CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $556
Cash Discount Price: $8,199
vs. Medicare Baseline: 5.21x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Southern Hills Hospital and Medical Center is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,199. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.21x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.

Cash / Self-Pay

$8,199

Average discount available for prompt cash payment at this facility.

Insurance Median

$556

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: $8,199 (7676%)

Insurance Median: $556 (521%)

Cash: $8,199 (7676% of Medicare)

Ins. Median: $556 (521% 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 521% of the Medicare baseline (a markup of 421%). 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
Blue Cross Blue Shield	$47 - $171	44%
Ambetter / Centene	$58 - $1,722	54%
United	$79 - $1,787	74%
Sierra	$189	177%
Cigna	$556	521%
Corvel	$964	903%
Aetna	$980	918%
Olympus Medsave Usa	$1,015 - $6,149	950%
Select Health	$1,771 - $1,890	1658%
Prominence Healthfirst	$2,460	2303%
Cmn Global	$3,444	3224%
Evernorth	$4,100	3839%
Nv Health & Welfare Trust	$4,919	4605%
Multiplan	$5,165 - $5,985	4836%
First Health	$5,411 - $6,559	5066%
Medcare International	$6,149	5757%

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 $8,199.
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 Southern Hills Hospital and 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.