CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Mercy Rehabilitation Hospital Oklahoma City

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$451
about 4.2× the $107 Medicare rate · typically $95–$1,182
modeled estimate · not a bill or quote
What this hospital charges insurers
$323
Below the fair price — a good deal
about $128 under the fair price · 3.0× Medicare
Medicare pays $107 Fair price $451 This hospital $323 Cash price $323 Hospital's list price $323

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 $323

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 $451 (about 4.2× the $107 Medicare rate). Mercy Rehabilitation Hospital Oklahoma City charges insurers about $323, or about $323 in cash — below the fair price — a good deal. Located in Oklahoma City, 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 $323 302%
Blue Cross Blue Shieldmajor $323 302%
Aetnamajor $323 302%
Cignamajor $323 302%
Humanamajor $323 302%
Ambetter (Centene) $323 302%
Healthcare Highways $243 228%
Medica $323 302%
+ 3 smaller / regional plans $323
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: 5401 W Memorial Rd, Oklahoma City, OK 73142
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL