CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Texas Health Center for Diagnostics & Surgery Plan

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$118

about 1.1× the $107 Medicare rate · typically $114–$236

modeled estimate · not a bill or quote

What this hospital charges insurers

$113

About the fair price

about $5 under the fair price · 1.1× Medicare

Medicare pays $107 Fair price $118 This hospital $113 Cash price $2,394 Hospital's list price $3,990

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $113

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, neck (cervical spine) is about $118 (about 1.1× the $107 Medicare rate). Texas Health Center for Diagnostics & Surgery Plan charges insurers about $113, or about $2,394 in cash — about the fair price. Located in Plano, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$105 - $1,458	98%
Blue Cross Blue Shieldmajor	$102 - $795	95%
Aetnamajor	$916 - $2,797	858%
Cignamajor	$1,792 - $3,755	1678%
Humanamajor	$106	99%
Amerigroup	$105 - $107	98%
Cigna HealthSpring	$104	97%
Molina	$107 - $113	100%
WellCare	$107 - $112	100%
+ 6 smaller / regional plans	$102 - $3,511

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,394), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72125.

Insurance Before you use insurance

Call your insurance company to confirm Texas Health Center for Diagnostics & Surgery Plan is in-network.
Ask your insurer whether prior approval is required for CPT code 72125.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Texas Health Center for Diagnostics & Surgery Plan

Compare: CT scan, neck (cervical spine) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.