CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Wood County Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $895
Cash Discount Price: $1,092
vs. Medicare Baseline: 8.38x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Wood County Hospital is $895. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,092. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.38x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.

Cash / Self-Pay

$1,092

Average discount available for prompt cash payment at this facility.

Insurance Median

$895

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: $1,092 (1022%)

Insurance Median: $895 (838%)

Cash: $1,092 (1022% of Medicare)

Ins. Median: $895 (838% 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 838% of the Medicare baseline (a markup of 738%). 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	$95 - $992	89%
Blue Cross Blue Shield	$95 - $1,057	89%
Buckeye	$95 - $162	89%
Caresource	$95 - $114	89%
Humana	$95 - $1,005	89%
Medicare (plans)	$95	89%
Mmo	$95 - $972	89%
Paramount	$95 - $874	89%
Perennial	$95	89%
Summacare	$95	89%
United_Healthcare	$95 - $972	89%
Medigold	$97	91%
Valor	$100	94%
Frontpath	$874	818%
Advanced_Medical_Pricing	$895	838%
Cigna	$895	838%
Medben	$895	838%
Occunet	$895	838%
Ohio_Health_Choice	$928 - $994	869%
Claimdoc	$950	889%
First_Health	$983	920%
Health_Ohio_Network	$983	920%
Healthscope_Benefits	$1,016	951%
Primary_Health_Services_Dca	$1,016	951%
Multiplan	$1,026	961%
Private_Healthcare_Systems	$1,026	961%
Three_Rivers_Provider_Network	$1,026	961%
Unicare	$1,026	961%
Beech_Street	$1,037	971%
Flora	$1,037	971%
Npn_Medical_Resources	$1,037	971%
Ohio_Preferred_Provider_Network	$1,037	971%
Ohio_Health_Group	$1,059	991%

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 $1,092.
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 Wood County 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.