CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Banner Churchill Community Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,454
Cash Discount Price: $792
vs. Medicare Baseline: 13.61x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Banner Churchill Community Hospital is $1,454. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $792. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.61x the Medicare baseline. Located in 801 East Williams Avenue, Fallon, NV.

Cash / Self-Pay

$792

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,454

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: $792 (742%)

Insurance Median: $1,454 (1361%)

Cash: $792 (742% of Medicare)

Ins. Median: $1,454 (1361% 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 1361% of the Medicare baseline (a markup of 1261%). 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	$420 - $1,519	393%
Banner Health	$517	484%
Hometown Health	$517 - $1,535	484%
Silversummit Healthplan	$517 - $1,454	484%
Triwest Healthcare Alliance Corp - Va Ccn	$517 - $663	484%
UnitedHealthcare	$517 - $1,454	484%
Humana	$548	513%
Nevada Preferred Healthcare Providers	$1,454	1361%
Blue Cross Blue Shield	$1,487	1392%
Multiplan	$1,519	1422%
Cigna	$1,526	1429%
Coventry	$1,551	1452%

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 $792.
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 Banner Churchill Community Hospital 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.