CMS Price Transparency Data
CT scan, lower back (lumbar spine)
Facility: University Medical Center
Billing Code: 72131 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72131
- Insurance Median: $83
- Cash Discount Price: $740
- vs. Medicare Baseline: 0.78x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at University Medical Center is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $740. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.78x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$740
Average discount available for prompt cash payment at this facility.
Insurance Median
$83
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $740 (693%)
Insurance Median: $83 (78%)
Cash: $740 (693% of Medicare)
Ins. Median: $83 (78% of 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantra Freedom | $42 - $118 | 39% |
| Aetna | $42 - $1,402 | 39% |
| Allwell | $45 - $118 | 42% |
| American Postal Workers Health Plan | $45 - $659 | 42% |
| Arroweye Solutions | $45 - $1,001 | 42% |
| Blue Cross Blue Shield | $45 - $202 | 42% |
| Boyd Group | $45 - $946 | 42% |
| Bricklayers Local 13 | $45 - $946 | 42% |
| Caesar'S Entertainment | $45 - $946 | 42% |
| California Ironwork Field Welfare | $45 - $127 | 42% |
| City Of Henderson | $45 - $946 | 42% |
| City Of North Las Vegas | $45 - $946 | 42% |
| Clark County Epo | $45 - $946 | 42% |
| Clark County Self Funded | $45 - $946 | 42% |
| Dignity Health | $45 - $1,001 | 42% |
| Electrical Workers | $45 - $946 | 42% |
| Golden Entertainment | $45 - $1,001 | 42% |
| Golden Nugget Hotel & Casino | $45 - $1,001 | 42% |
| Healthcare Partners Of Nevada | $45 - $118 | 42% |
| Laborers Health And Welfare | $45 - $946 | 42% |
| Las Vegas Firefighters 1285 | $45 - $946 | 42% |
| Las Vegas Metro Police Dept | $45 - $946 | 42% |
| Las Vegas Sand Corps | $45 - $659 | 42% |
| Marshall Retail Group | $45 - $1,001 | 42% |
| Mgm Grand | $45 - $946 | 42% |
| Mirage Las Vegas | $45 - $946 | 42% |
| Molina | $45 - $202 | 42% |
| Operating Engineers | $45 - $946 | 42% |
| P3 Health Partners | $45 - $1,001 | 42% |
| P3 Health Partners Nevada | $45 - $118 | 42% |
| Pli Las Vegas | $45 - $1,001 | 42% |
| Plumbers & Pipefitters Loc 525 | $45 - $946 | 42% |
| Rebel Oil Company | $45 - $1,001 | 42% |
| Resorts World Las Vegas | $45 - $946 | 42% |
| Selecthealth | $45 - $174 | 42% |
| Sheet Metal Workers | $45 - $127 | 42% |
| Sierra Health And Life | $45 - $1,001 | 42% |
| So Ca Pipe Trades H&W | $45 - $127 | 42% |
| Southwest Carpenters H&W | $45 - $127 | 42% |
| State Of Nevada | $45 - $1,001 | 42% |
| Stations Casinos | $45 - $1,001 | 42% |
| Surest | $45 - $659 | 42% |
| Switch | $45 - $946 | 42% |
| Teacher'S Health Trust | $45 - $1,001 | 42% |
| Teamsters Local 14 | $45 - $946 | 42% |
| Teamsters Local 631 | $45 - $946 | 42% |
| Teamsters Local 986 | $45 - $946 | 42% |
| Truline Corporation | $45 - $1,001 | 42% |
| Ufcw Local 711 Retail Clerks | $45 - $946 | 42% |
| UnitedHealthcare | $45 - $659 | 42% |
| Va Pc3 (Va Choice) | $45 - $167 | 42% |
| Venetian/Palazzo | $45 - $1,001 | 42% |
| Wynn Resorts | $45 - $946 | 42% |
| Alignment Health | $47 - $118 | 44% |
| Scan | $47 - $118 | 44% |
| Clark County Firefighters 1908 | $50 - $946 | 47% |
| Coventry | $50 - $1,402 | 47% |
| Employee Painters Trust | $50 - $946 | 47% |
| First Health | $50 - $230 | 47% |
| Geha | $50 - $68 | 47% |
| Health Net | $50 - $230 | 47% |
| Mail Handlers Benefit Plan | $50 - $1,402 | 47% |
| Nevada Energy | $50 - $1,402 | 47% |
| Three Rivers Provider Network | $50 - $230 | 47% |
| Culinary Workers Hwf | $55 - $946 | 51% |
| Aig | $59 - $1,565 | 55% |
| Beech Street | $59 - $1,565 | 55% |
| Cement Masons & Plasters H&W | $59 - $946 | 55% |
| Laughlin Coalition | $65 | 61% |
| Ambetter / Centene | $67 - $202 | 63% |
| Hometown Health Plan Nevada | $68 | 64% |
| Jw Marriott | $68 - $789 | 64% |
| Nevada Preferred Professionals | $68 - $235 | 64% |
| One Health Plan | $68 - $1,077 | 64% |
| Prominence Health Plan | $68 - $235 | 64% |
| Universal Health Network (Uhn) | $68 - $235 | 64% |
| Health Direct Partners | $74 - $189 | 69% |
| Zuffa | $100 | 94% |
| Cigna | $102 - $286 | 95% |
| Cirque De Soleil | $102 - $286 | 95% |
| Great West Healthcare | $102 - $286 | 95% |
| Kaiser | $102 - $286 | 95% |
| National Security Technologies | $102 - $286 | 95% |
| Nevada Hand | $946 | 886% |
| Hometown Health Plan Of Nevada | $1,077 | 1008% |