CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Stanford Health Care

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$198
about 1.9× the $107 Medicare rate · typically $146–$379
modeled estimate · not a bill or quote
What this hospital charges insurers
$154
Below the fair price — a good deal
about $44 under the fair price · 1.4× Medicare
Medicare pays $107 Fair price $198 This hospital $154 Cash price $4,609 Hospital's list price $11,522

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 $154

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 $198 (about 1.9× the $107 Medicare rate). Stanford Health Care charges insurers about $154, or about $4,609 in cash — below the fair price — a good deal. Located in Stanford, CA.

What each insurance company pays

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

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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
Health Net $154 144%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 300 Pasteur Drive, Stanford, CA 94305
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals