CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Renown Regional Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $206
Cash Discount Price: $573
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Renown Regional Medical Center is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $573. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.93x the Medicare baseline. Located in 1155 Mill Street, Reno, NV.

Cash / Self-Pay

$573

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

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: $573 (536%)

Insurance Median: $206 (193%)

Cash: $573 (536% of Medicare)

Ins. Median: $206 (193% 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.

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
Blue Cross Blue Shield	$55 - $710	51%
Molina Healthcare Of Nevada	$55 - $269	51%
Silversummit Healthplan	$55 - $633	51%
Caresource Network Partners	$56 - $208	52%
Hpn	$72 - $268	67%
Hometown Health	$89 - $573	83%
Health Net Federal Services	$153	143%
Naphcare	$171	160%
Integrated Medical Solutions	$211	198%
Cigna	$282	264%
Aetna	$367 - $798	344%
UnitedHealthcare	$410 - $819	384%
Prominence Health First	$483	452%
Union Trust Funds	$819	767%

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 $573.
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 Renown Regional 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.