CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Medical City Lewisville

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $141
  • Cash Discount Price: $4,708
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Medical City Lewisville is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,708. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.32x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$4,708

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $4,708 (4408%)
Insurance Median: $141 (132%)
Cash: $4,708 (4408% of Medicare)
Ins. Median: $141 (132% 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
Texas Health Network $103 96%
Amerigroup $105 98%
Cook Childrens Health Plan $105 98%
Parkland Community Health Plan $105 98%
United $105 - $1,873 98%
Cigna $110 - $1,318 103%
Aetna $113 - $6,842 106%
Molina $115 - $117 108%
Humana $131 - $527 123%
Blue Cross Blue Shield $141 - $4,178 132%
Imaging Providers Of Texas $350 328%
Superior Health Plan $659 617%
Unicare $2,259 - $9,411 2115%
Healthcare Highways $3,181 2978%
City Of Mckinney $4,235 3965%
Fidelis Securecare $4,235 3965%
National Choicecare $4,705 4405%
Pc Texas Partners $5,176 4846%
Physicians Coop Of Tx $5,176 4846%
Rockport Health Group $5,176 4846%
Averde Health, Inc $5,458 5110%
Usc Health Services $5,646 5286%
Coastal Comp Health Networks $6,588 6168%
Jostens $6,588 6168%
Mega Life $6,588 6168%
Healthsmart Preferred Care $7,058 6608%
Lewisville Isd/Dls Consulting $7,058 6608%
Usa Managed Care $7,529 7049%
Galaxy Health Network $7,999 7489%
Independent Medical Systems $9,411 8811%
National Healthcare Solutions $9,411 8811%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals