CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Mount Carmel East & West

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$159
about 1.5× the $107 Medicare rate · typically $103–$391
modeled estimate · not a bill or quote
What this hospital charges insurers
$376
Well above the fair price
about $217 over the fair price · 3.5× Medicare
Medicare pays $107 Fair price $159 This hospital $376 Cash price $1,321 Hospital's list price $2,033

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $68 Priciest $376

Black dot = this hospital, among the 9 OH 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 $159 (about 1.5× the $107 Medicare rate). Mount Carmel East & West charges insurers about $376, or about $1,321 in cash — well above the fair price. Located in Columbus, OH.

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 $159. 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.

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 $99 - $1,182 93%
Blue Cross Blue Shieldmajor $97 - $2,033 91%
Aetnamajor $97 - $2,033 91%
Cignamajor $1,126 1054%
Humanamajor $1,039 - $2,033 973%
AmeriHealth $949 888%
CareSource $1,484 1389%
GEHA $913 - $1,182 855%
HealthLink $1,525 1428%
HealthPartners $1,126 1054%
MagnaCare $949 888%
Medical Mutual $248 - $1,547 232%
MVP Health Care $1,126 1054%
Oscar Health $99 93%
Priority Health $1,126 1054%
Sentara $2,033 1903%
UniCare $949 888%
+ 90 smaller / regional plans $99 - $1,728
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 6001 East Broad Street, Columbus, OH 43213
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals