CT scan, lower back (lumbar spine)
Facility: Elmhurst Hospital 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 $193 (about 1.8× the $107 Medicare rate). Elmhurst Hospital Center charges insurers about $292 — above the fair price. Located in Elmhurst, NY.
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 $193. 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.
4 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 | $140 - $880 | 131% |
| Blue Cross Blue Shieldmajor | $126 - $880 | 118% |
| Aetnamajor | $51 - $1,131 | 48% |
| Cignamajor | $1,056 | 989% |
| Fidelis Care | $72 - $830 | 67% |
| MagnaCare | $825 | 772% |
| Oscar Health | $75 - $1,228 | 70% |
| WellCare | $54 - $160 | 51% |
| + 14 smaller / regional plans | $40 - $935 |
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 Elmhurst Hospital 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.