CT scan, neck (cervical spine)
Facility: Christus Santa Rosa Medical Center
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $237
- Cash Discount Price: $791
- vs. Medicare Baseline: 2.22x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 222% of the Medicare baseline (a markup of 122%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Texas Healthspring | $50 | 47% |
| Aetna | $100 - $912 | 94% |
| Allwell | $100 | 94% |
| Blue Cross Blue Shield | $100 - $457 | 94% |
| Christus Health | $100 - $140 | 94% |
| Coventry | $100 | 94% |
| Humana | $100 - $779 | 94% |
| Molina | $100 - $135 | 94% |
| Superior | $100 - $135 | 94% |
| Triwest | $100 | 94% |
| UnitedHealthcare | $100 - $1,185 | 94% |
| Wellcare | $100 | 94% |
| Provider Partners Health Plan | $103 | 96% |
| Texas Independence Health Plan | $103 | 96% |
| Shared Health Insurance Company | $105 | 98% |
| Amerigroup | $108 - $339 | 101% |
| Devoted Health Plan | $108 | 101% |
| Imperial Health Plan | $110 | 103% |
| Medicare (plans) | $110 | 103% |
| Procare Advantage | $110 | 103% |
| Employer Direct | $120 | 112% |
| Gilsbar Inc. | $130 | 122% |
| Community First | $135 - $339 | 126% |
| Driscoll Children'S Health Plan | $135 | 126% |
| El Paso First | $135 | 126% |
| First Care | $135 | 126% |
| Texas Childrens Health Plan | $141 | 132% |
| Naphcare Inc. | $200 | 187% |
| Community First Health Plan | $673 | 630% |
| Us Imaging Network | $915 | 857% |
| Healthcare Highways | $988 | 925% |
| Cigna | $1,028 - $1,306 | 962% |
| Christian Brothers Services | $1,085 - $1,552 | 1016% |
| First Health | $1,282 - $1,834 | 1200% |
| Healthsmart | $1,282 - $2,258 | 1200% |
| Multiplan | $1,282 - $1,834 | 1200% |
| Phcs | $1,282 - $1,834 | 1200% |
| Medicus Internatiaonal | $1,480 - $2,116 | 1386% |
| Five Point Credit Union | $1,500 | 1404% |
| Beech Street | $1,578 - $2,258 | 1477% |
| Health Management Network | $1,578 - $2,258 | 1477% |
| Provider Select | $1,578 - $2,258 | 1477% |
| National Choicecare | $1,874 - $2,681 | 1755% |