CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$191
about 1.8× the $107 Medicare rate · typically $122–$342
modeled estimate · not a bill or quote
What this hospital charges insurers
$156
Below the fair price — a good deal
about $35 under the fair price · 1.5× Medicare
Medicare pays $107 Fair price $191 This hospital $156 Cash price $3,834 Hospital's list price $3,834

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 $156

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 $191 (about 1.8× the $107 Medicare rate). Shriners Hospitals for Children Northern Calif charges insurers about $156, or about $3,834 in cash — below the fair price — a good deal. Located in Sacramento, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $112 105%
Blue Cross Blue Shieldmajor $178 - $249 167%
Aetnamajor $91 - $202 85%
Cignamajor $139 130%
Kaiser Permanentemajor $100 - $178 94%
Ambetter (Centene) $102 - $202 95%
Amerigroup $181 169%
AmeriHealth $118 110%
CareSource $118 110%
Health Net $156 146%
Molina $102 - $178 95%
Providence Health Plan $261 244%
+ 9 smaller / regional plans $136 - $213
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2425 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens