CPT 72126 Radiology

How Much Does CT Neck Spine with Contrast Cost?

Also known as: Ct neck spine w/dye (CPT 72126)

CT Neck Spine with Contrast (CPT 72126) costs $168 at Medicare rates. Hospital outpatient rate: $356.

Cost Comparison by Payer

How much Ct neck spine w/dye costs across different settings and payers

Medicare
Facility rate
$168
Hospital Outpatient
OPPS rate
$356
Surgery Center
ASC rate
$112
Medicare (Facility)
$168
CMS PFS 2026 national rate
Hospital Outpatient
$356
OPPS rate
Surgery Center (ASC)
$112
Ambulatory surgery center

Procedures Commonly Done Together

These procedures are frequently performed alongside Ct neck spine w/dye

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What Insurance Companies Actually Pay

Real negotiated rates from 15 hospitals across 6 states (from hospital price transparency filings)

Lowest
$157
Highest
$11,586
Average
$2,087
Insurance Company Avg Rate Range Hospitals
United $1,123 $157 - $5,793 10
Aetna $2,244 $319 - $7,201 7
Cigna $1,920 $302 - $7,413 7
Humana $1,942 $336 - $6,884 8
KAISER FOUNDATION HEALTH PLAN, INC. $822 $476 - $1,490 5
BCBS-TX $1,168 $558 - $1,661 2
Wellpoint $504 $173 - $1,340 2
CHC $2,714 $182 - $5,825 2
Multiplan $2,889 $617 - $11,586 6
Anthem $681 $428 - $874 2
UNITED $324 $175 - $546 2
Superior Health Plan $733 $537 - $772 2
Average by State
CA: $822 (15) CO: $860 (26) KY: $1,034 (23) TN: $1,037 (24) GA: $1,404 (31) TX: $2,744 (185)
Disclaimer: These rates are from hospital Machine-Readable Files (MRFs) required by federal price transparency law. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your plan, deductible, and network status. Data sourced from CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

How to Reduce Your Cost for Ct neck spine w/dye

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $112, compared to $356 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

1.19
Work RVU
3.76
Practice Expense RVU
0.09
Malpractice RVU
5.04
Total RVU

Payment = Total RVU (5.04) x CF ($33.40) = $168

Consider These Alternatives

Depending on your clinical situation, these alternatives may be appropriate and could save you money.

Note: Alternative procedures may not be clinically appropriate for all patients. Always consult your physician to determine the best option for your specific situation.

Frequently Asked Questions

How much does Ct neck spine w/dye cost?

The Medicare facility rate for Ct neck spine w/dye is $168. In a hospital outpatient setting, the rate is $356. At an ambulatory surgery center, the rate is $112. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Ct neck spine w/dye cost without insurance?

Without insurance, the cost of Ct neck spine w/dye can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Ct neck spine w/dye?

Most commercial health insurance plans and Medicare cover Ct neck spine w/dye when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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