CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Wakemed, Cary Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $992
Cash Discount Price: $1,039
vs. Medicare Baseline: 9.29x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Wakemed, Cary Hospital is $992. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,039. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.29x the Medicare baseline. Located in 1900 Kildare Farm Road, Cary, NC.

Cash / Self-Pay

$1,039

Average discount available for prompt cash payment at this facility.

Insurance Median

$992

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: $1,039 (973%)

Insurance Median: $992 (929%)

Cash: $1,039 (973% of Medicare)

Ins. Median: $992 (929% 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 929% of the Medicare baseline (a markup of 829%). 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	$103 - $1,858	96%
Blue Cross Blue Shield	$103 - $1,361	96%
Cary - Alignment	$108	101%
Cary - Liberty	$123	115%
Cary - Pruitt	$123	115%
Cary - Wellcare	$123	115%
Ambetter / Centene	$188 - $1,037	176%
Amerihealth	$406	380%
Carolina Complete	$406	380%
Healthy Blue	$406	380%
Wellcare	$406	380%
Cigna	$804 - $1,394	753%
First Health	$1,257 - $2,405	1177%
Medcost	$1,968 - $2,050	1843%
Phcs	$2,186	2047%
Multiplan	$2,460	2303%

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 $1,039.
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 Wakemed, Cary 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.