CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Viera Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$828

about 7.7× the $107 Medicare rate · typically $240–$1,046

modeled estimate · not a bill or quote

What this hospital charges insurers

$932

About the fair price

about $104 over the fair price · 8.7× Medicare

Medicare pays $107 Fair price $828 This hospital $932 Cash price $510 Hospital's list price $2,040

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 $932

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

A fair price for a CT scan, lower back (lumbar spine) is about $828 (about 7.7× the $107 Medicare rate). Viera Hospital charges insurers about $932, or about $510 in cash — about the fair price. Located in Melbourne, 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	$71 - $2,040	66%
Blue Cross Blue Shieldmajor	$2,071 - $2,172	1939%
Aetnamajor	$71 - $2,244	66%
Cignamajor	$785 - $840	735%
Humanamajor	$69 - $2,040	65%
Amerigroup	$71 - $2,040	66%
Molina	$67 - $2,285	63%
+ 5 smaller / regional plans	$71 - $2,142

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 510), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72131.

Insurance Before you use insurance

Call your insurance company to confirm Viera Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72131.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Viera Hospital

Compare: CT scan, lower back (lumbar spine) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.