CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Womans Hospital

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72131
Insurance Median: $1,742
Cash Discount Price: $2,177
vs. Medicare Baseline: 16.31x Medicare

The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Womans Hospital is $1,742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,177. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.31x the Medicare baseline. Located in 100 Woman's Way, Baton Rouge, LA.

Cash / Self-Pay

$2,177

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,742

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: $2,177 (2038%)

Insurance Median: $1,742 (1631%)

Cash: $2,177 (2038% of Medicare)

Ins. Median: $1,742 (1631% 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 1631% of the Medicare baseline (a markup of 1531%). 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
Webtpa [100127]	$1,306 - $1,709	1223%
Fmolhs Employees [100257]	$1,524	1427%
UnitedHealthcare	$1,611 - $1,742	1508%
Blue Cross Blue Shield	$1,709	1600%
La Women'S Healthcare [100265]	$1,709	1600%
Verity [100266]	$1,709	1600%
Aetna	$1,742 - $2,046	1631%
Cigna	$1,742 - $1,807	1631%
Coventry [100010]	$1,742	1631%
Ppo Plus [100259]	$1,742	1631%
Beech Street [100260]	$1,850	1732%
Multiplan [100258]	$1,916	1794%
Private Health [100261]	$1,916	1794%
Humana	$2,046	1916%
Meritain [100063]	$2,046	1916%

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 $2,177.
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 Womans 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.