CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Franciscan Health Rensselaer, Inc

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$329
about 3.1× the $107 Medicare rate · typically $123–$690
modeled estimate · not a bill or quote
What this hospital charges insurers
$325
About the fair price
about $4 under the fair price · 3.0× Medicare
Medicare pays $107 Fair price $329 This hospital $325 Cash price $592 Hospital's list price $1,653

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 $325

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 $329 (about 3.1× the $107 Medicare rate). Franciscan Health Rensselaer, Inc charges insurers about $325, or about $592 in cash — about the fair price. Located in Rensselaer, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $1,013 948%
Blue Cross Blue Shieldmajor $227 - $267 213%
UniCare $254 238%
+ 4 smaller / regional plans $382 - $1,322
Government programs also on file: Medicare, Medicaid.
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: 1104 E Grace St, Rensselaer, IN 47978
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals