CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Angel Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,481
Cash Discount Price: $4,268
vs. Medicare Baseline: 13.87x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Angel Medical Center is $1,481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,268. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.87x the Medicare baseline. Located in 124 Center Court Po Box 1209, Franklin, NC.

Cash / Self-Pay

$4,268

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,481

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: $4,268 (3996%)

Insurance Median: $1,481 (1387%)

Cash: $4,268 (3996% of Medicare)

Ins. Median: $1,481 (1387% 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 1387% of the Medicare baseline (a markup of 1287%). 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
Amerigroup	$253	237%
One Call Medical	$275	257%
Blue Cross Blue Shield	$726 - $764	680%
United	$775 - $1,921	726%
Wellcare	$787	737%
Amerihealth	$794	743%
Partners Health Management	$802	751%
Vaya Health	$802	751%
Apex Health	$854	800%
Aetna	$939 - $2,749	879%
Cigna	$1,481 - $2,441	1387%
Amerihealth Caritas	$1,664	1558%
Caresource	$1,878	1758%
Medcost	$1,878 - $2,256	1758%
Magellan	$2,561	2398%
Magellan Behavioral Health	$2,561	2398%
Multiplan	$3,414	3196%
Avalon Administrative Services	$3,628	3397%
Prime Health	$3,756 - $3,841	3517%

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 $4,268.
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 Angel 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.