CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Texas Health Specialty Hospital Forth Worth

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $3,352
Cash Discount Price: $2,394
vs. Medicare Baseline: 31.38x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Texas Health Specialty Hospital Forth Worth is $3,352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,394. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 31.38x the Medicare baseline. Located in 1301 Pennsylvania Avenue, Fort Worth, TX.

Cash / Self-Pay

$2,394

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,352

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: $2,394 (2241%)

Insurance Median: $3,352 (3138%)

Cash: $2,394 (2241% of Medicare)

Ins. Median: $3,352 (3138% 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 3138% of the Medicare baseline (a markup of 3038%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Fort Worth Firefighters	$1,496	1401%
City Of Fort Worth	$1,516	1419%
Quick Trip	$2,833	2652%
Phcs	$3,336	3123%
Healthsmart	$3,352	3138%
Multiplan	$3,472	3251%
Galaxy	$3,511	3287%
Usa	$3,511	3287%
Cigna	$3,755	3516%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,394.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Health Specialty Hospital Forth Worth is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72125.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.