CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Conway Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $90
  • Cash Discount Price: $874
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Conway Medical Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $874. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.84x the Medicare baseline. Located in 300 Singleton Ridge Road, Conway, SC.
Cash / Self-Pay
$874

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

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: $874 (818%)
Insurance Median: $90 (84%)
Cash: $874 (818% of Medicare)
Ins. Median: $90 (84% 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
Absolute Total Care $44 - $155 41%
Aetna $44 - $635 41%
Blue Cross Blue Shield $44 - $855 41%
Clover Health $44 - $99 41%
Devoted $44 - $99 41%
Emblem $44 - $99 41%
Healthteam $44 - $99 41%
Humana $44 - $99 41%
Molina $44 - $99 41%
Nhc $44 - $104 41%
Pruitt $44 - $104 41%
Select Health $44 - $99 41%
UnitedHealthcare $44 - $595 41%
Velocity $44 - $198 41%
Wellcare $44 - $99 41%
Medcost $493 462%
Cigna $612 573%
Blue Choice $659 617%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Singleton Ridge Road, Conway, SC 29526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals