CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: East Liverpool City Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $113
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at East Liverpool City Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $98 (92%)
Insurance Median: $113 (106%)
Cash: $98 (92% of Medicare)
Ins. Median: $113 (106% 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.

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
Medicaid / KanCare $55 - $247 51%
UnitedHealthcare $96 - $259 90%
Blue Cross Blue Shield $98 - $254 92%
Buckeye Community Health Plan $98 - $247 92%
Health America $98 92%
Medical Mutual Of Oh $98 92%
Medicare (plans) $98 92%
Molina $98 - $247 92%
Tricare $98 92%
Care Source $101 - $252 95%
Devoted Health $103 96%
Communicare $105 98%
Valor Health Plan $105 98%
Perennial $108 101%
Naphcare $118 110%
Employer Direct Healthcare $138 129%
Three Rivers $143 134%
Provider Select $146 137%
Multiplan (Fka Private Healthcare Systems) $147 138%
Worker Compensation $147 138%
Standard Eapg Logic $247 231%
Paramount $254 238%
Amerihealth Caritas $259 242%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 425 West 5Th Street, East Liverpool, OH 43920
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals