CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $1,349
  • Cash Discount Price: $1,556
  • vs. Medicare Baseline: 12.63x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Uhhs Memorial Hospital of Geneva is $1,349. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,556. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.63x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.
Cash / Self-Pay
$1,556

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,349

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: $1,556 (1457%)
Insurance Median: $1,349 (1263%)
Cash: $1,556 (1457% of Medicare)
Ins. Median: $1,349 (1263% 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 1263% of the Medicare baseline (a markup of 1163%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $415 - $1,843 389%
Blue Cross Blue Shield $415 - $1,980 389%
Cigna $415 - $1,717 389%
Devoted Health $415 389%
Humana $415 389%
Medical Mutual Of Ohio $415 - $2,075 389%
Molina $415 389%
Primetime Health Plan $415 389%
Summacare $415 - $1,200 389%
The Health Plan $415 - $1,370 389%
UnitedHealthcare $415 - $1,697 389%
Wellcare By Allwell $415 389%
Paramount $427 400%
Perennial Advantage Of Ohio $436 408%
Valor Health Plans $436 408%
University Health Employee Plan (Contigo) $520 487%
Amish Aid Community Plan $600 562%
Amish Church Fund And Workers Aid Plan $600 562%
Buckeye Plain Ministries $600 562%
Ambetter / Centene $747 699%
Caresource $747 699%
Christian Healthcare Ministries $900 - $1,038 843%
Aultcare $975 913%
Clarity $996 932%
Immergrun $1,038 972%
Sunrise Plan Communities $1,038 972%
Healthsmart $1,349 1263%
Ohio Health Choice $1,349 - $1,868 1263%
Jp Farley $1,595 1493%
Beech Street $1,660 - $1,868 1554%
Ohio Preferred Network $1,660 - $1,868 1554%
First Health $1,722 1612%
Century Health Network $1,764 1652%
Private Healthcare System $1,784 1670%
Configurenet $1,868 1749%
Fortified Provider Network $1,868 1749%
Multiplan $1,868 1749%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals