CMS Price Transparency Data
CT scan, lower back (lumbar spine)
Facility: Washington County Memorial Hospital
Billing Code: 72131 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$253
about 2.4× the $107 Medicare rate · typically $122–$845
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $253 Cash price $895 Hospital's list price $1,193
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✓ Cigna✓ Humana AetnaKaiser 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 | $656 - $1,987 | 614% |
| Blue Cross Blue Shieldmajor | $894 - $1,073 | 837% |
| Cignamajor | $978 | 916% |
| Humanamajor | $1,073 | 1005% |
| Ambetter (Centene) | $488 | 457% |
| + 1 smaller / regional plan | $894 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Washington County Memorial Hospital
Compare: CT scan, lower back (lumbar spine) at other MO hospitals
- Lafayette Regional Health Center · Lexington $66
- Bates County Memorial Hospital · Butler $72
- Cedar County Memorial Hospital · El Dorado Springs $89
- The Children's Mercy Hospital · Kansas City $93
- Mercy Hospital Springfield · Springfield $97
- Saint Francis Medical Center · Cape Girardeau $98
- Mercy Hospital - Cassville · Cassville $100
- Mercy Hospital Lebanon · Lebanon $101
Insurance negotiated median for the same procedure, sorted lowest first.