CT scan, lower back (lumbar spine)
Facility: Bayou Bend Health System
Billing Code: 72131 (CPT)
- CPT Billing Code: 72131
- Insurance Median: $767
- Cash Discount Price: $790
- vs. Medicare Baseline: 7.18x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 718% of the Medicare baseline (a markup of 618%). 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.
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 | $126 - $794 | 118% |
| UnitedHealthcare | $179 - $564 | 168% |
| Tricare | $508 | 476% |
| Aetna | $564 - $767 | 528% |
| Dignity Mcr Adv Ip/Op Only-All Plans | $564 | 528% |
| Humana | $564 - $733 | 528% |
| Sterling Hp Mcr Adv Ip/Op Only-All Plans | $564 | 528% |
| Verity Healthnet Mcr Adv Ip/Op Only | $564 | 528% |
| Wellcare Mcr Allwell Ip/Op Only-All Plans | $564 | 528% |
| Ambetter / Centene | $649 | 608% |
| Amerihealth Caritas Mcaid Ip/Op Only-All Plans | $794 | 743% |
| La Health Mcaid Ip/Op Only | $794 | 743% |
| Verity Healthnet Mcaid Ip/Op Only | $794 | 743% |
| Diocese Of Lafaytte Ip/Op Only-All Plans | $846 | 792% |
| Gilsbar 360 Ip/Op Only-All Plans | $846 | 792% |
| Verity Healthnet Ip/Op Only-All Other Plans | $846 | 792% |
| Ccn/First Health Ip/Op Only-All Plans | $902 | 844% |
| Integrated Hp Multiplan Ip/Op Only-All Plans | $902 | 844% |
| Ppo Plus / Zelis Ip/Op Only-All Plans | $902 | 844% |
| Geha Ppo Ip/Op Only-All Plans | $959 | 898% |
| Usa Mco Ip/Op Only-All Plans | $959 | 898% |
| Galaxy Ip/Op Only-All Plans | $1,015 | 950% |
| Cigna | $1,400 | 1311% |