CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: University Medical Center of El Paso

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $207
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at University Medical Center of El Paso is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 4815 Alameda Ave, El Paso, TX.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $274 (257%)
Insurance Median: $207 (194%)
Cash: $274 (257% of Medicare)
Ins. Median: $207 (194% 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 $72 - $791 67%
Amerigroup Tx $105 98%
Cigna $105 - $909 98%
El Paso Health Dual $105 98%
Medicaid / KanCare $105 98%
Medicare (plans) $105 98%
Molina $105 98%
Molina Tx $105 98%
Wellcare $105 98%
Wellmed $105 98%
Superior Tx $109 102%
Healthnet $124 116%
El Paso Health $207 - $2,290 194%
UnitedHealthcare $287 269%
Blue Cross Blue Shield $343 - $446 321%
Humana $641 600%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4815 Alameda Ave, El Paso, TX 79905
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals