CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: North Sunflower Medical Center Cah

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$98
about 0.9× the $107 Medicare rate · typically $59–$506
modeled estimate · not a bill or quote
What this hospital charges insurers
$89
About the fair price
about $9 under the fair price · 0.8× Medicare
Medicare pays $107 Fair price $98 This hospital $89 Cash price $162 Hospital's list price $324

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MS hospitals compared.

Cheapest $49 Priciest $94

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

A fair price for a CT scan, lower back (lumbar spine) is about $98 (about 0.9× the $107 Medicare rate). North Sunflower Medical Center Cah charges insurers about $89, or about $162 in cash — about the fair price. Located in Ruleville, MS.

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✓ Humana CignaKaiser 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 $89 - $670 83%
Blue Cross Blue Shieldmajor $492 461%
Aetnamajor $51 - $335 48%
Humanamajor $51 - $261 48%
Ambetter (Centene) $45 - $263 42%
+ 1 smaller / regional plan $159 - $320
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 840 North Oak Avenue, Ruleville, MS 38771
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals