CT scan, neck (cervical spine)
Facility: Intermountain Health Sanpete Valley Hospital
Billing Code: 72125 (CPT)
- CPT Billing Code: 72125
- Insurance Median: $2,082
- Cash Discount Price: $1,644
- vs. Medicare Baseline: 19.49x 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 1949% of the Medicare baseline (a markup of 1849%). 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 |
|---|---|---|
| American Health | $46 - $658 | 43% |
| Health Plan of Nevada | $46 - $1,951 | 43% |
| Selecthealth | $46 - $2,082 | 43% |
| Blue Cross Blue Shield | $46 - $2,082 | 43% |
| Health Partners of Nevada | $46 - $658 | 43% |
| Healthy U | $46 - $1,951 | 43% |
| Molina | $46 - $2,082 | 43% |
| UnitedHealthcare | $46 - $2,082 | 43% |
| Humana | $46 - $2,082 | 43% |
| Aetna | $46 - $2,104 | 43% |
| Managed Care Admin | $533 - $2,082 | 499% |
| Byu Athletics | $533 - $2,082 | 499% |
| Health Utah | $533 - $2,082 | 499% |
| Motivhealth | $533 - $2,082 | 499% |
| Ifit | $533 - $2,082 | 499% |
| Deseret Mutual | $533 - $2,082 | 499% |
| Emi Health | $533 - $2,082 | 499% |
| Campbell Scientific | $533 - $2,082 | 499% |
| Cigna | $533 - $2,082 | 499% |
| Franklin County | $533 - $2,082 | 499% |
| Juniper Systems | $533 - $2,082 | 499% |
| Pehp | $533 - $2,082 | 499% |
| Wise Network | $533 - $2,082 | 499% |
| Utah Tech | $533 - $2,082 | 499% |
| Prodegi Corp Benefit | $533 - $2,082 | 499% |
| Lw Miller | $533 - $2,082 | 499% |
| Awh Connected | $533 - $2,104 | 499% |
| Emi | $533 - $2,082 | 499% |
| Tanner LLC | $533 - $2,082 | 499% |
| Triwest | $683 - $1,980 | 639% |
| Injury Care of Nevada | $1,644 | 1539% |
| Corporation of the President | $1,863 | 1744% |
| Corvel Corporation | $1,863 | 1744% |
| Wcf Insurance | $1,863 | 1744% |
| Byu Risk Management | $1,863 | 1744% |
| Medcare International | $2,082 | 1949% |
| Global Excel | $2,082 | 1949% |
| Uofu | $2,082 | 1949% |
| Hygeia Corporation | $2,082 | 1949% |
| Springtide | $2,082 | 1949% |