CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Methodist Dallas Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $173
  • Cash Discount Price: $2,113
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Methodist Dallas Medical Center is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,113. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.62x the Medicare baseline. Located in 1441 North Beckley Avenue, Dallas, TX.
Cash / Self-Pay
$2,113

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $2,113 (1978%)
Insurance Median: $173 (162%)
Cash: $2,113 (1978% of Medicare)
Ins. Median: $173 (162% 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
UnitedHealthcare $100 - $112 94%
Aetna $105 - $2,958 98%
Blue Cross Blue Shield $105 - $767 98%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $105 98%
Medicare (plans) $105 - $112 98%
Ust Health Proof [1005] $105 98%
Wellcare [7016] $105 98%
American Health Advantage Of Texas [7099] $110 103%
Cigna $110 - $194 103%
Globalhealth [1003] $110 103%
Procare Advantage [7018] $110 103%
Humana $111 104%
Southwestern Health Resources Swhr [7015] $111 104%
Provider Partners Health Plan [7025] $113 106%
Coralvita [9216] $126 118%
Alternative Service Concepts [8005] $131 123%
Oscar Insurance Company [2057] $137 128%
Bright Healthcare [2222] $147 138%
Molina [3017] $152 142%
Wellpoint Marketplace Exchange [3071] $163 153%
Kempton Group Administrators, Tower Extrusions [3061] $168 157%
90 Degree Benefit [3057] $173 162%
Allied National [2031] $173 162%
Entrust/90 Degree [2058] $173 162%
Ambetter / Centene $180 169%
Imperial Insurance Companies [3073] $189 177%
Web Tpa [3049] $194 - $1,734 182%
Department Of Labor [8004] $210 197%
Evry Health [1013] $210 197%
Generic Workers Comp Tx Non Par [9010] $210 197%
Generic Workers Comp Tx Par [8002] $210 197%
Generic Workers Comp Tx Par [9011] $210 197%
Sana Benefits [3069] $210 197%
Velocity [3070] $210 197%
Health Plans Inc [5017] $263 246%
Medical Cost Containment Professionals [3059] $263 246%
Dart Member Care [3039] $284 266%
Healthscope Benefits [2052] $284 266%
Healthscope Benefits [3063] $284 266%
Medicaid / KanCare $429 402%
Friday Health Plan [2061] $500 468%
Scott & White Health Plan Trs [3062] $1,545 1446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1441 North Beckley Avenue, Dallas, TX 75203
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals