CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Good Samaritan Hospital Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$147
about 1.4× the $107 Medicare rate · typically $114–$333
modeled estimate · not a bill or quote
What this hospital charges insurers
$141
About the fair price
about $6 under the fair price · 1.3× Medicare
Medicare pays $107 Fair price $147 This hospital $141 Hospital's list price $2,400

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $48 Priciest $141

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 $147 (about 1.4× the $107 Medicare rate). Good Samaritan Hospital Medical Center charges insurers about $141 — about the fair price. Located in West Islip, NY.

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 $126 - $1,560 118%
Blue Cross Blue Shieldmajor $123 - $413 115%
Aetnamajor $126 - $2,331 118%
Cignamajor $1,365 - $1,560 1278%
Humanamajor $128 120%
AmeriHealth $283 265%
Cigna HealthSpring $126 118%
Fidelis Care $126 - $318 118%
Independent Health $126 - $141 118%
MVP Health Care $126 - $1,365 118%
Oscar Health $984 921%
UniCare $1,560 1461%
WellCare $138 129%
+ 41 smaller / regional plans $126 - $2,400
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals