CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Cordell Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $583
Cash Discount Price: $1,296
vs. Medicare Baseline: 5.46x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Cordell Memorial Hospital is $583. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,296. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.46x the Medicare baseline. Located in 1220 North Glenn English Street, Cordell, OK.

Cash / Self-Pay

$1,296

Average discount available for prompt cash payment at this facility.

Insurance Median

$583

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: $1,296 (1213%)

Insurance Median: $583 (546%)

Cash: $1,296 (1213% of Medicare)

Ins. Median: $583 (546% 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 546% of the Medicare baseline (a markup of 446%). 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
Blue Cross Blue Shield	$279 - $458	261%
Va Ccn - All Plans	$421	394%
Aetna	$583 - $1,620	546%
Humana	$583 - $1,620	546%
UnitedHealthcare	$583	546%
Ok Complete Health Comm-All Other Plans	$758	710%
Medica Commercial-All Plans	$787	737%
Cigna	$1,296	1213%
Ok Complete Health Mcaid	$1,620	1517%

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 $1,296.
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 Cordell 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.