CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Columbus Regional Healthcare System

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,587
Cash Discount Price: $1,870
vs. Medicare Baseline: 14.86x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Columbus Regional Healthcare System is $1,587. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,870. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.86x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.

Cash / Self-Pay

$1,870

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,587

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: $1,870 (1751%)

Insurance Median: $1,587 (1486%)

Cash: $1,870 (1751% of Medicare)

Ins. Median: $1,587 (1486% 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 1486% of the Medicare baseline (a markup of 1386%). 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
Blue Cross Blue Shield	$100 - $1,716	94%
Troy	$100	94%
UnitedHealthcare	$100 - $1,817	94%
Va Communicare Care	$100	94%
Wellcare	$100 - $597	94%
Vaya Health	$101	95%
Liberty	$102	95%
Aetna	$103 - $2,592	96%
Humana	$103	96%
Devoted Health	$104	97%
Cigna	$105 - $2,538	98%
Molina	$355 - $686	332%
Alliance	$597	559%
Amerihealth	$597	559%
Apex Health	$597	559%
Cardinal	$597	559%
Carolina Complete Health	$597	559%
Healthy Blue	$597	559%
Partners	$597	559%
Sandhills	$597	559%
Trillium	$597	559%
Queens University	$1,469	1375%
Ambetter / Centene	$1,555 - $1,809	1456%
Oscar	$1,737 - $1,950	1626%
Employers Health Network	$1,771 - $1,980	1658%
Quicktrip	$2,137	2001%
Multiplan	$2,405 - $2,538	2252%
Choicecare	$2,538	2376%
Healthgram	$2,538	2376%
Medcost	$2,538	2376%

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 $1,870.
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 Columbus Regional Healthcare System 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.