CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Mid-Columbia Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $127
  • Cash Discount Price: $581
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Mid-Columbia Medical Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.19x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$581

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $581 (544%)
Insurance Median: $127 (119%)
Cash: $581 (544% of Medicare)
Ins. Median: $127 (119% 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
Blue Cross Blue Shield $46 - $7,241 43%
Community Hp Mcr Adv - All Plans $46 - $124 43%
Molina Mcr Adv $46 - $124 43%
Tricare $46 - $124 43%
Va Ccn Triwest - All Plans $46 - $124 43%
Healthnet Mcr Adv $47 - $127 44%
Humana $47 - $131 44%
Moda Mcr Adv $47 - $124 44%
Devoted Mcr Adv - All Plans $49 - $2,453 46%
Employee Health Plan - All Plans $50 - $224 47%
Molina - All Other Plans $50 - $137 47%
Aetna $54 - $2,096 51%
Healthnet - All Other Plans $68 64%
Cigna $77 - $2,139 72%
Molina Mcaid $77 - $1,181 72%
Multiplan/Phcs - All Plans $78 - $2,157 73%
Coventry - All Plans $88 - $2,044 82%
First Choice - All Plans $89 - $2,157 83%
Providence Ppo - All Plans $94 - $2,157 88%
Moda Health Plan - All Other Plans $98 - $1,499 92%
Amerigroup Mcaid - All Plans $149 - $1,181 140%
Coordinated Care Mcaid - All Plans $149 - $1,181 140%
Norocor - All Plans $1,136 1064%
UnitedHealthcare $1,181 - $2,157 1106%
Healthscape - All Plans $1,817 1701%
First Health - All Plans $2,021 1892%
Pacific Source - All Plans $2,089 1956%
Trpn - Three Rivers - All Plans $2,157 2019%
Ahp - Americas Hlth Plan - All Plans $2,203 2063%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals