CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Northwest Texas Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,468
Cash Discount Price: $2,724
vs. Medicare Baseline: 13.74x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Northwest Texas Hospital is $1,468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,724. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.74x the Medicare baseline. Located in 1501 S Coulter St, Amarillo, TX.

Cash / Self-Pay

$2,724

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,468

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: $2,724 (2550%)

Insurance Median: $1,468 (1374%)

Cash: $2,724 (2550% of Medicare)

Ins. Median: $1,468 (1374% 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 1374% of the Medicare baseline (a markup of 1274%). 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
Molina	$41	38%
First_Care_Star	$114	107%
First_Carestar	$114	107%
Superior	$114	107%
Amerigroup	$137	128%
United_Healthcare	$798 - $1,831	747%
Aetna	$909 - $2,087	851%
Scott_And_White _Healthplan	$1,116 - $2,561	1045%
Scott_And_White_Healthplan	$1,116 - $2,561	1045%
Cigna	$1,468 - $3,367	1374%
Health_Smart	$2,484 - $5,701	2326%
Multiplan	$3,307 - $7,588	3096%

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 $2,724.
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 Northwest Texas Hospital 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.