CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$170
about 1.6× the $107 Medicare rate · typically $116–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$194
About the fair price
about $24 over the fair price · 1.8× Medicare
Medicare pays $107 Fair price $170 This hospital $194

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $84 Priciest $194

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

A fair price for a CT scan, neck (cervical spine) is about $170 (about 1.6× the $107 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $194 — about the fair price. Located in Macungie, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $108 - $1,012 101%
Aetnamajor $114 - $540 107%
Cignamajor $112 - $407 105%
Humanamajor $109 102%
Ambetter (Centene) $328 307%
AmeriHealth $112 - $194 105%
Geisinger $112 - $476 105%
HealthPartners $114 - $217 107%
UPMC Health Plan $115 - $527 108%
+ 5 smaller / regional plans $116 - $631

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals