CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Marshfield Medical Center - Weston

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $1,835
  • Cash Discount Price: $1,937
  • vs. Medicare Baseline: 17.18x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Marshfield Medical Center - Weston is $1,835. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,937. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.18x the Medicare baseline. Located in 3400 Ministry Parkway, Weston, WI.
Cash / Self-Pay
$1,937

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,835

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: $1,937 (1814%)
Insurance Median: $1,835 (1718%)
Cash: $1,937 (1814% of Medicare)
Ins. Median: $1,835 (1718% 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 1718% of the Medicare baseline (a markup of 1618%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Family Health Center (Fhc) $1,020 955%
Amish/Mennonite $1,121 1050%
Sanford Health Plan $1,121 1050%
Security Health Plan (Shp) $1,286 - $1,758 1204%
The Alliance $1,570 - $1,703 1470%
Blue Cross Blue Shield $1,592 - $1,820 1490%
Group Health Cooperative Of Eau Claire $1,672 - $1,835 1565%
UnitedHealthcare $1,684 1577%
Besse Forest Products $1,733 1623%
Molina Healthcare Of Wi $1,733 1623%
Rice Lake School District $1,733 1623%
Wps Health Insurance $1,805 - $1,968 1690%
Medica Of Wi $1,900 - $1,941 1779%
Cigna $1,917 1795%
Healtheos By Multiplan Inc. $1,917 - $1,937 1795%
Corvel $1,937 1814%
First Health $1,937 1814%
Health Partners $1,937 1814%
Three Rivers Provider Network (Trpn) $1,937 1814%
Trilogy $1,947 - $1,957 1823%
Coventry $1,957 1832%
Health Smart $1,957 1832%
Rising Medical Work Comp $1,978 1852%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Ministry Parkway, Weston, WI 54476
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals