CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Hawkins County Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $174
  • Cash Discount Price: $532
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Hawkins County Memorial Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $532. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.63x the Medicare baseline. Located in 851 Locust Street, Rogersville, TN.
Cash / Self-Pay
$532

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $532 (498%)
Insurance Median: $174 (163%)
Cash: $532 (498% of Medicare)
Ins. Median: $174 (163% 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
Aetna $95 - $1,514 89%
Humana $95 89%
Managed Medicaire $95 89%
Medicare (plans) $95 89%
Sentara Health $95 - $915 89%
United Mine Workers Of America $95 89%
UnitedHealthcare $95 - $3,026 89%
Blue Cross Blue Shield $98 - $420 92%
Amerigroup $99 93%
Cigna $100 - $642 94%
Devoted Health Plan $100 94%
Molina Healthcare $100 - $154 94%
Mountain Empire Pace $100 94%
Nhc Advantage $100 94%
Wellcare $101 - $3,545 95%
Optima Health $151 141%
Ambetter / Centene $207 194%
Medcost $1,687 1579%
First Health Coventry $3,190 2987%
Seven Corners, Inc. $3,545 3319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 851 Locust Street, Rogersville, TN 37857
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals