CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Crossing Rivers Health Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,348
Cash Discount Price: $2,472
vs. Medicare Baseline: 21.98x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Crossing Rivers Health Medical Center is $2,348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,472. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.98x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$2,472

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,348

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: $2,472 (2314%)

Insurance Median: $2,348 (2198%)

Cash: $2,472 (2314% of Medicare)

Ins. Median: $2,348 (2198% 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 2198% of the Medicare baseline (a markup of 2098%). 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
Amerigroup Mcaid-All Other Plans	$227	213%
Iowa Total Care Mcaid-All Plans	$227	213%
Amerigroup Mcr Adv	$1,038	972%
Blue Cross Blue Shield	$1,038 - $2,398	972%
Security Hlth Mcr Adv	$1,038	972%
UnitedHealthcare	$1,038	972%
Humana	$1,049 - $2,373	982%
Quartz - All Plans	$1,978	1852%
Dean Health Plan - All Plans	$2,348	2198%
Medica Comm - All Other Plans	$2,348	2198%
Medica Hp Solutions	$2,348	2198%
Security Hlth Comm - All Other Plans	$2,348	2198%
Health Trad Hp - All Plans	$2,373	2222%
Wea Provider Ntwrk - All Plans	$2,373	2222%
Cigna	$2,398	2245%
First Health - All Plans	$2,398	2245%
Geha - All Plans	$2,398	2245%
Group Health Co-Op - All Plans	$2,398	2245%
Health Partners - All Plans	$2,398	2245%
Medical Associates Hp - All Plans	$2,398	2245%
Preferred Health Choice - All Plans	$2,398	2245%
Wps - All Plans	$2,398	2245%

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 $2,472.
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 Crossing Rivers Health 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.