CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Westside Regional Medical Center

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72131
Insurance Median: $2,686
Cash Discount Price: $10,686
vs. Medicare Baseline: 25.15x Medicare

The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Westside Regional Medical Center is $2,686. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,686. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.15x the Medicare baseline. Located in 8201 W Broward Blvd, Plantation, FL.

Cash / Self-Pay

$10,686

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,686

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $10,686 (10005%)

Insurance Median: $2,686 (2515%)

Cash: $10,686 (10005% of Medicare)

Ins. Median: $2,686 (2515% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2515% of the Medicare baseline (a markup of 2415%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
United	$245 - $4,809	229%
Aetna	$769 - $3,206	720%
Freedom Health	$919 - $1,710	860%
Optimum	$919	860%
Simply Healthcare Plans	$1,389	1300%
Molina	$1,817 - $2,885	1701%
Avmed	$2,119 - $5,343	1984%
Health Sun Health Plan	$2,276	2131%
Aids Healthcare	$2,351 - $12,823	2201%
Mmm Of Fl (Health Advantage Plan)	$2,458	2301%
United Ppo	$2,533	2372%
Corvel Corporation	$2,540	2378%
Careworks (Rockport)	$2,593	2428%
Prime Health	$2,593	2428%
Sunshine State Health Plan	$2,821	2641%
Plotkin Health	$5,343	5002%
Prime Health Sherriff	$5,343	5002%
Medica Healthcare	$6,305	5903%
Multiplan	$8,014 - $9,083	7503%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $10,686.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72131.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Westside Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72131.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.