CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Wilcox Memorial Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$141
about 1.3× the $107 Medicare rate · typically $139–$163
modeled estimate · not a bill or quote
What this hospital charges insurers
$141
About the fair price
1.3× Medicare
Medicare pays $107 Fair price $141 This hospital $141 Cash price $619 Hospital's list price $1,032

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 7 of 8 other HI hospitals charge less.

Cheapest $87 Priciest $142

Black dot = this hospital, among the 9 HI 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 $141 (about 1.3× the $107 Medicare rate). Wilcox Memorial Hospital charges insurers about $141, or about $619 in cash — about the fair price. Located in Lihue, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

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 $178 167%
Kaiser Permanentemajor $826 773%
Devoted Health $141 132%
+ 8 smaller / regional plans $90 - $826
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 3-3420 Kuhio Highway, Lihue, HI 96766
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Federal
  • Hospital Type: Acute Care Hospitals