CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Sanford Behavioral Health Center

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$231
about 2.2× the $107 Medicare rate · typically $105–$473
modeled estimate · not a bill or quote
What this hospital charges insurers
$232
About the fair price
about $1 over the fair price · 2.2× Medicare
Medicare pays $107 Fair price $231 This hospital $232 Cash price $2,286 Hospital's list price $2,858

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $52 Priciest $232

Black dot = this hospital, among the 9 MN 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 $231 (about 2.2× the $107 Medicare rate). Sanford Behavioral Health Center charges insurers about $232, or about $2,286 in cash — about the fair price. Located in Thief River Falls, MN.

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✓ Cigna HumanaKaiser 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 $1,178 - $2,386 1103%
Blue Cross Blue Shieldmajor $353 - $1,178 330%
Aetnamajor $1,178 - $2,484 1103%
Cignamajor $2,572 2408%
Health Net $2,572 2408%
HealthPartners $1,178 - $2,315 1103%
Medica $2,512 - $2,704 2352%
Sanford Health Plan $1,086 - $1,801 1017%
Security Health Plan $1,572 1472%
UCare $112 - $2,511 105%
+ 2 smaller / regional plans $112 - $2,572
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 120 Labree Avenue South, Thief River Falls, MN 56701
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric