CT scan, neck (cervical spine)
Facility: Christus Southeast Texas- St Elizabeth
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $436
- Cash Discount Price: $499
- vs. Medicare Baseline: 4.08x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 408% of the Medicare baseline (a markup of 308%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Texas Healthspring | $53 | 50% |
| Aetna | $107 - $940 | 100% |
| Allwell | $107 | 100% |
| Arcadian Health Plan | $107 | 100% |
| Blue Cross Blue Shield | $107 - $678 | 100% |
| Christus Health | $107 - $149 | 100% |
| Community Health Choice | $107 - $143 | 100% |
| Coventry | $107 | 100% |
| Humana | $107 - $1,187 | 100% |
| Molina | $107 - $141 | 100% |
| Triwest | $107 | 100% |
| UnitedHealthcare | $107 - $660 | 100% |
| Wellcare | $107 | 100% |
| Provider Partners Health Plan | $110 | 103% |
| Texas Independence Health Plan | $110 | 103% |
| Shared Health Insurance Company | $112 | 105% |
| Amerigroup | $115 - $141 | 108% |
| Devoted Health Plan | $115 | 108% |
| Imperial Health Plan | $117 | 110% |
| Medicare (plans) | $117 | 110% |
| Procare Advantage | $117 | 110% |
| Superior | $135 | 126% |
| Texas Childrens Health Plan | $141 | 132% |
| Adv Cardiovas Specialist | $213 | 199% |
| Naphcare Inc. | $213 | 199% |
| Lsu First Choice Verity | $726 - $786 | 680% |
| Cigna | $858 - $1,098 | 803% |
| Verity Healthnet | $872 - $943 | 816% |
| Us Imaging Network | $915 | 857% |
| First Health | $944 - $1,021 | 884% |
| Healthsmart | $944 - $1,609 | 884% |
| Multiplan | $944 - $1,021 | 884% |
| Phcs | $944 - $1,021 | 884% |
| Healthcare Highways | $988 | 925% |
| Beech Street | $1,162 - $1,257 | 1088% |
| Health Management Network | $1,162 - $1,257 | 1088% |
| Provider Select | $1,162 - $1,257 | 1088% |
| Verity Healthnet National | $1,235 - $1,335 | 1156% |
| Mct Credit Union | $1,429 | 1338% |
| Five Point Credit Union | $1,500 | 1404% |
| Partners Direct Health | $1,996 | 1869% |