CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Carson Valley Health

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$133
about 1.2× the $107 Medicare rate · typically $94–$158
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
About the fair price
about $17 over the fair price · 1.4× Medicare
Medicare pays $107 Fair price $133 This hospital $150 Cash price $1,120 Hospital's list price $1,600

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NV hospitals compared.

Cheapest $83 Priciest $171

Black dot = this hospital, among the 9 NV 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 $133 (about 1.2× the $107 Medicare rate). Carson Valley Health charges insurers about $150, or about $1,120 in cash — about the fair price. Located in Gardnerville, NV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $432 - $1,326 404%
Blue Cross Blue Shieldmajor $52 - $1,360 49%
Aetnamajor $432 - $1,408 404%
Cignamajor $1,440 1348%
Humanamajor $432 404%
+ 4 smaller / regional plans $52 - $1,392

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: 1107 Highway 395, Gardnerville, NV 89410
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals