CT scan, lower back (lumbar spine)
Facility: Stillwater Billings Clinic
Billing Code: 72131 (CPT)
- CPT Billing Code: 72131
- Insurance Median: $364
- Cash Discount Price: $1,064
- vs. Medicare Baseline: 3.41x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 341% of the Medicare baseline (a markup of 241%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $44 - $1,201 | 41% |
| Pacific Source Mcr Advantage | $45 - $1,189 | 42% |
| Tricare | $45 - $1,189 | 42% |
| Blue Cross Blue Shield | $46 - $1,661 | 43% |
| Allegiance Direct Ppo - All Other Plans | $76 - $1,661 | 71% |
| Allegiance State Of Mt | $76 - $2,447 | 71% |
| All Savers-All Plans | $78 - $1,661 | 73% |
| UnitedHealthcare | $78 - $1,661 | 73% |
| Cigna | $83 - $1,661 | 78% |
| Aetna | $84 - $1,696 | 79% |
| Boon Chapman First Choice Health | $84 - $1,696 | 79% |
| Ebms First Choice Health | $84 - $1,696 | 79% |
| First Choice- All Plans | $84 - $1,696 | 79% |
| Mountain Health Coop - All Plans | $84 - $1,608 | 79% |
| Pacific Source Billings Clinic | $84 - $1,311 | 79% |
| Pacific Source Voyager - All Other Plans | $84 - $1,661 | 79% |
| Pacificsource Nav | $84 - $1,661 | 79% |
| Rci First Choice Health - All Other Plans | $84 - $1,696 | 79% |
| Rci Wyoben | $84 - $1,573 | 79% |
| Trustmark First Choice Health | $84 - $1,696 | 79% |
| Wyo-Ben Inc- All Plans | $84 - $1,573 | 79% |
| Zenith First Choice Health- All Plans | $84 - $1,696 | 79% |
| Pacific Steel Direct - All Plans | $91 - $1,224 | 85% |
| Ebms Interwest | $315 - $1,661 | 295% |
| Gpa Interwest- All Plans | $315 - $1,661 | 295% |
| Interwest Health-All Plans | $315 - $1,661 | 295% |
| Rci Interwest | $315 - $1,661 | 295% |
| Allied Core Value | $330 - $1,521 | 309% |
| Ebms Town Pump | $341 - $1,661 | 319% |
| Town Pump Inc- All Plans | $341 - $1,661 | 319% |
| Blackhawk - All Plans | $360 - $1,661 | 337% |
| Mtada- All Plans | $360 - $1,661 | 337% |
| Prodegi (Y-Tex Corp)- All Plans | $360 - $1,661 | 337% |
| Murdoch Oil - All Plans | $368 - $1,696 | 345% |
| Ryegate Public Schools - All Plans | $368 - $1,696 | 345% |
| Savatree - All Plans | $368 - $1,696 | 345% |
| Tabs - All Plans | $368 - $1,696 | 345% |