CT scan, lower back (lumbar spine)
Facility: Northside Hospital
Billing Code: 72131 (CPT)
Highest price of the 9 GA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.
A fair price for a CT scan, lower back (lumbar spine) is about $211 (about 2.0× the $107 Medicare rate). Northside Hospital charges insurers about $1,128, or about $3,319 in cash — well above the fair price. Located in Atlanta, GA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $211. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
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 | $104 - $1,307 | 97% |
| Blue Cross Blue Shieldmajor | $104 - $3,084 | 97% |
| Aetnamajor | $107 - $3,009 | 100% |
| Cignamajor | $722 - $1,387 | 676% |
| Humanamajor | $106 - $109 | 99% |
| Kaiser Permanentemajor | $108 - $1,483 | 101% |
| Ambetter (Centene) | $719 - $906 | 673% |
| Amerigroup | $715 - $804 | 669% |
| CareSource | $108 - $1,646 | 101% |
| Clover Health | $110 | 103% |
| Health Net | $1,448 | 1356% |
| Oscar Health | $695 | 651% |
| WellCare | $108 | 101% |
| + 25 smaller / regional plans | $82 - $4,425 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Northside Hospital
Compare: CT scan, lower back (lumbar spine) at other GA hospitals
- Emanuel Medical Center · Swainsboro $70
- Southeast Georgia Health System -- Camden Campus · Saint Marys $81
- Southeast Georgia Health System- Brunswick Campus · Brunswick $86
- Sgmc Health Lanier · Lakeland $93
- Northeast Georgia Medical Center Habersham · Demorest $96
- Emory Houston Hospital Warner Robins · Warner Robins $98
- Sgmc Health · Valdosta $100
- Stephens County Hospital · Toccoa $103
Insurance negotiated median for the same procedure, sorted lowest first.