CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Shriners Hospital for Children - Portland

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$168
about 1.6× the $107 Medicare rate · typically $147–$312
modeled estimate · not a bill or quote
What this hospital charges insurers
$152
About the fair price
about $16 under the fair price · 1.4× Medicare
Medicare pays $107 Fair price $168 This hospital $152 Cash price $1,222 Hospital's list price $1,222

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 $152

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 $168 (about 1.6× the $107 Medicare rate). Shriners Hospital for Children - Portland charges insurers about $152, or about $1,222 in cash — about the fair price. Located in Portland, OR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $112 105%
Blue Cross Blue Shieldmajor $360 337%
Aetnamajor $142 133%
Cignamajor $139 130%
Ambetter (Centene) $132 124%
Moda Health $93 - $405 87%
Providence Health Plan $261 244%
+ 2 smaller / regional plans $162 - $191

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3101 Sw Sam Jackson Park Road, Portland, OR 97239
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens