CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Mercy Hospital Healdton, Inc.

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$79
about 0.7× the $107 Medicare rate · typically $76–$151
modeled estimate · not a bill or quote
What this hospital charges insurers
$95
Above the fair price
about $16 over the fair price · 0.9× Medicare
Medicare pays $107 Fair price $79 This hospital $95 Cash price $1,963 Hospital's list price $3,020

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 $79 (about 0.7× the $107 Medicare rate). Mercy Hospital Healdton, Inc. charges insurers about $95, or about $1,963 in cash — above the fair price. Located in Healdton, OK.

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 $79. 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 $830 - $2,718 777%
Blue Cross Blue Shieldmajor $830 - $1,601 777%
Aetnamajor $95 - $2,066 89%
Cignamajor $854 - $2,265 800%
Humanamajor $95 - $830 89%
Ambetter (Centene) $906 848%
Healthcare Highways $2,265 2121%
HealthLink $2,567 - $2,718 2403%
Independent Health $830 777%
Medica $1,150 1077%
+ 38 smaller / regional plans $240 - $2,718
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.

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: 3462 Hospital Rd, Healdton, OK 73438
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals