CT scan, neck (cervical spine)
Facility: University Medical Center of Princeton at Plainsboro
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $3,827
- Cash Discount Price: $6,467
- vs. Medicare Baseline: 35.83x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 3583% of the Medicare baseline (a markup of 3483%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $118 | 110% |
| Aetna | $119 - $5,387 | 111% |
| Medicare (plans) | $119 - $131 | 111% |
| UnitedHealthcare | $119 - $2,399 | 111% |
| VA Medical Center | $119 | 111% |
| Blue Cross Blue Shield | $119 - $4,864 | 111% |
| Cigna | $123 - $6,467 | 115% |
| Clover Health Plan | $126 | 118% |
| Humana | $129 | 121% |
| Us Family Health Plan | $135 | 126% |
| Elap | $169 - $215 | 158% |
| Horizon Nj Health | $200 | 187% |
| Claim Watcher | $215 | 201% |
| Centivo | $215 | 201% |
| Medicaid / KanCare | $596 - $6,467 | 558% |
| Charity Care | $605 | 566% |
| Wellcare | $656 | 614% |
| Preferred Health Care Eliance | $1,681 | 1574% |
| Horizon Behavioral Health | $2,424 | 2269% |
| Beacon Health Options | $3,234 | 3028% |
| Amerihealth | $3,827 | 3583% |
| Magnacare | $3,880 - $4,527 | 3633% |
| Princeton Theological Seminary | $4,204 | 3936% |
| Coventry | $4,527 | 4238% |
| Health Net | $4,527 | 4238% |
| Intergrated Health Plan | $5,174 | 4844% |
| Intergroup | $5,174 | 4844% |
| Penn Global Medicine Embassy Only | $5,174 | 4844% |
| Beech Street | $5,174 - $5,497 | 4844% |
| Total Care Network | $5,497 | 5147% |
| First Managed Care Option | $5,497 | 5147% |
| Consumer Health Network | $5,497 | 5147% |
| Tri-State | $5,497 | 5147% |
| Ie Shaffer | $5,497 | 5147% |
| Private Healthcare Systems | $5,497 | 5147% |
| Qualcare | $5,497 | 5147% |
| Allied Trades | $5,497 | 5147% |
| Devon Health Services | $5,497 | 5147% |
| International Pfs | $6,467 | 6055% |
| Life St. Francis | $6,467 | 6055% |
| Magellan | $6,467 | 6055% |
| Managed Health Network | $6,467 | 6055% |
| Concern Plus | $6,467 | 6055% |
| United Behavioral Health | $6,467 | 6055% |
| Commercial Other | $6,467 | 6055% |
| Compsych | $6,467 | 6055% |
| Penn Behavioral Health Corporate Services | $6,467 | 6055% |
| Personnel Health Program | $6,467 | 6055% |
| Nj Carpenters | $6,467 | 6055% |