CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Slidell Memorial Hospital

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72131
Insurance Median: $241
Cash Discount Price: $325
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Slidell Memorial Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $325. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.26x the Medicare baseline. Located in 1001 Gause Blvd, Slidell, LA.

Cash / Self-Pay

$325

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $325 (304%)

Insurance Median: $241 (226%)

Cash: $325 (304% of Medicare)

Ins. Median: $241 (226% 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 226% of the Medicare baseline (a markup of 126%). 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
Medicaid / KanCare	$81 - $86	76%
Aetna	$97 - $557	91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$97	91%
Blue Cross Blue Shield	$97 - $419	91%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$97	91%
Humana	$97 - $241	91%
Medicare (plans)	$97	91%
Ochsner Health Plan	$97	91%
Tricare	$97	91%
UnitedHealthcare	$97 - $277	91%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$241	226%
Louisiana Healthcare Connections (Healthy Louisiana)	$241	226%
Healthy Blue (Healthy Louisiana)	$243	228%
First Health Network	$788	738%
Healthcomp & Personify Health (Formerly Gilsbar)	$886	830%
Cigna	$1,063	995%
Claritev D/B/A Multiplan/Phcs/American Life Care	$1,182	1107%
Louisiana Workers' Compensation Corporation (Lwcc)	$1,596	1494%

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 $325.
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 Slidell Memorial 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.