CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$133
about 1.2× the $107 Medicare rate · typically $109–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$178
Above the fair price
about $45 over the fair price · 1.7× Medicare
Medicare pays $107 Fair price $133 This hospital $178 Cash price $1,673 Hospital's list price $3,041

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $178

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, lower back (lumbar spine) is about $133 (about 1.2× the $107 Medicare rate). Uc San Diego Health Hillcrest - Hillcrest Med Ctr charges insurers about $178, or about $1,673 in cash — above the fair price. Located in San Diego, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $133. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $178 - $3,649 167%
Blue Cross Blue Shieldmajor $178 - $1,837 167%
Aetnamajor $365 - $1,329 342%
Cignamajor $365 - $1,825 342%
Humanamajor $365 - $2,585 342%
Kaiser Permanentemajor $2,037 - $3,041 1907%
Health Net $241 - $8,545 226%
HealthPartners $669 626%
Molina $225 211%
Sentara $259 242%
+ 68 smaller / regional plans $106 - $4,105
Government programs also on file: Medicaid, Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 200 West Arbor Drive, San Diego, CA 92103
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals