CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Ascension St John Sapulpa

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$348
about 3.3× the $107 Medicare rate · typically $146–$1,129
modeled estimate · not a bill or quote
What this hospital charges insurers
$349
About the fair price
about $1 over the fair price · 3.3× Medicare
Medicare pays $107 Fair price $348 This hospital $349 Cash price $844 Hospital's list price $2,280

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

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

Cheapest $46 Priciest $349

Black dot = this hospital, among the 9 OK hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, lower back (lumbar spine) is about $348 (about 3.3× the $107 Medicare rate). Ascension St John Sapulpa charges insurers about $349, or about $844 in cash — about the fair price. Located in Sapulpa, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $349 - $373 327%
Aetnamajor $113 106%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1004 East Bryan, Sapulpa, OK 74066
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals