CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: West Kendall Baptist Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$125
about 1.2× the $107 Medicare rate · typically $114–$388
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
About the fair price
about $12 under the fair price · 1.1× Medicare
Medicare pays $107 Fair price $125 This hospital $113 Cash price $3,283 Hospital's list price $5,050

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $68 Priciest $113

Black dot = this hospital, among the 9 FL 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 $125 (about 1.2× the $107 Medicare rate). West Kendall Baptist Hospital charges insurers about $113, or about $3,283 in cash — about the fair price. Located in Miami, FL.

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✓ Humana Kaiser 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 $69 - $5,050 65%
Blue Cross Blue Shieldmajor $113 - $3,272 106%
Aetnamajor $71 - $4,040 66%
Cignamajor $124 - $4,040 116%
Humanamajor $119 111%
Amerigroup $65 61%
AmeriHealth $2,272 2127%
AvMed $120 - $2,459 112%
Medica $117 110%
WellCare $69 65%
+ 8 smaller / regional plans $69 - $4,545
Government programs also on file: Medicare, Medicaid.
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: 9555 Sw 162 Ave, Miami, FL 33196
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals