CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Kingman Regional Medical Center

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $141
  • Cash Discount Price: $1,352
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Kingman Regional Medical Center is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,352. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.32x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.
Cash / Self-Pay
$1,352

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,352 (1266%)
Insurance Median: $141 (132%)
Cash: $1,352 (1266% of Medicare)
Ins. Median: $141 (132% of 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $33 - $875 31%
Health Choice Generations $46 - $112 43%
Hpn Sierra Nevada Mcr Adv $46 - $112 43%
Medicare (plans) $46 - $112 43%
Triwest - All Plans $46 - $112 43%
Care 1St Mcr Adv-All Other Plans $48 - $117 45%
Humana $48 - $4,950 45%
Mercy Care Adv Snp-All Other Plans $50 - $123 47%
Geo Group Chc Az State Prison-All Plans $69 - $167 65%
Aetna $71 - $4,459 66%
Health Plan Of Nevada-All Other Plans $71 - $4,358 66%
Health Choice Hie Exchange $78 - $5,782 73%
Multiplan-All Plans $78 - $5,782 73%
Health Choice- All Other Plans $114 - $279 107%
Apipa - Ahcccs-All Other Plans $135 - $7,227 126%
Care 1St Mcaid $135 - $7,588 126%
Health Choice Az $135 - $7,227 126%
Mercy Care Ahcccs Ddd $148 - $7,950 139%
Blue Cross Blue Shield $212 - $4,119 198%
Cigna $326 - $6,504 305%
Three Rivers-All Plans $461 - $6,649 432%
America'S Choice Provider Network-All Plans $476 - $6,866 446%
Az Foundation-All Plans $501 - $7,227 469%
Mediversal-All Plans $501 - $7,227 469%
One Health Plan-All Plans $501 - $7,227 469%
Universal Health-All Plans $501 - $7,227 469%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3269 Stockton Hill Road, Kingman, AZ 86401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals