CT scan, neck (cervical spine)
Facility: Ohio Valley Surgical Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $1,156
- Cash Discount Price: $770
- vs. Medicare Baseline: 10.82x 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 1082% of the Medicare baseline (a markup of 982%). 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 |
|---|---|---|
| Molina Marketplace | $101 - $9,409 | 95% |
| Molina McR+McD | $101 - $9,409 | 95% |
| Molina McR | $101 - $9,409 | 95% |
| American Retirement | $101 - $9,409 | 95% |
| Aarp Supplemental | $101 - $9,409 | 95% |
| Champus | $101 - $9,409 | 95% |
| Molina Dual McR | $101 - $9,409 | 95% |
| Medicare (plans) | $101 - $9,709 | 95% |
| Humana | $101 - $9,413 | 95% |
| UnitedHealthcare | $101 - $13,926 | 95% |
| Molina McR McD | $101 - $9,409 | 95% |
| American Continental Insurance | $101 - $9,409 | 95% |
| Prosperity Supplement | $101 - $9,409 | 95% |
| Aultcare Primetime Health Plan | $101 - $9,409 | 95% |
| Blue Cross Blue Shield | $101 - $31,899 | 95% |
| Molina Dual McR | $101 - $9,409 | 95% |
| Cigna | $101 - $14,944 | 95% |
| Bankers Fidelity | $101 - $9,409 | 95% |
| Aetna | $101 - $16,503 | 95% |
| Communicare Advantage | $101 - $9,409 | 95% |
| American Continental Life | $101 - $9,409 | 95% |
| Molina | $101 - $9,409 | 95% |
| Aarp | $101 - $9,409 | 95% |
| Mmoh | $101 - $9,409 | 95% |
| Gateway Health Plan | $101 - $9,409 | 95% |
| Wraparound Pl Supp | $101 - $9,409 | 95% |
| Everest | $101 - $9,409 | 95% |
| Medigold | $101 - $9,409 | 95% |
| Patient No Pay | $101 - $9,409 | 95% |
| Wellcare By Allwell | $101 - $9,409 | 95% |
| Bankers Life and Casualty | $101 - $9,409 | 95% |
| Central States | $101 - $9,409 | 95% |
| American Republic | $101 - $9,409 | 95% |
| The Health Plan | $106 - $9,879 | 99% |
| Employer Direct | $117 - $9,053 | 110% |
| Devoted Health | $120 - $10,825 | 112% |
| Caresource | $152 - $14,113 | 142% |
| Medicaid / KanCare | $152 - $14,113 | 142% |
| Caresourse | $152 - $14,113 | 142% |
| Pacific Source | $158 - $16,503 | 148% |
| Genworth | $158 - $16,503 | 148% |
| Mhbp | $158 - $16,503 | 148% |
| Meritain | $158 - $16,503 | 148% |
| Nippon Life | $158 - $16,503 | 148% |
| Ngs Coresource | $158 - $16,503 | 148% |
| Meritain Heatlh | $158 - $16,503 | 148% |
| Personify Health | $158 - $16,503 | 148% |
| Mail Handlers | $158 - $16,503 | 148% |
| Geha | $158 - $16,503 | 148% |
| Samba | $164 - $14,944 | 154% |
| Sbma | $164 - $14,944 | 154% |
| Nalc | $164 - $14,944 | 154% |
| Unified Group | $164 - $14,944 | 154% |
| Healthgram | $164 - $14,944 | 154% |
| Shl | $178 - $13,910 | 167% |
| Surest | $178 - $13,910 | 167% |
| Oxford | $178 - $13,910 | 167% |
| Golden Rule | $178 - $13,910 | 167% |
| Medica | $178 - $13,910 | 167% |
| Ushealth | $178 - $13,910 | 167% |
| Self Pay Imaging | $230 - $9,409 | 215% |
| Mmoh (Supermed) | $591 - $597 | 553% |
| Mmo Cin. HMO | $591 - $809 | 553% |
| Preferred Health | $1,156 | 1082% |
| Medben | $1,156 | 1082% |
| Luminare Health | $1,156 | 1082% |
| Ohio Health | $1,156 | 1082% |
| Amerihealth Caritas of Ohio | $3,858 | 3612% |
| Buckeye Community Health Plan | $3,969 | 3716% |
| Molina McD | $4,030 | 3773% |