CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Tristar Centennial Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,579
Cash Discount Price: $8,309
vs. Medicare Baseline: 14.78x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Tristar Centennial Medical Center is $1,579. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,309. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.78x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$8,309

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,579

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: $8,309 (7779%)

Insurance Median: $1,579 (1478%)

Cash: $8,309 (7779% of Medicare)

Ins. Median: $1,579 (1478% 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 1478% of the Medicare baseline (a markup of 1378%). 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
United	$155 - $3,739	145%
Humana	$186 - $5,401	174%
Blue Cross Blue Shield	$231 - $444	216%
Aetna	$459 - $4,154	430%
Kentucky Labor Cabinet	$1,530	1432%
Apex Health	$1,579	1478%
Nhc Advantage, Inc.	$1,579	1478%
Pruitt Health (Allyalign)	$1,579	1478%
Tennessee Donor Services	$2,252	2108%
Cigna	$2,592 - $6,647	2427%
Emerging Therapy Solutions	$4,071 - $5,567	3811%
Bgfh Singlesource	$4,154 - $7,063	3889%
Value Option	$4,154	3889%
Multiplan	$4,570	4279%
Southern Health Partners	$4,985	4667%
Employers Health Network	$5,816	5445%
Compsych	$6,647	6223%
Beech Street	$7,312	6846%
Prime Health	$7,312	6846%
UnitedHealthcare	$7,395 - $8,309	6924%

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 $8,309.
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 Tristar Centennial 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.