CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Washakie Medical Center

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $1,422
Cash Discount Price: $1,014
vs. Medicare Baseline: 13.31x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Washakie Medical Center is $1,422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,014. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.31x the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$1,014

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,422

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: $1,014 (949%)

Insurance Median: $1,422 (1331%)

Cash: $1,014 (949% of Medicare)

Ins. Median: $1,422 (1331% 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 1331% of the Medicare baseline (a markup of 1231%). 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
Banner Health	$49 - $1,422	46%
Humana	$49 - $1,422	46%
Medica	$49 - $2,811	46%
Triwest Healthcare Alliance Corp - Va Ccn	$49 - $1,422	46%
UnitedHealthcare	$49 - $2,716	46%
Interwest Health	$50 - $2,903	47%
Prime Health Services	$50 - $2,903	47%
Blue Cross Blue Shield	$98 - $2,814	92%
First Choice Health Network	$98 - $2,814	92%
Hue Health, Inc	$98 - $2,814	92%
Imagine Health, Llc (Wka Wise Provider Network)	$98 - $2,814	92%
Mountain Health Cooperative (Co-Op)	$98 - $2,814	92%
Coventry	$99 - $2,844	93%
Cigna	$100 - $2,873	94%
Multiplan	$100 - $2,873	94%

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 $1,014.
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 Washakie 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.