CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Sullivan County Community Hospital

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72131
Insurance Median: $663
Cash Discount Price: $1,641
vs. Medicare Baseline: 6.21x Medicare

The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Sullivan County Community Hospital is $663. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,641. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.21x the Medicare baseline. Located in 2200 N Section St, Sullivan, IN.

Cash / Self-Pay

$1,641

Average discount available for prompt cash payment at this facility.

Insurance Median

$663

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,641 (1536%)

Insurance Median: $663 (621%)

Cash: $1,641 (1536% of Medicare)

Ins. Median: $663 (621% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 621% of the Medicare baseline (a markup of 521%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Humana	$98 - $1,860	92%
Mdwise Mcaid - All Other Plans	$98	92%
Mhs Mcaid - All Other Plans	$98	92%
Mhs Hlthy In Mcaid	$107	100%
Ambetter / Centene	$656	614%
Blue Cross Blue Shield	$656 - $1,154	614%
Mdwise Mcr Adv	$656	614%
Va Ccn - All Plans	$656	614%
Siho - All Plans	$1,641	1536%
UnitedHealthcare	$1,860	1741%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,641.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72131.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sullivan County Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72131.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.