CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Henry County Health Center

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$104
about 1.0× the $107 Medicare rate · typically $92–$686
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $104 This hospital $100 Hospital's list price $2,170

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

On the higher side — 6 of 8 other IA hospitals charge less.

Cheapest $44 Priciest $102

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 $104 (about 1.0× the $107 Medicare rate). Henry County Health Center charges insurers about $100 — about the fair price. Located in Mount Pleasant, 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 $91 - $1,042 85%
Blue Cross Blue Shieldmajor $90 - $1,237 84%
Aetnamajor $46 - $133 43%
Humanamajor $46 - $1,237 43%
Molina $1,185 1109%
+ 12 smaller / regional plans $36 - $1,736
Government programs also on file: Medicaid.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 407 S White St, Mount Pleasant, IA 52641
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Critical Access Hospitals