CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,480
Cash Discount Price: $1,252
vs. Medicare Baseline: 13.86x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Holy Cross Hospital - Salt Lake is $1,480. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,252. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.86x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$1,252

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,480

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: $1,252 (1172%)

Insurance Median: $1,480 (1386%)

Cash: $1,252 (1172% of Medicare)

Ins. Median: $1,480 (1386% 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 1386% of the Medicare baseline (a markup of 1286%). 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
Denver Health	$66	62%
Health Choice	$66	62%
Medicaid / KanCare	$66	62%
Rocky Mountain Health Plan	$66	62%
Uuhp	$66 - $664	62%
Humana	$76	71%
Medicare (plans)	$76	71%
Employer Direct Healthcare	$95	89%
Motivhealth	$100	94%
Blue Cross Blue Shield	$105 - $1,877	98%
Molina	$178 - $1,344	167%
Cigna	$243 - $2,503	228%
UnitedHealthcare	$307	287%
Centura Employee Plan	$337	316%
Pehp	$1,336 - $3,129	1251%
Aetna	$1,382 - $2,644	1294%
Wise	$1,627 - $1,658	1523%
Deseret Mutual Benefit Administrators	$1,921	1799%
Select Health	$2,071	1939%
Multiplan	$2,159 - $2,847	2021%
Emi Health	$3,129	2930%

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 $1,252.
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 Holy Cross Hospital - Salt Lake 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.