CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: John Muir Medical Center - Concord Campus

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$188
about 1.8× the $107 Medicare rate · typically $148–$411
modeled estimate · not a bill or quote
What this hospital charges insurers
$148
Below the fair price — a good deal
about $40 under the fair price · 1.4× Medicare
Medicare pays $107 Fair price $188 This hospital $148 Cash price $2,252 Hospital's list price $5,004

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 $148

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 $188 (about 1.8× the $107 Medicare rate). John Muir Medical Center - Concord Campus charges insurers about $148, or about $2,252 in cash — below the fair price — a good deal. Located in Concord, 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 $91 - $1,176 85%
Blue Cross Blue Shieldmajor $148 - $3,253 139%
Aetnamajor $121 - $175 113%
Cignamajor $1,295 1212%
Humanamajor $148 - $4,154 139%
Kaiser Permanentemajor $3,703 3467%
Health Net $145 - $1,221 136%
+ 26 smaller / regional plans $91 - $4,504
Government programs also on file: Medicare, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2540 East St, Concord, CA 94520
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals