CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Bellin Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $456
Cash Discount Price: $422
vs. Medicare Baseline: 4.27x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Bellin Memorial Hospital is $456. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $422. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.27x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$422

Average discount available for prompt cash payment at this facility.

Insurance Median

$456

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: $422 (395%)

Insurance Median: $456 (427%)

Cash: $422 (395% of Medicare)

Ins. Median: $456 (427% 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 427% of the Medicare baseline (a markup of 327%). 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	$100 - $167	94%
Community Care	$100 - $365	94%
Humana	$100 - $365	94%
My Choice	$100 - $167	94%
Network Health	$101 - $1,628	95%
UnitedHealthcare	$105 - $764	98%
Blue Cross Blue Shield	$167 - $488	156%
Common Ground	$389	364%
Chorus Community Health Plan	$417	390%
Aspirus Arise	$448 - $468	419%
Cigna	$458 - $463	429%
Wps Insurance	$474 - $552	444%
Hps/Paymedix	$480 - $519	449%
Trilogy	$493	462%
Healthsmart	$519	486%
Ihs(Claimsbridge)	$519	486%
Medical College Of Wi	$519	486%
Multiplan	$519	486%
Allied National	$552	517%
First Health	$552	517%
Galaxy Health	$552	517%
Three Rivers Provider Network	$584	547%

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 $422.
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 Bellin Memorial Hospital 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.