CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Saint Agnes Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$53
about 0.5× the $107 Medicare rate · typically $30–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$32
Below the fair price — a good deal
about $21 under the fair price · 0.3× Medicare
Medicare pays $107 Fair price $53 This hospital $32 Cash price $119 Hospital's list price $119

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Lowest price of the 9 CA hospitals we have prices for — a strong deal.

Cheapest $32 Priciest $100

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 $53 (about 0.5× the $107 Medicare rate). Saint Agnes Medical Center charges insurers about $32, or about $119 in cash — below the fair price — a good deal. Located in Fresno, CA.

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 $32 - $738 30%
Blue Cross Blue Shieldmajor $32 - $1,287 30%
Aetnamajor $32 - $1,513 30%
Cignamajor $32 - $1,695 30%
Humanamajor $32 - $138 30%
Kaiser Permanentemajor $75 - $235 70%
Ambetter (Centene) $32 30%
Clover Health $46 43%
GEHA $73 - $738 68%
Health Net $32 - $1,790 30%
HealthPartners $32 30%
Meridian $32 - $46 30%
Molina $32 30%
Paramount $32 30%
Presbyterian $32 - $46 30%
Tufts Health Plan $32 30%
WellMed $46 43%
WellSense $32 30%
+ 345 smaller / regional plans $32 - $1,695
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals