CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Range Regional Health Services

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $204
  • Cash Discount Price: $499
  • vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Range Regional Health Services is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $499. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.91x the Medicare baseline. Located in 750 East 34Th St, Hibbing, MN.
Cash / Self-Pay
$499

Average discount available for prompt cash payment at this facility.

Insurance Median
$204

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: $499 (467%)
Insurance Median: $204 (191%)
Cash: $499 (467% of Medicare)
Ins. Median: $204 (191% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Health Partners $32 - $1,186 30%
Itasca Medical Care $32 - $127 30%
Primewest $32 - $127 30%
Medica $35 - $1,602 33%
Blue Cross Blue Shield $37 - $579 35%
Sanford Health Plan $44 - $691 41%
Security Health Plan $44 - $880 41%
UnitedHealthcare $44 - $943 41%
Wellcare $44 - $127 41%
Ucare $46 - $304 43%
First Health $166 - $963 155%
Multiplan $172 - $998 161%
Private Healthcare Systems $172 - $998 161%
Wisconsin Physician Services $182 - $1,057 170%
America'S Ppo $186 - $1,057 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 750 East 34Th St, Hibbing, MN 55746
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals