CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Beloit Health System

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $831
Cash Discount Price: $1,001
vs. Medicare Baseline: 7.78x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Beloit Health System is $831. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,001. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.78x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$1,001

Average discount available for prompt cash payment at this facility.

Insurance Median

$831

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: $1,001 (937%)

Insurance Median: $831 (778%)

Cash: $1,001 (937% of Medicare)

Ins. Median: $831 (778% 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 778% of the Medicare baseline (a markup of 678%). 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	$84 - $3,836	79%
Blue Cross Blue Shield	$84 - $3,333	79%
Dean Health	$84 - $2,260	79%
Independent Care Health Plan	$84 - $130	79%
Quartz	$84 - $2,625	79%
UnitedHealthcare	$84 - $2,148	79%
Cook Children'S Health Plan (Cchp)	$110 - $2,019	103%
Humana	$110 - $3,029	103%
Managed Health Services	$110	103%
Molina Healthcare	$110	103%
Wellcare	$110	103%
Naphcare	$125 - $2,423	117%
The Alliance	$318 - $494	298%
Wps	$418 - $2,991	391%
Wea Trust	$481 - $2,221	450%
Multiplan	$700 - $3,231	655%
Health Eos	$778 - $3,675	728%
Cigna	$805 - $3,836	754%
Hfn	$805 - $3,836	754%
Preferred Network Access	$805 - $3,836	754%

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 $1,001.
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 Beloit Health System 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.