CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Medical City Arlington

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $439
  • Cash Discount Price: $6,267
  • vs. Medicare Baseline: 4.11x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Medical City Arlington is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,267. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.11x the Medicare baseline. Located in 3301 Matlock Road, Arlington, TX.
Cash / Self-Pay
$6,267

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

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: $6,267 (5867%)
Insurance Median: $439 (411%)
Cash: $6,267 (5867% of Medicare)
Ins. Median: $439 (411% 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 411% of the Medicare baseline (a markup of 311%). 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.

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 - $1,178 98%
Cigna $110 - $877 103%
Aetna $113 - $4,556 106%
Molina $115 - $117 108%
Humana $131 - $527 123%
Blue Cross Blue Shield $133 - $2,783 125%
Imaging Providers Of Texas $350 328%
Superior Health Plan $439 411%
Unicare $1,191 - $6,267 1115%
Healthcare Highways $2,118 1983%
City Of Mckinney $2,820 2640%
Fidelis Securecare $2,820 2640%
Global Sports Services $3,134 2934%
National Choicecare $3,134 2934%
Pc Texas Partners $3,447 3227%
Physicians Coop Of Tx $3,447 3227%
Rockport Health Group $3,447 3227%
Averde Health, Inc $3,635 3403%
Coastal Comp Health Networks $4,387 4107%
Mega Life $4,387 4107%
Healthsmart Preferred Care $4,450 4166%
Lewisville Isd/Dls Consulting $4,701 4401%
Usa Managed Care $5,014 4694%
Usc Health Services $5,014 4694%
Galaxy Health Network $5,327 4987%
Texas Instruments $5,641 5281%
Independent Medical Systems $6,267 5867%
National Healthcare Solutions $6,267 5867%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Matlock Road, Arlington, TX 76015
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals