CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Seiling Municipal Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$349

about 3.3× the $107 Medicare rate · typically $87–$1,712

modeled estimate · not a bill or quote

Medicare pays $107 Fair price $349 Cash price $1,013 Hospital's list price $2,356

How we calculate the fair BaseRate →

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	$46 - $1,013	43%
Blue Cross Blue Shieldmajor	$1,013 - $2,003	948%
Aetnamajor	$1,013 - $2,356	948%
Cignamajor	$1,866	1747%
Humanamajor	$1,023 - $2,356	958%
Ambetter (Centene)	$1,976	1850%
WellCare	$1,013	948%
+ 3 smaller / regional plans	$252 - $2,356

Excludes 2 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 1,013), 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 Seiling Municipal Hospital 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 Seiling Municipal Hospital

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

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