CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Methodist Jennie Edmundson

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$293
about 2.7× the $107 Medicare rate · typically $188–$511
modeled estimate · not a bill or quote
What this hospital charges insurers
$286
About the fair price
about $7 under the fair price · 2.7× Medicare
Medicare pays $107 Fair price $293 This hospital $286 Cash price $640 Hospital's list price $2,134

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $44 Priciest $286

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

A fair price for a CT scan, lower back (lumbar spine) is about $293 (about 2.7× the $107 Medicare rate). Methodist Jennie Edmundson charges insurers about $286, or about $640 in cash — about the fair price. Located in Council Bluffs, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $107 - $1,280 100%
Blue Cross Blue Shieldmajor $107 - $1,387 100%
Aetnamajor $105 - $1,280 98%
Humanamajor $105 98%
Ambetter (Centene) $221 - $251 207%
Medica $107 - $1,119 100%
+ 2 smaller / regional plans $218 - $1,280
Government programs also on file: Medicare.
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: 933 East Pierce Street, Council Bluffs, IA 51503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals