CT scan of neck spine without contrast dye at Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ct neck spine w/o dye

CITY, MT

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How this price compares nationally

Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital’s median price of $217 is 37% below the median hospital's median price ($345), higher than 38% of the 2,630 hospitals reporting CPT 72125. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72125 at Holy Rosary Healthcare Dba Intermountain Health Holy Rosary Hospital

Negotiated rates from the hospital’s own file: 5 payers, 50 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Cigna cigna other professional · fee schedule · outpatient	$108.04	$108.04	$75.60 – $140.48
2	Cigna cigna pos/qpos professional · fee schedule · outpatient	$108.04	$108.04	$75.60 – $140.48
3	Cigna cigna ppo professional · fee schedule · outpatient	$108.04	$108.04	$75.60 – $140.48
4	Cigna eighth dist elect ben pln professional · fee schedule · outpatient	$108.04	$108.04	$75.60 – $140.48
5	UnitedHealthcare golden rule ins professional · fee schedule · outpatient	$133.85	$133.85	$86.79 – $180.91
6	UnitedHealthcare uhc charter/navigate professional · fee schedule · outpatient	$133.85	$133.85	$86.79 – $180.91
7	UnitedHealthcare uhc exchange plan professional · fee schedule · outpatient	$133.85	$133.85	$86.79 – $180.91
8	UnitedHealthcare uhc other/supplemental professional · fee schedule · outpatient	$133.85	$133.85	$86.79 – $180.91
9	UnitedHealthcare umr-united med resources professional · fee schedule · outpatient	$133.85	$133.85	$86.79 – $180.91
10	UnitedHealthcare united healthcare professional · fee schedule · outpatient	$133.85	$133.85	$86.79 – $180.91
11	Cigna cigna other facility · percent of total billed charges · inpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
12	Cigna cigna other facility · percent of total billed charges · outpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
13	Cigna cigna pos/qpos facility · percent of total billed charges · inpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
14	Cigna cigna pos/qpos facility · percent of total billed charges · outpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
15	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
16	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
17	Cigna eighth dist elect ben pln facility · percent of total billed charges · inpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
18	Cigna eighth dist elect ben pln facility · percent of total billed charges · outpatientfrom % of charges	$1,688	$1,688	$1,688 – $1,688
19	Aetna aetna hmo/epo facility · percent of total billed charges · inpatientfrom % of charges	$1,747	$1,747	$1,747 – $1,747
20	Aetna aetna hmo/epo facility · percent of total billed charges · outpatientfrom % of charges	$1,747	$1,747	$1,747 – $1,747
21	Aetna aetna pos/qpos facility · percent of total billed charges · inpatientfrom % of charges	$1,747	$1,747	$1,747 – $1,747
22	Aetna aetna pos/qpos facility · percent of total billed charges · outpatientfrom % of charges	$1,747	$1,747	$1,747 – $1,747
23	Aetna aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$1,747	$1,747	$1,747 – $1,747
24	Aetna aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,747	$1,747	$1,747 – $1,747
25	MultiPlan multiplan inc other facility · percent of total billed charges · inpatientfrom % of charges	$1,747	$1,747	$1,747 – $1,747

Page 1 of 2 · 50 rates

Last updated: Mar 22, 2026

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