CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: CHI St Alexius Health Devils Lake

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$448
about 4.2× the $107 Medicare rate · typically $133–$1,421
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $448 Cash price $1,150 Hospital's list price $2,739

How we calculate the fair BaseRate →

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 $1,999 - $2,273 1872%
Blue Cross Blue Shieldmajor $1,062 - $1,452 994%
HealthPartners $2,602 2436%
Medica $1,041 - $2,520 975%
Sanford Health Plan $1,972 1846%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1031 7Th St Ne, Devils Lake, ND 58301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals