CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Grady Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $999
Cash Discount Price: $726
vs. Medicare Baseline: 9.35x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Grady Memorial Hospital is $999. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $726. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.35x the Medicare baseline. Located in 2220 Iowa Street, Chickasha, OK.

Cash / Self-Pay

$726

Average discount available for prompt cash payment at this facility.

Insurance Median

$999

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: $726 (680%)

Insurance Median: $999 (935%)

Cash: $726 (680% of Medicare)

Ins. Median: $999 (935% 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 935% of the Medicare baseline (a markup of 835%). 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
Humana	$108 - $1,544	101%
Veterans Affairs	$108	101%
Blue Cross Blue Shield	$109 - $1,009	102%
Healthchoice	$236	221%
Medica	$710	665%
Generations Healthcare	$999	935%
Global Health	$999 - $1,544	935%
Cigna	$1,180	1105%
Healthcare Highways	$1,180	1105%
Webtpa	$1,180	1105%
Aetna	$1,435	1344%
Multiplan	$1,489 - $1,544	1394%
Community Care	$1,544	1446%
First Health	$1,544	1446%
UnitedHealthcare	$1,544	1446%

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 $726.
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 Grady Memorial 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.