CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Page Hospital

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $123
  • Cash Discount Price: $703
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Page Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $703. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.15x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.
Cash / Self-Pay
$703

Average discount available for prompt cash payment at this facility.

Insurance Median
$123

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: $703 (658%)
Insurance Median: $123 (115%)
Cash: $703 (658% of Medicare)
Ins. Median: $123 (115% 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
Humana $44 - $790 41%
Plotkin Health $58 - $1,048 54%
Aetna $68 - $2,114 64%
Arizona Physicians Ipa $68 - $1,234 64%
Banner Health $68 - $1,234 64%
Banner University Health Plan $68 - $1,234 64%
Blue Cross Blue Shield $68 - $1,837 64%
Care 1St $68 - $1,234 64%
Cigna $68 - $2,144 64%
Gila River Health Care Corporation $68 - $1,234 64%
Health Choice Arizona, Inc. $68 - $1,502 64%
Health Net $68 - $1,826 64%
Kaiser Foundation Health Plan $68 - $1,234 64%
Mercy Care $68 - $1,234 64%
Triwest Healthcare Alliance Corp - Va Ccn $68 - $1,234 64%
Upmc Health Plan $68 - $1,234 64%
Wellpoint $68 - $1,234 64%
Carelon $72 - $1,296 67%
Arizona Priority Care $75 - $1,357 70%
Devoted Health Services $75 - $1,357 70%
Gold Kidney Health Plan $75 - $1,357 70%
Quiktrip Corporation $90 - $1,630 84%
Coconino County Sheriff'S Department $94 - $1,699 88%
Oscar Health Plan $113 - $2,036 106%
Provider Network Of America $116 - $2,095 109%
Arizona Medical Network $123 - $2,212 115%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $123 - $2,212 115%
UnitedHealthcare $1,234 - $1,280 1155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 North Navajo Drive, Page, AZ 86040
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals