CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $456
Cash Discount Price: $1,375
vs. Medicare Baseline: 4.27x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Memorial Hospital for Cancer and Allied Diseases is $456. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,375. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.27x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$1,375

Average discount available for prompt cash payment at this facility.

Insurance Median

$456

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: $1,375 (1287%)

Insurance Median: $456 (427%)

Cash: $1,375 (1287% of Medicare)

Ins. Median: $456 (427% 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 427% of the Medicare baseline (a markup of 327%). 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	$50 - $1,685	47%
Fidelis	$50 - $954	47%
Healthfirst	$50 - $1,472	47%
Metroplus	$50 - $1,595	47%
Emblem	$157 - $1,701	147%
Oxford	$181 - $1,863	169%
Empire	$190 - $766	178%
Magnacare	$212 - $1,963	198%
Cigna	$224 - $662	210%
UnitedHealthcare	$225 - $1,985	211%
Urn	$230 - $1,742	215%
6 Degrees Health	$236 - $1,914	221%
Multiplan	$266 - $2,209	249%

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 $1,375.
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 Memorial Hospital for Cancer and Allied Diseases 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.