CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: North Hawaii Community Hospital, Inc

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$136
about 1.3× the $107 Medicare rate · typically $130–$139
modeled estimate · not a bill or quote
What this hospital charges insurers
$132
About the fair price
about $4 under the fair price · 1.2× Medicare
Medicare pays $107 Fair price $136 This hospital $132 Cash price $1,365 Hospital's list price $1,950

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

A typical price — 3 charge more and 4 charge less, among the 9 HI hospitals compared.

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 $136 (about 1.3× the $107 Medicare rate). North Hawaii Community Hospital, Inc charges insurers about $132, or about $1,365 in cash — about the fair price. Located in Kamuela, 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 $132 124%
Kaiser Permanentemajor $132 - $369 124%
+ 8 smaller / regional plans $132 - $481

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 67 1125 Mamalahoa Highway, Kamuela, HI 96743
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals