CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Cheshire Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $281
Cash Discount Price: $476
vs. Medicare Baseline: 2.63x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Cheshire Medical Center is $281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $476. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.63x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$476

Average discount available for prompt cash payment at this facility.

Insurance Median

$281

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: $476 (446%)

Insurance Median: $281 (263%)

Cash: $476 (446% of Medicare)

Ins. Median: $281 (263% 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 263% of the Medicare baseline (a markup of 163%). 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	$47 - $1,992	44%
Ambetter / Centene	$50 - $99	47%
Blue Cross Blue Shield	$50 - $2,313	47%
Cigna	$50 - $1,441	47%
Martin'S Point Generations Advantage	$50 - $111	47%
Martin'S Point Health Care	$50 - $111	47%
Mvp	$50 - $1,441	47%
UnitedHealthcare	$50 - $2,210	47%
Wellcare Health Plans	$50 - $111	47%
Wellsense Health Plan	$50 - $401	47%
Amerihealth Caritas Nh	$66 - $356	62%
Granite State Health Plan	$90 - $486	84%
Mass General Brigham Health Plan	$106 - $2,912	99%
Harvard Pilgrim Health Care Of Ne	$115 - $1,324	108%
Tufts Health Plan	$139 - $1,859	130%
Maine Community Health Options	$243 - $1,310	228%
First Health/Hcvm	$459 - $2,475	430%
Phcs	$486 - $2,621	455%

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 $476.
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 Cheshire 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.