CT scan, lower back (lumbar spine)
Facility: Franklin General Hospital
Billing Code: 72131 (CPT)
Highest price of the 9 IA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IA 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 $437 (about 4.1× the $107 Medicare rate). Franklin General Hospital charges insurers about $505, or about $1,774 in cash — above the fair price. Located in Hampton, IA.
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 $437. 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.
3 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 | $788 - $1,638 | 738% |
| Blue Cross Blue Shieldmajor | $480 - $796 | 449% |
| Aetnamajor | $1,833 - $1,872 | 1716% |
| Ambetter (Centene) | $824 - $1,261 | 771% |
| Amerigroup | $796 - $832 | 745% |
| Molina | $820 - $836 | 768% |
| Oscar Health | $1,183 | 1108% |
| + 7 smaller / regional plans | $788 - $1,675 |
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 Franklin General Hospital
Compare: CT scan, lower back (lumbar spine) at other IA hospitals
- Mahaska Health Partnership · Oskaloosa $44
- Veterans Memorial Hospital · Waukon $55
- Winnmed · Decorah $73
- Clarke County Hospital · Osceola $86
- Iowa Specialty Hospital - Belmond · Belmond $91
- Southeast Iowa Regional Medical Center · West Burlington $95
- Henry County Health Center · Mount Pleasant $100
- Orange City Area Health System · Orange City $101
Insurance negotiated median for the same procedure, sorted lowest first.