CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Cypress Pointe Surgical Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$111

about 1.0× the $107 Medicare rate · typically $95–$198

modeled estimate · not a bill or quote

What this hospital charges insurers

$94

Below the fair price — a good deal

about $17 under the fair price · 0.9× Medicare

Medicare pays $107 Fair price $111 This hospital $94 Cash price $189 Hospital's list price $260

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

One of the lower prices — 6 of 8 other LA hospitals charge more for the same procedure.

Cheapest $80 Priciest $117

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, lower back (lumbar spine) is about $111 (about 1.0× the $107 Medicare rate). Cypress Pointe Surgical Hospital charges insurers about $94, or about $189 in cash — below the fair price — a good deal. Located in Hammond, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$93 - $94	87%
Blue Cross Blue Shieldmajor	$94 - $110	88%
Aetnamajor	$94 - $128	88%
Humanamajor	$93	87%
+ 1 smaller / regional plan	$94

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 189), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72131.

Insurance Before you use insurance

Call your insurance company to confirm Cypress Pointe Surgical Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72131.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cypress Pointe Surgical Hospital

Compare: CT scan, lower back (lumbar spine) at other LA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.