CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Cheyenne County Hospital

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $732
  • Cash Discount Price: $655
  • vs. Medicare Baseline: 6.85x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Cheyenne County Hospital is $732. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $655. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.85x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$655

Average discount available for prompt cash payment at this facility.

Insurance Median
$732

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: $655 (613%)
Insurance Median: $732 (685%)
Cash: $655 (613% of Medicare)
Ins. Median: $732 (685% 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 685% of the Medicare baseline (a markup of 585%). 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
UnitedHealthcare $215 - $770 201%
Blue Cross Blue Shield $453 424%
First Health - All Plans $539 505%
Aetna $554 - $732 519%
Tricare $554 519%
Healthy Blue Mcr Adv $554 519%
Choice Care - All Plans $560 524%
Firstguard - All Plans $616 577%
Wppa - All Plans $693 649%
Cpm - All Plans $732 685%
Preferred Hc - All Plans $732 685%
Midlands Choice - All Plans $747 699%
Health Partners - All Plans $755 707%
Integrated Hp - All Plans $755 707%
Ppo Next - All Plans $755 707%
Unicare - All Plans $755 707%
Healthy Blue Mcaid - All Other Plans $770 721%
Childrens Mercy - All Plans $770 721%
Healthwave Mcaid - All Plans $770 721%
Providers Care-All Plans $1,155 1081%

Consumer Guidance & Cost Commentary

For CPT code 72131, a CT scan of the lower back, the gross charge at Cheyenne County Hospital in St. Francis, KS is $770.00. While the facility's cash median rate is $655.00, which is lower than the negotiated rates paid by most insurance plans, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this case, the median negotiated rate across payers is $732.00, and the highest negotiated rate is $1,155.00. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $655.00 upfront could result in significant savings compared to the insurance allowed amount. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling your appointment.

The Medicare benchmark for this procedure is $106.81, which serves as a baseline for evaluating the facility's pricing markup. The facility's cash rate of $655.00 represents a substantial increase over the Medicare amount, reflecting the costs of facility operations and physician services beyond the federal reimbursement standard. Commercial negotiated rates generally range from 200% to 300% of the Medicare rate, though fair pricing is often defined as 120% to 150%. Given that this is a Critical Access Hospital, the pricing reflects the specific cost basis for this facility type. Consumers should review their specific plan details to understand their out-of-pocket responsibilities, as the $770.00 gross

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals