CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: St Charles Medical Center Prineville

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$196

about 1.8× the $107 Medicare rate · typically $150–$343

modeled estimate · not a bill or quote

What this hospital charges insurers

$196

About the fair price

1.8× Medicare

Medicare pays $107 Fair price $196 This hospital $196 Cash price $1,887 Hospital's list price $2,359

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $196

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, neck (cervical spine) is about $196 (about 1.8× the $107 Medicare rate). St Charles Medical Center Prineville charges insurers about $196, or about $1,887 in cash — about the fair price. Located in Prineville, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$661 - $2,180	619%
Blue Cross Blue Shieldmajor	$325 - $727	304%
Aetnamajor	$661 - $2,052	619%
Cignamajor	$661 - $1,486	619%
Humanamajor	$661	619%
Kaiser Permanentemajor	$230 - $2,043	215%
Devoted Health	$661	619%
Health Net	$661 - $2,218	619%
Moda Health	$249 - $2,029	233%
PacificSource	$103 - $1,290	96%
Providence Health Plan	$249 - $2,064	233%
UniCare	$661	619%
WellCare	$661	619%
+ 66 smaller / regional plans	$156 - $2,312

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,887), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72125.

Insurance Before you use insurance

Call your insurance company to confirm St Charles Medical Center Prineville is in-network.
Ask your insurer whether prior approval is required for CPT code 72125.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Charles Medical Center Prineville

Compare: CT scan, neck (cervical spine) at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.