CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Pinnacle Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$172
about 1.6× the $107 Medicare rate · typically $113–$320
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
Below the fair price — a good deal
about $22 under the fair price · 1.4× Medicare
Medicare pays $107 Fair price $172 This hospital $150 Hospital's list price $2,873

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $48 Priciest $150

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

A fair price for a CT scan, lower back (lumbar spine) is about $172 (about 1.6× the $107 Medicare rate). Pinnacle Hospital charges insurers about $150 — below the fair price — a good deal. Located in Crown Point, IN.

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✓ Cigna HumanaKaiser 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 - $150 100%
Blue Cross Blue Shieldmajor $107 - $1,077 100%
Aetnamajor $107 - $138 100%
Cignamajor $680 637%
CareSource $186 174%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 9301 Connecticut Dr, Crown Point, IN 46307
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals