CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Mercy Hospital Tishomingo Inc

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$120

about 1.1× the $107 Medicare rate · typically $77–$998

modeled estimate · not a bill or quote

What this hospital charges insurers

$95

Below the fair price — a good deal

about $25 under the fair price · 0.9× Medicare

Medicare pays $107 Fair price $120 This hospital $95 Cash price $1,967 Hospital's list price $3,026

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 1 of 8 other OK hospitals charge more for the same procedure.

Cheapest $46 Priciest $97

Black dot = this hospital, among the 9 OK 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 $120 (about 1.1× the $107 Medicare rate). Mercy Hospital Tishomingo Inc charges insurers about $95, or about $1,967 in cash — below the fair price — a good deal. Located in Tishomingo, OK.

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	$1,455 - $2,388	1362%
Blue Cross Blue Shieldmajor	$908 - $1,574	850%
Aetnamajor	$95 - $2,012	89%
Cignamajor	$1,498 - $2,270	1402%
Humanamajor	$95 - $2,421	89%
Ambetter (Centene)	$908	850%
Healthcare Highways	$2,270	2125%
HealthLink	$2,572	2408%
Independent Health	$1,455	1362%
Medica	$1,937	1814%
+ 31 smaller / regional plans	$239 - $2,723

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,967), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72131.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital Tishomingo Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 72131.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital Tishomingo Inc

Compare: CT scan, lower back (lumbar spine) at other OK hospitals

Insurance negotiated median for the same procedure, sorted lowest first.