CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Hospital Pavia Arecibo

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $119
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Hospital Pavia Arecibo is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.11x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $188 (176%)
Insurance Median: $119 (111%)
Cash: $188 (176% of Medicare)
Ins. Median: $119 (111% 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
Medicare (plans) $52 49%
First Medical $55 - $162 51%
Plan Auxilio Mutuo $55 51%
Plan De Salud Menonita $55 - $134 51%
Mso $70 - $79 66%
Comerciales $79 74%
Fondo Del Seguro Estado $80 75%
Mc $85 80%
Triple S $110 - $138 103%
Ch $113 106%
Humana $113 - $191 106%
Mcs $113 - $162 106%
Tricare $113 106%
Va $113 106%
Cigna $119 111%
Prossam $121 113%
Hospicio $131 123%
Bl $138 129%
Corecare $162 152%
Mapfre $162 152%
Privado $162 152%
Acaa $164 154%
Auxilio Platino $164 154%
Aarp $275 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals