CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Gaylord Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$123
about 1.1× the $107 Medicare rate · typically $106–$320
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
Below the fair price — a good deal
about $16 under the fair price · 1.0× Medicare
Medicare pays $107 Fair price $123 This hospital $107 Cash price $303 Hospital's list price $466

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

Lowest price of the 9 CT hospitals we have prices for — a strong deal.

Cheapest $107 Priciest $194

Black dot = this hospital, among the 9 CT hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, lower back (lumbar spine) is about $123 (about 1.1× the $107 Medicare rate). Gaylord Hospital charges insurers about $107, or about $303 in cash — below the fair price — a good deal. Located in Wallingford, CT.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $48 - $384 45%
Blue Cross Blue Shieldmajor $48 - $641 45%
Aetnamajor $48 - $321 45%
Cignamajor $374 350%
Harvard Pilgrim $396 371%
+ 2 smaller / regional plans $48 - $424
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 50 Gaylord Farm Rd, Wallingford, CT 06492
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL