CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: St Francis Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,508
Cash Discount Price: $2,339
vs. Medicare Baseline: 23.48x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at St Francis Hospital is $2,508. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,339. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 23.48x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$2,339

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,508

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: $2,339 (2190%)

Insurance Median: $2,508 (2348%)

Cash: $2,339 (2190% of Medicare)

Ins. Median: $2,508 (2348% 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 2348% of the Medicare baseline (a markup of 2248%). 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
Wexford	$132	124%
Molina Healthcare	$139 - $716	130%
Meridian Health Plan	$146	137%
Humana	$682	639%
Blue Cross Blue Shield	$682 - $747	639%
Clear Spring Health of Illinois	$682	639%
UnitedHealthcare	$715 - $3,249	669%
Aetna	$715 - $2,284	669%
Amish Community	$910	852%
Celtic Insurance Company	$1,644	1539%
Claim Doc	$1,706	1597%
Hopetrust	$1,868	1749%
Wellfirst	$2,090	1957%
Cigna	$2,290	2144%
First Health	$2,411	2257%
Caterpillar, Inc.	$2,606	2440%
Current Health Solutions	$2,729	2555%
Multiplan/Phcs	$2,762	2586%
Consociate Group	$2,762	2586%
Healthlink	$2,771	2594%
Provider Network of America	$2,924	2738%
Healthcare Finest Network (Hfn)	$2,924	2738%
Healthscope	$3,249	3042%
Interplan	$3,249	3042%
Naphcare	$3,249	3042%
Illinois Breast and Cervical Cancer Program	$3,249	3042%
Health Alliance Medical Plans	$3,249	3042%
Live360	$3,249	3042%

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 $2,339.
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 St Francis 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.