CT scan, neck (cervical spine)
Facility: Atlantic Rehabilitation Institute, LLC
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $8,236
- Cash Discount Price: $8,236
- vs. Medicare Baseline: 77.11x 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 7711% of the Medicare baseline (a markup of 7611%). 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 |
|---|---|---|
| First Managed Care Wc Cpd | $8,236 | 7711% |
| Qualcare Cpd | $8,236 | 7711% |
| Wellcare Mgg | $8,236 | 7711% |
| Oxford Health Plan Cpd | $8,236 | 7711% |
| All Savers Cpd | $8,236 | 7711% |
| UPMC for Life Mgg | $8,236 | 7711% |
| Qualcare Lynx Wc Cpd | $8,236 | 7711% |
| Medicaid / KanCare | $8,236 | 7711% |
| Aetna | $8,236 | 7711% |
| Oscar Health Cpd | $8,236 | 7711% |
| Ambetter / Centene | $8,236 | 7711% |
| Ama Insurance Msg | $8,236 | 7711% |
| Braven Health Cpd | $8,236 | 7711% |
| Gateway Mgg | $8,236 | 7711% |
| Amerihealth Cpd | $8,236 | 7711% |
| UnitedHealthcare | $8,236 | 7711% |
| Amerihealth Mgg | $8,236 | 7711% |
| Amerigroup Mgg (Wellpoint As of 5/1/24) | $8,236 | 7711% |
| Cigna | $8,236 | 7711% |
| Blue Cross Blue Shield | $8,236 | 7711% |
| Claim Doc LLC Cpd | $8,236 | 7711% |
| Oxford Mgg | $8,236 | 7711% |
| Braven Health Mgd | $8,236 | 7711% |