CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Santa Clara Valley Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$161
about 1.5× the $107 Medicare rate · typically $113–$433
modeled estimate · not a bill or quote
What this hospital charges insurers
$164
About the fair price
about $3 over the fair price · 1.5× Medicare
Medicare pays $107 Fair price $161 This hospital $164 Cash price $415 Hospital's list price $593

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 $164

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

A fair price for a CT scan, lower back (lumbar spine) is about $161 (about 1.5× the $107 Medicare rate). Santa Clara Valley Medical Center charges insurers about $164, or about $415 in cash — about the fair price. Located in San Jose, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $65 61%
Blue Cross Blue Shieldmajor $471 441%
Aetnamajor $318 - $331 298%
Cignamajor $249 233%
Health Net $54 51%
+ 2 smaller / regional plans $54 - $401
Excludes 1 rental-network / third-party entry (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 751 South Bascom Avenue, San Jose, CA 95128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals