CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Carle Hoopeston Regional Health Center

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$123

about 1.1× the $107 Medicare rate · typically $97–$141

modeled estimate · not a bill or quote

What this hospital charges insurers

$140

About the fair price

about $17 over the fair price · 1.3× Medicare

Medicare pays $107 Fair price $123 This hospital $140 Cash price $2,919 Hospital's list price $2,919

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $75 Priciest $140

Black dot = this hospital, among the 9 IL 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 $123 (about 1.1× the $107 Medicare rate). Carle Hoopeston Regional Health Center charges insurers about $140, or about $2,919 in cash — about the fair price. Located in Hoopeston, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$613 - $4,033	574%
Blue Cross Blue Shieldmajor	$613 - $4,033	574%
Aetnamajor	$140 - $4,033	131%
Cignamajor	$2,277	2132%
Humanamajor	$112 - $4,033	105%
HealthLink	$2,627	2460%
Meridian	$292 - $613	273%
Molina	$613 - $876	574%
WellCare	$613 - $4,033	574%

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,919), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72131.

Insurance Before you use insurance

Call your insurance company to confirm Carle Hoopeston Regional Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72131.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Carle Hoopeston Regional Health Center

Compare: CT scan, lower back (lumbar spine) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.