CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Frisbie Memorial Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$393
about 3.7× the $107 Medicare rate · typically $118–$519
modeled estimate · not a bill or quote
What this hospital charges insurers
$528
Above the fair price
about $135 over the fair price · 4.9× Medicare
Medicare pays $107 Fair price $393 This hospital $528 Cash price $5,488 Hospital's list price $5,488

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

Highest price of the 9 NH hospitals we have prices for — worth calling around.

Cheapest $85 Priciest $528

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, lower back (lumbar spine) is about $393 (about 3.7× the $107 Medicare rate). Frisbie Memorial Hospital charges insurers about $528, or about $5,488 in cash — above the fair price. Located in Rochester, NH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $393. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $1,882 - $3,309 1762%
Blue Cross Blue Shieldmajor $242 - $814 227%
Aetnamajor $3,172 2970%
AmeriHealth $452 423%
Harvard Pilgrim $1,457 - $2,223 1364%
Tufts Health Plan $1,882 - $3,139 1762%
+ 3 smaller / regional plans $670 - $4,390

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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: 11 Whitehall Road, Rochester, NH 03867
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals