CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: St Charles Medical Center Prineville

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$194
about 1.8× the $107 Medicare rate · typically $148–$336
modeled estimate · not a bill or quote
What this hospital charges insurers
$195
About the fair price
about $1 over the fair price · 1.8× Medicare
Medicare pays $107 Fair price $194 This hospital $195 Cash price $2,042 Hospital's list price $2,553

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $51 Priciest $195

Black dot = this hospital, among the 9 OR 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 $194 (about 1.8× the $107 Medicare rate). St Charles Medical Center Prineville charges insurers about $195, or about $2,042 in cash — about the fair price. Located in Prineville, OR.

What each insurance company pays

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

6 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 $715 - $2,359 669%
Blue Cross Blue Shieldmajor $325 - $786 304%
Aetnamajor $715 - $2,221 669%
Cignamajor $715 - $1,608 669%
Humanamajor $715 669%
Kaiser Permanentemajor $715 - $2,211 669%
Devoted Health $715 669%
Health Net $715 - $2,400 669%
Moda Health $2,196 2056%
PacificSource $1,021 - $1,396 956%
Providence Health Plan $1,787 - $2,234 1673%
UniCare $715 669%
WellCare $715 669%
+ 64 smaller / regional plans $195 - $2,502
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 384 Se Combs Flat Road, Prineville, OR 97754
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals