CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72131
Insurance Median: $301
Cash Discount Price: $785
vs. Medicare Baseline: 2.82x Medicare

The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $785. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.82x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$785

Average discount available for prompt cash payment at this facility.

Insurance Median

$301

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: $785 (735%)

Insurance Median: $301 (282%)

Cash: $785 (735% of Medicare)

Ins. Median: $301 (282% 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 282% of the Medicare baseline (a markup of 182%). 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
Simply	$31	29%
United Hc	$33 - $1,570	31%
Blue Cross Blue Shield	$46 - $1,180	43%
Aetna	$47 - $864	44%
Devoted	$47 - $332	44%
Humana	$47 - $1,020	44%
Careplus	$49 - $317	46%
Baycare	$50 - $317	47%
Freedom Health	$51 - $89	48%
Health First	$51 - $864	48%
Optimum	$51 - $89	48%
Evolutions	$55 - $1,256	51%
Avmed	$65 - $942	61%
Cigna	$67 - $942	63%
Multiplan	$75 - $1,256	70%
Molina	$308	288%
Emerging Therapies	$942	882%
UnitedHealthcare	$942	882%
First Health	$1,178	1103%

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 $785.
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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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.