CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: North Texas Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $110
  • Cash Discount Price: $588
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at North Texas Medical Center is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $588. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in 1900 Hospital Blvd, Gainesville, TX.
Cash / Self-Pay
$588

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $588 (551%)
Insurance Median: $110 (103%)
Cash: $588 (551% of Medicare)
Ins. Median: $110 (103% 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
90 Degree Benefits $105 98%
Aetna $105 - $1,458 98%
Blue Cross Blue Shield $105 - $1,176 98%
Humana $105 98%
Molina $105 - $115 98%
Prime Health $105 - $2,116 98%
Prominence Health $105 - $110 98%
Superior $105 - $115 98%
UnitedHealthcare $105 - $2,163 98%
Wellmed $105 98%
Wellpoint $105 98%
Providers Partners Health Plan $110 103%
Cigna $940 880%
First Health $1,411 1321%
Healthcare Highways $1,411 1321%
Multiplan $1,646 1541%
Provider Select $1,998 1871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Hospital Blvd, Gainesville, TX 76240
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals