CT scan, lower back (lumbar spine)
Facility: Garnet Health Medical Center
Billing Code: 72131 (CPT)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
A fair price for a CT scan, lower back (lumbar spine) is about $291 (about 2.7× the $107 Medicare rate). Garnet Health Medical Center charges insurers about $289, or about $478 in cash — about the fair price. Located in Middletown, NY.
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
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 | $171 | 160% |
| Blue Cross Blue Shieldmajor | $1,134 - $1,659 | 1062% |
| Aetnamajor | $130 - $425 | 122% |
| Fidelis Care | $133 | 125% |
| Geisinger | $326 | 305% |
| MagnaCare | $240 - $384 | 225% |
| MVP Health Care | $311 | 291% |
| WellCare | $134 | 125% |
| + 4 smaller / regional plans | $228 - $443 |
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.
Other Procedures at Garnet Health Medical Center
Compare: CT scan, lower back (lumbar spine) at other NY hospitals
- The University of Vermont Health Network-Alice Hy · Malone $48
- Maimonides Medical Center · Brooklyn $50
- Saratoga Hospital · Saratoga Springs $51
- Columbia Memorial Hospital · Hudson $53
- The University of Vermont Health Network - Champl · Plattsburgh $56
- O'Connor Hospital · Delhi $85
- Bertrand Chaffee Hospital · Springville $91
- St Barnabas Hospital · Bronx $99
Insurance negotiated median for the same procedure, sorted lowest first.