CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Greater El Monte Community Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$153
about 1.4× the $107 Medicare rate · typically $123–$204
modeled estimate · not a bill or quote
What this hospital charges insurers
$168
About the fair price
about $15 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $153 This hospital $168 Cash price $3,170 Hospital's list price $3,170

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 $168

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 $153 (about 1.4× the $107 Medicare rate). Greater El Monte Community Hospital charges insurers about $168, or about $3,170 in cash — about the fair price. Located in South El Monte, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $132 - $2,917 124%
Blue Cross Blue Shieldmajor $39 - $2,505 37%
Cignamajor $1,565 1465%
Health Net $92 - $2,406 86%
Molina $139 - $450 130%
Presbyterian $247 - $334 231%
Sentara $135 - $183 126%
+ 43 smaller / regional plans $20 - $3,398
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1701 Santa Anita Ave, South El Monte, CA 91733
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals