CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: UPMC Muncy

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,859
Cash Discount Price: $2,108
vs. Medicare Baseline: 17.40x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at UPMC Muncy is $1,859. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,108. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.40x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$2,108

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,859

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: $2,108 (1974%)

Insurance Median: $1,859 (1740%)

Cash: $2,108 (1974% of Medicare)

Ins. Median: $1,859 (1740% 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 1740% of the Medicare baseline (a markup of 1640%). 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
UnitedHealthcare	$106 - $2,404	99%
Geisinger	$147 - $2,354	138%
Upmc Health Plan	$147 - $1,532	138%
Highmark Wholecare (Prev Gateway)	$149 - $527	140%
Amerihealth Caritas	$151 - $2,208	141%
Pa Health & Wellness	$228 - $2,316	213%
Cigna	$553 - $2,407	518%
Upmc Work Partners	$701	656%
Three Rivers Provider Network	$750 - $3,163	702%
Blue Cross Blue Shield	$1,378 - $1,623	1290%
Aetna	$1,425 - $2,319	1334%
Coventry/First Health	$1,761 - $2,365	1649%
Wirerope Works	$1,954	1829%
Multiplan	$2,741 - $3,338	2566%
America'S Choice	$2,811	2632%
Intergroup	$2,811	2632%

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 $2,108.
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 UPMC Muncy 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.