CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Carilion New River Valley Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,460
Cash Discount Price: $1,004
vs. Medicare Baseline: 13.67x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Carilion New River Valley Medical Center is $1,460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,004. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.67x the Medicare baseline. Located in 2900 Lamb Circle, Christiansburg, VA.

Cash / Self-Pay

$1,004

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,460

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: $1,004 (940%)

Insurance Median: $1,460 (1367%)

Cash: $1,004 (940% of Medicare)

Ins. Median: $1,460 (1367% 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 1367% of the Medicare baseline (a markup of 1267%). 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
Aetna	$92 - $1,905	86%
Humana	$94 - $125	88%
Blue Cross Blue Shield	$100 - $444	94%
UnitedHealthcare	$101 - $2,345	95%
Sentara Health Plan	$103 - $1,779	96%
Abh Of Va (Formerly Coventry)	$125	117%
Abh Of Wva (Formerly Coventry)	$125	117%
Gateway - Tier 3	$1,578	1477%
Vhn - Ultra	$1,779	1666%
Cigna	$1,934 - $2,066	1811%
Connecticare	$2,008	1880%
Vhn - Plus	$2,209	2068%
Gateway - Tier 2	$2,295	2149%
Vhn	$2,295	2149%
Vhn - Link	$2,582	2417%
Gateway - Tier 1	$2,726	2552%
Vhn - Secondary Payors	$2,726	2552%

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 $1,004.
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 Carilion New River Valley Medical Center 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.