CMS Price Transparency Data
CT scan, lower back (lumbar spine)
Facility: Mercy Health Rehabilitation Hospital
Billing Code: 72131 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$251
about 2.3× the $107 Medicare rate · typically $113–$901
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $251 Cash price $2,261 Hospital's list price $2,261
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 | $2,261 | 2117% |
| Blue Cross Blue Shieldmajor | $2,261 | 2117% |
| Aetnamajor | $2,261 | 2117% |
| Cignamajor | $2,261 | 2117% |
| Humanamajor | $2,261 | 2117% |
| Ambetter (Centene) | $2,261 | 2117% |
| CareSource | $2,261 | 2117% |
| Devoted Health | $2,261 | 2117% |
| Medical Mutual | $1,240 - $2,261 | 1161% |
| Molina | $2,261 | 2117% |
| UPMC Health Plan | $2,261 | 2117% |
| + 1 smaller / regional plan | $1,537 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: CT scan, lower back (lumbar spine) at other OH hospitals
- Cincinnati Children's Hospital Medical Center · Cincinnati $68
- Union Hospital · Dover $78
- Wood County Hospital · Bowling Green $95
- Pomerene Hospital · Millersburg $97
- Akron General Medical Center · Akron $98
- Bellevue Hospital · Bellevue $98
- Christ Hospital · Cincinnati $98
- Holzer Medical Center · Gallipolis $99
Insurance negotiated median for the same procedure, sorted lowest first.