CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $883
  • Cash Discount Price: $1,522
  • vs. Medicare Baseline: 8.27x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Ohiohealth Morrow County Hospital is $883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,522. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.27x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$1,522

Average discount available for prompt cash payment at this facility.

Insurance Median
$883

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: $1,522 (1425%)
Insurance Median: $883 (827%)
Cash: $1,522 (1425% of Medicare)
Ins. Median: $883 (827% 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 827% of the Medicare baseline (a markup of 727%). 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
Medicaid / KanCare $226 - $230 212%
UnitedHealthcare $226 - $1,918 212%
Blue Cross Blue Shield $228 - $1,808 213%
Amerihealth Caritas - All Plans $232 217%
Humana $232 - $2,178 217%
Molina Exchange - All Other Plans $372 348%
Medicare (plans) $867 - $884 812%
Aetna $883 - $2,014 827%
Caresource Marketplace - All Other Plans $1,083 1014%
Medical Mutual Of Ohio Marketplace $1,757 1645%
Ohiohealthy Network - All Other Plans $1,757 1645%
Ohiohealthy Preferred $1,757 1645%
Medical Mutual Of Ohio Comm - All Other Plans $1,897 1776%
Medical Mutual Of Ohio - Admin Serv $1,991 1864%
Phcs - All Plans $2,155 2018%
Cigna $2,202 2062%
Multiplan - All Plans $2,225 2083%
Healthstar Comm - All Plans $2,248 2105%
Beech Street - All Plans $2,272 2127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals