CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: University Health System, Inc

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$105

about 1.0× the $107 Medicare rate · typically $101–$131

modeled estimate · not a bill or quote

What this hospital charges insurers

$102

About the fair price

about $3 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $105 This hospital $102 Cash price $312 Hospital's list price $1,246

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 0 charge more and 4 charge less, among the 9 TN hospitals compared.

Cheapest $43 Priciest $102

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, neck (cervical spine) is about $105 (about 1.0× the $107 Medicare rate). University Health System, Inc charges insurers about $102, or about $312 in cash — about the fair price. Located in Knoxville, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$31 - $872	29%
Blue Cross Blue Shieldmajor	$99 - $797	93%
Aetnamajor	$101 - $872	95%
Cignamajor	$97 - $946	91%
Humanamajor	$97	91%
Devoted Health	$101	95%
WellCare	$102	95%
+ 6 smaller / regional plans	$103 - $997

Government programs also on file: Medicare.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 312), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72125.

Insurance Before you use insurance

Call your insurance company to confirm University Health System, Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 72125.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University Health System, Inc

Compare: CT scan, neck (cervical spine) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.