CMS Price Transparency Data
CT scan, lower back (lumbar spine)
Facility: Pawnee County Memorial Hospital
Billing Code: 72131 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$594
about 5.6× the $107 Medicare rate · typically $150–$2,011
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $594 Cash price $1,990 Hospital's list price $2,488
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 | $1,717 - $2,364 | 1608% |
| Blue Cross Blue Shieldmajor | $1,717 - $2,364 | 1608% |
| Aetnamajor | $1,717 - $2,339 | 1608% |
| Ambetter (Centene) | $2,314 | 2166% |
| Medica | $1,717 - $2,388 | 1608% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Pawnee County Memorial Hospital
Compare: CT scan, lower back (lumbar spine) at other NE hospitals
- Valley County Health System · Ord $88
- St Francis Memorial Hospital · West Point $90
- The Nebraska Medical Center · Omaha $96
- Mary Lanning Healthcare · Hastings $109
- Methodist Fremont Health · Fremont $114
- Columbus Community Hospital, Inc · Columbus $119
- Fillmore County Hospital · Geneva $119
- Faith Regional Health Services · Norfolk $120
Insurance negotiated median for the same procedure, sorted lowest first.