CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Daniels Memorial Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$104
about 1.0× the $107 Medicare rate · typically $58–$554
modeled estimate · not a bill or quote
What this hospital charges insurers
$39
Below the fair price — a good deal
about $65 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $104 This hospital $39 Hospital's list price $1,366

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Lowest price of the 9 MT hospitals we have prices for — a strong deal.

Cheapest $39 Priciest $114

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

A fair price for a CT scan, lower back (lumbar spine) is about $104 (about 1.0× the $107 Medicare rate). Daniels Memorial Hospital charges insurers about $39 — below the fair price — a good deal. Located in Scobey, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $39 - $2,405 37%
Blue Cross Blue Shieldmajor $2,231 2089%
GEHA $2,124 1989%
+ 6 smaller / regional plans $39 - $2,431
Government programs also on file: Military & VA.
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: 105 5Th Ave E, Scobey, MT 59263
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals