CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Indiana Regional Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $127
  • Cash Discount Price: $546
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Indiana Regional Medical Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $546. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.19x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$546

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: $546 (511%)
Insurance Median: $127 (119%)
Cash: $546 (511% 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
Highmark Wholecare $74 - $123 69%
UnitedHealthcare $96 - $660 90%
Highmark $98 - $300 92%
Upmc Health Plan $100 - $1,330 94%
Humana $107 - $121 100%
Aetna $109 - $334 102%
Medicare (plans) $109 - $123 102%
United Mine Workers Of America $109 - $123 102%
Amerihealth Caritas $110 - $127 103%
Geisinger Health Plan $110 - $127 103%
Ambetter / Centene $112 - $127 105%
Tricare $121 - $1,649 113%
Cigna $123 - $279 115%
Geisinger $172 - $305 161%
Pa Health And Wellness Commercial $172 - $305 161%
Premier Comp Solutions, Llc $225 211%
Department Of Human Services And Torrance State Hospital $872 - $1,039 816%
Miscellaneous Commercial $1,384 - $1,649 1296%
Pa Workers Compensation $1,384 - $1,649 1296%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals