CMS Price Transparency Data
CT scan, lower back (lumbar spine)
Facility: Ellenville Regional Hospital
Billing Code: 72131 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$271
about 2.5× the $107 Medicare rate · typically $147–$607
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $271 Cash price $585 Hospital's list price $780
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $22 - $798 | 21% |
| Blue Cross Blue Shieldmajor | $58 - $565 | 54% |
| Aetnamajor | $67 - $1,076 | 63% |
| Humanamajor | $58 - $565 | 54% |
| CDPHP | $54 - $523 | 51% |
| EmblemHealth | $50 - $1,130 | 47% |
| Fidelis Care | $58 - $565 | 54% |
| MVP Health Care | $61 - $1,060 | 57% |
| WellCare | $80 - $777 | 75% |
| + 3 smaller / regional plans | $58 - $1,076 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Ellenville Regional Hospital
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.