CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Norton Hospitals, Inc

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72131
Insurance Median: $1,320
Cash Discount Price: $895
vs. Medicare Baseline: 12.36x Medicare

The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Norton Hospitals, Inc is $1,320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $895. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.36x the Medicare baseline. Located in 200 East Chestnut Street, Louisville, KY.

Cash / Self-Pay

$895

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,320

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: $895 (838%)

Insurance Median: $1,320 (1236%)

Cash: $895 (838% of Medicare)

Ins. Median: $1,320 (1236% 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 1236% of the Medicare baseline (a markup of 1136%). 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
Blue Cross Blue Shield	$54 - $3,889	51%
Aetna	$100 - $3,276	94%
UnitedHealthcare	$100 - $4,127	94%
Wellcare	$100	94%
Passport	$895	838%
Cigna	$1,044 - $2,977	977%
Humana	$1,074 - $2,014	1006%
Siho	$1,567 - $3,357	1467%
Siho In Exchange	$3,133	2933%
Multiplan	$3,491 - $3,805	3268%
Correct Care	$3,715	3478%
Correct Care Ob & Gyn	$3,715	3478%

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 $895.
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 Norton Hospitals, Inc 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.