CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Children's Specialized Hospital

Billing Code: 72125 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$149

about 1.4× the $107 Medicare rate · typically $87–$902

modeled estimate · not a bill or quote

What this hospital charges insurers

$125

Below the fair price — a good deal

about $24 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $149 This hospital $125 Cash price $821 Hospital's list price $1,641

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 6 of 8 other NJ hospitals charge less.

Cheapest $118 Priciest $133

Black dot = this hospital, among the 9 NJ 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 $149 (about 1.4× the $107 Medicare rate). Children's Specialized Hospital charges insurers about $125, or about $821 in cash — below the fair price — a good deal. Located in New Brunswick, NJ.

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	$1,292	1210%
Blue Cross Blue Shieldmajor	$125 - $1,608	117%
Aetnamajor	$1,255 - $1,264	1175%
Cignamajor	$988	925%
AmeriHealth	$1,243	1164%
Fidelis Care	$1,255	1175%
+ 2 smaller / regional plans	$1,116 - $1,280

Excludes 1 rental-network / third-party entry (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 821), 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 Children's Specialized 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 Children's Specialized Hospital

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

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