CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Trident Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,959
Cash Discount Price: $4,797
vs. Medicare Baseline: 18.34x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Trident Medical Center is $1,959. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,797. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.34x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$4,797

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,959

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: $4,797 (4491%)

Insurance Median: $1,959 (1834%)

Cash: $4,797 (4491% of Medicare)

Ins. Median: $1,959 (1834% 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 1834% of the Medicare baseline (a markup of 1734%). 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
Select Health	$148	139%
Absolute Total Care	$186 - $863	174%
United	$245 - $2,159	229%
Blue Choice	$383	359%
Blue Choice Health Plan	$488	457%
Blue Cross Blue Shield	$488 - $4,557	457%
Sc State Employees	$491	460%
Nhc Advantage	$911	853%
Pruitt Health	$911	853%
Medcost	$1,832 - $2,696	1715%
Aetna	$1,959 - $4,523	1834%
Employers Health Network	$2,159	2021%
Vocational Rehab	$2,590	2425%
Humana	$3,118 - $3,598	2919%
First Health	$3,502	3279%
Evernorth	$3,838	3593%
Multiplan	$4,077	3817%
Prime Health	$4,077	3817%
Novanet	$4,317	4042%

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 $4,797.
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 Trident 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.