CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Bob Wilson Memorial Hospital

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $2,233
  • Cash Discount Price: $1,093
  • vs. Medicare Baseline: 20.91x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Bob Wilson Memorial Hospital is $2,233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,093. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.91x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$1,093

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,233

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: $1,093 (1023%)
Insurance Median: $2,233 (2091%)
Cash: $1,093 (1023% of Medicare)
Ins. Median: $2,233 (2091% 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 2091% of the Medicare baseline (a markup of 1991%). 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
Centura Employee Plan $337 316%
Blue Cross Blue Shield $641 600%
Medicare (plans) $875 819%
Aetna $875 - $2,187 819%
Humana $875 819%
UnitedHealthcare $875 - $2,280 819%
Kansas Health $875 819%
Multiplan $2,460 - $2,542 2303%
Health Partners Of Kansas $2,569 2405%
Wppa $2,597 2431%

Consumer Guidance & Cost Commentary

For a CT scan of the lower back at Bob Wilson Memorial Hospital in Ulysses, Kansas, the cash price is $1,093, which is significantly lower than the facility's negotiated rates with major insurers like Aetna, UnitedHealthcare, and Multiplan. While the hospital's negotiated rates range from $641 to $2,597 depending on the plan, the cash price offers a clear alternative for patients with high-deductible plans or those without insurance, as paying out-of-pocket can sometimes result in a lower total cost than what insurance negotiates. It is important to note that Medicare covers this service at a rate of only $106.81, highlighting that commercial rates are substantially higher than the federal benchmark.

Patients should be aware that while the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the final amount owed depends heavily on whether you use insurance or pay directly. If you choose to use insurance, you may face balance billing if you are out-of-network, though the No Surprises Act protects you from surprise bills for emergency care at in-network facilities. To minimize costs, we recommend requesting a prompt-pay discount before scheduling your visit, as paying in full upfront can often reduce the bill by 20% to 50%. Additionally, if you receive an itemized bill, ensure it breaks down every specific code and service to avoid paying for unbundled charges or items not rendered, and always dispute any errors in writing rather than accepting summary invoices.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals