CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $409
  • Cash Discount Price: $1,134
  • vs. Medicare Baseline: 3.83x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Mercy Specialty Hospital Southeast Kansas is $409. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,134. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.83x the Medicare baseline. Located in 1619 K 66, Galena, KS.
Cash / Self-Pay
$1,134

Average discount available for prompt cash payment at this facility.

Insurance Median
$409

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: $1,134 (1062%)
Insurance Median: $409 (383%)
Cash: $1,134 (1062% of Medicare)
Ins. Median: $409 (383% 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 383% of the Medicare baseline (a markup of 283%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicaid / KanCare $60 - $215 56%
Blue Cross Blue Shield $60 - $490 56%
Provider Partners Health Plans Contracted [320450] $76 71%
UnitedHealthcare $91 - $1,613 85%
Humana $95 - $104 89%
Aetna $95 - $104 89%
Cross Timbers Hospice [20098] $102 95%
Pace Of The Ozarks Contracted [320518] $102 95%
Mercy Hospice Okc [20252] $102 95%
Medicare (plans) $102 95%
Mercy Mgd Behavioral Health Contracted [320259] $102 95%
Tricare $102 95%
Globalhealth Contracted [320145] $102 95%
Cherokee Nation Health Serv Contracted [320066] $102 95%
Kindful Hospice Contracted [320434] $102 95%
Qual Choice Contracted [320325] $102 95%
Kindful Hospice [20434] $102 95%
Cigna $102 - $467 95%
Medical Associates Health Contracted [320444] $102 95%
Halo Hcr Inc Hospice Contracted [320432] $102 95%
Halo Hcr Inc Hospice [20432] $102 95%
Elara Caring Aspire Hospice [20433] $102 95%
Centivo Contracted [320505] $104 97%
First Health Contracted [320128] $104 97%
Dept Of Veteran Affairs Contracted [320106] $104 97%
United Medical Resources Contracted [320454] $114 - $409 107%
Providrs Care Network Contracted [320484] $197 184%
Benefit Management Contracted [320052] $409 383%
Health Systems Inc Contracted [320174] $409 383%
Insurance System Inc Contracted [320465] $409 383%
Healthscope Contracted [320182] $409 - $1,308 383%
Point C Contracted [320238] $409 - $1,308 383%
Medica Contracted [320239] $734 687%
Show-Me Health Administrators Contracted [320483] $1,080 1011%
Mercy Benefit Admin Contracted [320251] $1,080 - $1,221 1011%
Yuzu Health Contracted [320521] $1,221 1143%
American Healthcare Alliance Contracted [320020] $1,221 1143%
Auxiant Contracted [320462] $1,221 - $1,308 1143%
Reflect Health Contracted [320492] $1,221 1143%
Imagine 360 Contracted [320494] $1,221 1143%
Aither Health Contracted [320449] $1,221 1143%
Ebms Contracted [320493] $1,221 1143%
Edison Health Solutions Contracted [320502] $1,221 1143%
Healthlink Contracted [320179] $1,308 1225%
Preferred Health Plan Contracted [320522] $1,308 1225%
Federal Medical Center Contracted [320127] $1,308 1225%
Compcare Of The Ozarks Contracted [320437] $1,378 1290%
Workers Comp [20426] $1,395 1306%
Private Health Care Systems Contracted [320320] $1,613 1510%
Multiplan Contracted [320270] $1,657 1551%
Multiplan [20270] $1,657 1551%

Consumer Guidance & Cost Commentary

For the CT scan of the lower back (lumbar spine) at Mercy Specialty Hospital Southeast Kansas, the facility's cash price is $1,134, which is significantly lower than the highest negotiated rates found among 51 payers, such as UnitedHealthcare's maximum of $1,613. While the facility's gross charge is $1,744, patients with high-deductible plans may find paying cash upfront more cost-effective than relying on insurance, as many commercial payers negotiate rates that exceed the cash price. The facility offers a prompt-pay discount for upfront payment, which can reduce the bill by 20% to 50%, bypassing the administrative costs and collection fees typically associated with insurance billing cycles. To secure this discount, patients should request a self-pay classification and a waiver of insurance submission before scheduling their appointment to ensure the hospital processes the claim as a direct cash transaction rather than submitting it to an insurer.

The facility's negotiated rates vary widely depending on the payer, ranging from a low of $60 for Medicaid/KanCare plans to a high of $1,657 for Multiplan, with a median negotiated amount of $409. This median is notably lower than the gross charge but still higher than the cash price, illustrating that in-network coverage does not always guarantee the lowest possible cost. Additionally, the facility's cash rate of $1,134 is higher than the Medicare benchmark of $106.81, indicating a markup typical of commercial pricing structures where rates often average 200% to 300% of the Medicare base. Patients should be aware that balance billing is generally prohibited for emergency services at in

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals