CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $2,288
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 21.42x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at University of Texas M. D. Anderson Cancer Center is $2,288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.42x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,288

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%)
Insurance Median: $2,288 (2142%)
Ins. Median: $2,288 (2142% 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 2142% of the Medicare baseline (a markup of 2042%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Texaschildrens $34 - $1,438 32%
Tricare $39 - $2,451 37%
Vacare $39 - $1,438 37%
Medicare (plans) $56 - $1,438 52%
Blue Cross Blue Shield $71 - $2,353 66%
UnitedHealthcare $86 - $2,451 81%
Aetna $106 - $2,451 99%
Cigna $117 - $2,451 110%
Humana $237 - $2,516 222%
Ontarioministriesofhealth $292 - $2,418 273%
Beijingst.Lucia $296 - $2,451 277%
Embassyofqatar $296 - $2,451 277%
Memorialhermannhealth $296 - $2,451 277%
Emergingtherapysolutions_Cancercare $316 - $2,614 296%
Interlink_Cancercare $316 - $2,614 296%
Saudiarmedforces $316 - $2,614 296%
Uae_Medical $316 - $2,614 296%
Uaepoliceattache $316 - $2,614 296%
Healthsmart $336 - $2,778 315%
Vantage $336 - $2,778 315%
Multiplan $380 - $2,810 356%
Phcs $380 - $2,810 356%
Emergingtherapysolutions $2,451 - $2,614 2295%
Interlink $2,451 - $2,778 2295%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL