CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $730
Cash Discount Price: $759
vs. Medicare Baseline: 6.83x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Ste Genevieve County Memorial Hospital is $730. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $759. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.83x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$759

Average discount available for prompt cash payment at this facility.

Insurance Median

$730

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: $759 (711%)

Insurance Median: $730 (683%)

Cash: $759 (711% of Medicare)

Ins. Median: $730 (683% 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 683% of the Medicare baseline (a markup of 583%). 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
Aetna	$29 - $2,248	27%
Allwell	$29 - $745	27%
Blue Cross Blue Shield	$29 - $2,644	27%
Medicare (plans)	$29 - $730	27%
Va	$29 - $730	27%
Pphp	$33 - $840	31%
Ambetter / Centene	$36 - $912	34%
Meritain	$89 - $2,248	83%
Multiplan/Phcs	$98 - $2,482	92%
Medicaid / KanCare	$151	141%
Homestate	$157	147%
Healthy_Blue	$181	169%
Uhc_Community	$181	169%
Healthlink_Hmo	$431 - $917	404%
UnitedHealthcare	$452 - $1,460	423%
Healthlink_Compmanagement	$460 - $978	431%
Healthlink_Ppo	$460 - $978	431%
Cigna	$2,394	2241%

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 $759.
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 Ste Genevieve County Memorial Hospital 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.