CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Fort Duncan Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $3,608
Cash Discount Price: $3,156
vs. Medicare Baseline: 33.78x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Fort Duncan Medical Center is $3,608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,156. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 33.78x the Medicare baseline. Located in 3333 N Foster Maldonado Blvd, Eagle Pass, TX.

Cash / Self-Pay

$3,156

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,608

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: $3,156 (2955%)

Insurance Median: $3,608 (3378%)

Cash: $3,156 (2955% of Medicare)

Ins. Median: $3,608 (3378% 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 3378% of the Medicare baseline (a markup of 3278%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Superior	$137	128%
Driscoll	$141	132%
Molina	$144	135%
United_Healthcare	$144 - $3,608	135%
Blue_Cross_Blue_Shield_Of_Tx	$370 - $451	346%
Eagle_Pass_Isd	$3,003 - $3,784	2812%
Cigna	$4,371 - $5,508	4092%
Aetna	$5,517 - $6,951	5165%
Healthsmart	$6,634 - $8,359	6211%
Multiplan	$6,634 - $8,359	6211%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,156.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fort Duncan Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72125.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.