CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Black River Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $986
Cash Discount Price: $2,045
vs. Medicare Baseline: 9.23x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Black River Memorial Hospital is $986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,045. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.23x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$2,045

Average discount available for prompt cash payment at this facility.

Insurance Median

$986

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: $2,045 (1915%)

Insurance Median: $986 (923%)

Cash: $2,045 (1915% of Medicare)

Ins. Median: $986 (923% 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 923% of the Medicare baseline (a markup of 823%). 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
Humana	$44 - $2,113	41%
UnitedHealthcare	$44 - $2,142	41%
Blue Cross Blue Shield	$46 - $1,159	43%
Group Health Cooperative Of Eau Claire	$53 - $2,204	50%
My Choice Wisconsin, Inc.	$53 - $1,159	50%
Quartz Health Solutions, Inc	$53 - $2,068	50%
Security Health Plan	$62 - $2,122	58%
The Alliance	$62 - $2,181	58%
Multiplan	$185 - $2,249	173%
Corvel	$620 - $1,386	580%
Triology Health Solutions	$914 - $2,158	856%
Medica	$949 - $2,122	888%
Association Benefits Solution	$965 - $2,158	903%
Family Health Center Of Marshfield	$965 - $2,158	903%
First Health Group Corporation	$965 - $2,158	903%
Provider Network Of America	$965 - $2,158	903%
Cigna	$986 - $2,204	923%
Cofinity	$986 - $2,204	923%
Coventry Health Care	$986 - $2,204	923%
Custom Benefit Administrators	$986 - $2,204	923%
Healthpartners, Inc.	$986 - $2,204	923%
Wisconsin Physicians Service Insurance Corp	$986 - $2,204	923%
Chorus	$996 - $2,227	932%

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 $2,045.
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 Black River 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.