CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Columbia Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $51
Cash Discount Price: $479
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Columbia Memorial Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $479. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.48x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$479

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

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: $479 (448%)

Insurance Median: $51 (48%)

Cash: $479 (448% of Medicare)

Ins. Median: $51 (48% 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
UnitedHealthcare	$19 - $178	18%
Mvp	$34 - $764	32%
Cdphp	$35 - $819	33%
Medicare (plans)	$36 - $48	34%
Blue Cross Blue Shield	$41 - $673	38%
Tricare	$41 - $48	38%
Medicaid / KanCare	$42 - $364	39%
Hamaspik	$45 - $495	42%
Emblem Health Ghi	$46	43%
Fidelis	$46 - $819	43%
Aetna	$50 - $379	47%
Blue Shield Highmark	$53 - $58	50%
Cigna	$65 - $67	61%
Blue Shield	$183 - $356	171%
Herrington Diversified Pdh	$189	177%
Emblem	$190 - $317	178%
Magnacare	$254	238%
Empire Plan Nyship	$267	250%
Mvp Commercial	$338	316%
Multiplan	$1,558	1459%

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 $479.
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 Columbia Memorial 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.