CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Trinity Health Oakland Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 1.0× the $107 Medicare rate · typically $78–$140
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
Above the fair price
about $27 over the fair price · 1.3× Medicare
Medicare pays $107 Fair price $108 This hospital $135 Cash price $1,687 Hospital's list price $2,596

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $44 Priciest $135

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, lower back (lumbar spine) is about $108 (about 1.0× the $107 Medicare rate). Trinity Health Oakland Hospital charges insurers about $135, or about $1,687 in cash — above the fair price. Located in Pontiac, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $108. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $107 - $1,947 100%
Blue Cross Blue Shieldmajor $58 - $135 54%
Aetnamajor $102 - $1,957 95%
Cignamajor $1,924 1801%
Humanamajor $1,905 1784%
Kaiser Permanentemajor $135 126%
AmeriHealth $1,905 1784%
CareSource $361 338%
Dean Health Plan $1,765 1652%
GEHA $104 - $1,947 97%
Health Net $2,596 2430%
HealthPartners $1,890 1769%
MagnaCare $1,905 1784%
Medical Mutual $104 97%
Molina $135 126%
MVP Health Care $1,765 1652%
Paramount $1,765 1652%
Priority Health $421 - $468 394%
Tufts Health Plan $1,890 1769%
UniCare $1,905 1784%
+ 136 smaller / regional plans $104 - $2,596
Government programs also on file: Medicare, Medicaid.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals