CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: St John's Riverside Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $130
Cash Discount Price: $2,449
vs. Medicare Baseline: 1.22x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at St John's Riverside Hospital is $130. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,449. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.22x the Medicare baseline. Located in 976 North Broadway, Yonkers, NY.

Cash / Self-Pay

$2,449

Average discount available for prompt cash payment at this facility.

Insurance Median

$130

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: $2,449 (2293%)

Insurance Median: $130 (122%)

Cash: $2,449 (2293% of Medicare)

Ins. Median: $130 (122% 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
Fidelis Essential Plans	$110	103%
Medicaid / KanCare	$110	103%
Fidelis Health Benefit Exchange	$123	115%
Aetna	$130 - $3,783	122%
Centers Plan For Healthy Living	$130	122%
Fidelis	$130	122%
Healthfirst	$130	122%
Hip Health Plan	$130	122%
Magnacare	$130	122%
Medicare (plans)	$130	122%
Mvp	$130	122%
Mvp Bhs	$130	122%
Oscar	$130 - $136	122%
Partners Health Plan	$130	122%
United Behavioral Health Of Ny Ipa	$130	122%
Village Caremax	$130	122%
Wellcare	$130	122%
Metroplus Gold	$136	127%
UnitedHealthcare	$174	163%
Emblem Health	$356 - $383	333%
Mvp Individual Exchange.Student Health Plan	$457	428%
Mvp Commercial	$539	505%
Blue Cross Blue Shield	$1,640	1535%
Empire Hmo	$1,640	1535%
Cigna	$1,967	1842%

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 $2,449.
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 St John's Riverside 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.