CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$171

about 1.6× the $107 Medicare rate · typically $119–$193

modeled estimate · not a bill or quote

What this hospital charges insurers

$172

About the fair price

about $1 over the fair price · 1.6× Medicare

Medicare pays $107 Fair price $171 This hospital $172 Cash price $603 Hospital's list price $1,969

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NH hospitals compared.

Cheapest $86 Priciest $426

Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, neck (cervical spine) is about $171 (about 1.6× the $107 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $172, or about $603 in cash — about the fair price. Located in Lebanon, NH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$46 - $2,285	43%
Blue Cross Blue Shieldmajor	$46 - $2,793	43%
Aetnamajor	$47 - $2,588	44%
Cignamajor	$47 - $2,041	44%
Ambetter (Centene)	$48 - $256	45%
AmeriHealth	$13 - $337	12%
Harvard Pilgrim	$57 - $1,908	53%
MVP Health Care	$46 - $1,993	43%
Tufts Health Plan	$154 - $1,736	144%
WellCare	$47 - $124	44%
WellSense	$44 - $363	41%
+ 7 smaller / regional plans	$13 - $2,826

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 603), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72125.

Insurance Before you use insurance

Call your insurance company to confirm Mary Hitchcock Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72125.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mary Hitchcock Memorial Hospital

Compare: CT scan, neck (cervical spine) at other NH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.