1,178	1022%
Sanford Health Plan	$1,688 - $1,986	1580%
Security Health Plan	$1,733	1623%
Medica	$2,770 - $2,981	2593%
Cigna	$2,836	2655%
First Choice Health Network	$2,836	2655%
Healthez	$2,836	2655%
Multiplan	$2,836	2655%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,521.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sanford Jackson Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72125.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.