Skip to main content
States Procedures Methodology Search
CMS Price Transparency Data Hospital file updated: 2026-03-31

CT scan, lower back (lumbar spine)

Facility: Trinity Health Oakland Hospital

Billing Code: 72131 (CPT)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
$122Fair BaseRate (1.11× Market)
Position vs. 1.00× Fair Price+11% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $135 compared to the $122 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Quality Benchmark
CMS Star Rating2/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score42/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

2-Star CMS clinical quality rating paired with 1.11× fair market pricing.

The BaseRate · fair price high confidence
A fair price for this
$122
about 1.1× the $107 Medicare rate · typically $74–$157
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
About the fair price
about $13 over the fair price · 1.3× Medicare
Medicare pays $107 Fair price $122 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.

Note: 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 $122 (about 1.1× the $107 Medicare rate). Trinity Health Oakland Hospital charges insurers about $135, or about $1,687 in cash — about the fair price. Located in Pontiac, MI.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: 2 / 5 Stars
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals

Other Procedures at Trinity Health Oakland Hospital

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

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

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Trinity Health Oakland Hospital (Zero PHI Required)

CMS CCN: 230029
CPT 72131
Fair BaseRate™ $122
Medicare Rate $107
Self-Pay Cash $1,687
Insurer Median $135
Pre-filled with Trinity Health Oakland Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $942 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $942

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $942).

Step 2 · Cash vs. Insurance Arbitrage Save $909 Paying Cash

Self-Pay Cash Rate ($1,687) Beats Your Bill

Trinity Health Oakland Hospital's published 45 CFR § 180 self-pay cash rate is $1,687 (vs. $135 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,474 Above Fair BaseRate

Negotiate Toward $122 Fair BaseRate ($107 Medicare)

Your bill ($2,596) is $2,474 above the denoised Fair BaseRate ($122) and 24.3× the $107 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 230029

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (383176536_st-joseph-mercy-oakland_standardcharges.zip!383176536_St-Joseph-Mercy-Oakland_standardcharges.csv) Verify on CMS Medicare.gov (CCN 230029) ↗ CMS HCRIS Cost Reports ↗
Published MRF File383176536_st-joseph-mercy-oakland_standardcharges.zip!383176536_St-Joseph-Mercy-Oakland_standardcharges.csv
Publication / Vintage2026-03-31 · 307.13 MB
Validated Rate Rows32,980,699 (CMS v3.0.0)
File Integrity Digest5f0087b3cfad4247a045…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy