CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Rice Medical Center

Billing Code: 72125 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$481

about 4.5× the $107 Medicare rate · typically $115–$950

modeled estimate · not a bill or quote

What this hospital charges insurers

$425

Below the fair price — a good deal

about $56 under the fair price · 4.0× Medicare

Medicare pays $107 Fair price $481 This hospital $425 Cash price $1,068 Hospital's list price $1,526

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 $425

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

A fair price for a CT scan, neck (cervical spine) is about $481 (about 4.5× the $107 Medicare rate). Rice Medical Center charges insurers about $425, or about $1,068 in cash — below the fair price — a good deal. Located in Eagle Lake, 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	$435	407%
Blue Cross Blue Shieldmajor	$402 - $915	376%
Aetnamajor	$824 - $1,098	771%
Cignamajor	$816	764%
Humanamajor	$824	771%
+ 8 smaller / regional plans	$1,098 - $1,526

Government programs also on file: Medicaid.

Excludes 5 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 1,068), 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 Rice Medical Center 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 Rice Medical Center

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

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