CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Stanford Health Care Tri-Valley

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$380
about 3.6× the $107 Medicare rate · typically $160–$1,497
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,492
Well above the fair price
about $1,112 over the fair price · 13.9× Medicare
Medicare pays $107 Fair price $380 This hospital $1,492 Cash price $2,088 Hospital's list price $5,221

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 $1,492

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 $380 (about 3.6× the $107 Medicare rate). Stanford Health Care Tri-Valley charges insurers about $1,492, or about $2,088 in cash — well above the fair price. Located in Pleasanton, 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 $380. 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.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $805 - $2,179 754%
Health Net $153 143%

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: 5555 West Las Positas Boulevard, Pleasanton, CA 94588
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals