CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Sanford Hospital Webster - Cah

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,092
Cash Discount Price: $2,254
vs. Medicare Baseline: 19.59x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Sanford Hospital Webster - Cah is $2,092. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,254. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.59x the Medicare baseline. Located in 1401 W First St Post Office Box 489, Webster, SD.

Cash / Self-Pay

$2,254

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,092

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: $2,254 (2110%)

Insurance Median: $2,092 (1959%)

Cash: $2,254 (2110% of Medicare)

Ins. Median: $2,092 (1959% 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 1959% of the Medicare baseline (a markup of 1859%). 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
Sanford Health Plan Align	$885	829%
Ucare	$949 - $2,475	888%
Wellmark Sd	$949	888%
Aetna	$958 - $2,448	897%
Health Partners	$958 - $2,113	897%
Medicare (plans)	$958	897%
UnitedHealthcare	$958 - $2,352	897%
Primewest	$976	914%
Sanford Health Plan	$1,543 - $2,070	1445%
Security Health Plan	$1,549	1450%
Medica	$2,324 - $2,485	2176%
Wellmark	$2,423 - $2,451	2269%
First Choice Health Network	$2,535	2373%
Healthez	$2,535	2373%
Multiplan	$2,535	2373%

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 $2,254.
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 Sanford Hospital Webster - Cah 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.