CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Upper Connecticut Valley Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$529
about 4.9× the $107 Medicare rate · typically $128–$1,120
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $529 Cash price $1,296 Hospital's list price $2,336

How we calculate the fair BaseRate →

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 $1,332 - $2,018 1247%
Blue Cross Blue Shieldmajor $986 - $1,986 923%
Aetnamajor $1,285 1203%
Cignamajor $1,773 1660%
Harvard Pilgrim $536 502%

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 181 Corliss Lane, Colebrook, NH 03576
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals