CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Essentia Health Deer River

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,068
Cash Discount Price: $1,435
vs. Medicare Baseline: 10.00x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Essentia Health Deer River is $1,068. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,435. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.00x the Medicare baseline. Located in 115 10Th Avenue Northeast, Deer River, MN.

Cash / Self-Pay

$1,435

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,068

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: $1,435 (1344%)

Insurance Median: $1,068 (1000%)

Cash: $1,435 (1344% of Medicare)

Ins. Median: $1,068 (1000% 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 1000% of the Medicare baseline (a markup of 900%). 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
Itasca Med Care	$106	99%
Blue Cross Blue Shield	$746 - $1,359	698%
Blue Plus Pmap Pcc Prime	$746 - $1,068	698%
Healthpartners Care Pmap	$781	731%
Advocare/Security Health	$835	782%
Freedom Blue Ppo	$835	782%
Healthpartners Care Msho / Mcr Adv	$835	782%
Imcare Msho Pcc Prime	$835	782%
Imcare Msho Ref Req	$835	782%
Medica Advantage Solutions	$835	782%
Medica Msho/Dual Solutions	$835	782%
Medica Prime Solution Group	$835	782%
Medicare (plans)	$835	782%
Healthpartners	$1,313 - $1,548	1229%
America'S Ppo	$1,505	1409%
Cigna	$1,515 - $1,548	1418%
Healthpartners Pcc Prime	$1,515 - $1,548	1418%
Aetna	$1,651	1546%

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 $1,435.
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 Essentia Health Deer River 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.