CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: St Charles Madras

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$197
about 1.8× the $107 Medicare rate · typically $146–$334
modeled estimate · not a bill or quote
What this hospital charges insurers
$195
About the fair price
about $2 under the fair price · 1.8× Medicare
Medicare pays $107 Fair price $197 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 $197 (about 1.8× the $107 Medicare rate). St Charles Madras charges insurers about $195, or about $2,042 in cash — about the fair price. Located in Madras, 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 $613 - $2,359 574%
Blue Cross Blue Shieldmajor $325 - $674 304%
Aetnamajor $613 - $2,221 574%
Cignamajor $613 - $1,608 574%
Humanamajor $613 574%
Kaiser Permanentemajor $613 - $2,211 574%
Devoted Health $613 574%
Health Net $613 - $2,400 574%
Moda Health $2,196 2056%
PacificSource $1,021 - $1,396 956%
Providence Health Plan $1,787 - $2,234 1673%
UniCare $613 574%
WellCare $613 574%
+ 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: 470 Ne A Street, Madras, OR 97741
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals