CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Hoag Memorial Hospital Presbyterian

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$186
about 1.7× the $107 Medicare rate · typically $138–$490
modeled estimate · not a bill or quote
What this hospital charges insurers
$178
About the fair price
about $8 under the fair price · 1.7× Medicare
Medicare pays $107 Fair price $186 This hospital $178

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.

A fair price for a CT scan, lower back (lumbar spine) is about $186 (about 1.7× the $107 Medicare rate). Hoag Memorial Hospital Presbyterian charges insurers about $178 — about the fair price. Located in Newport Beach, 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 $167 - $178 156%
Blue Cross Blue Shieldmajor $998 934%
Aetnamajor $134 125%
Cignamajor $408 382%

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Facility Profile & Credentials

  • Address: One Hoag Drive, Newport Beach, CA 92663
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals