CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,056
Cash Discount Price: $3,328
vs. Medicare Baseline: 9.89x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Geisinger Wyoming Valley Medical Center is $1,056. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,328. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.89x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$3,328

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,056

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: $3,328 (3116%)

Insurance Median: $1,056 (989%)

Cash: $3,328 (3116% of Medicare)

Ins. Median: $1,056 (989% 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 989% of the Medicare baseline (a markup of 889%). 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
Geisinger Health Plan	$105 - $322	98%
Humana	$105	98%
Life Geisinger	$105	98%
Medicare (plans)	$105 - $119	98%
Prison Health Services	$105	98%
Blue Cross Blue Shield	$106 - $1,246	99%
Medicaid / KanCare	$134	125%
Geisinger Family Plan	$138	129%
Amerihealth	$154	144%
Upmc For You	$157	147%
Health Partners	$160	150%
Upmc Chip	$167	156%
Ambetter / Centene	$347	325%
Cigna	$2,324 - $2,431	2176%
Aetna	$2,499 - $3,585	2340%
Christian Healthcare Ministries	$2,684	2513%
UnitedHealthcare	$2,743	2568%
Wyoming Seminary	$3,757	3517%
Intergroup Services	$4,562	4271%
Multiplan	$4,562	4271%

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 $3,328.
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 Geisinger Wyoming Valley Medical Center 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.