CT scan, lower back (lumbar spine)
Facility: Prisma Health Tuomey Hospital
Billing Code: 72131 (CPT)
Highest price of the 9 SC hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SC 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 $238 (about 2.2× the $107 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $240, or about $1,790 in cash — about the fair price. Located in Sumter, SC.
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
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 | $101 - $424 | 95% |
| Blue Cross Blue Shieldmajor | $98 - $1,049 | 92% |
| Aetnamajor | $103 - $2,176 | 96% |
| Cignamajor | $98 - $2,258 | 92% |
| Humanamajor | $98 - $2,066 | 92% |
| Ambetter (Centene) | $180 | 169% |
| Molina | $103 | 96% |
| WellCare | $103 | 96% |
| + 16 smaller / regional plans | $103 - $2,561 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Prisma Health Tuomey Hospital
Compare: CT scan, lower back (lumbar spine) at other SC hospitals
- Conway Medical Center · Conway $75
- Prisma Health Greenville Memorial Hospital · Greenville $105
- Prisma Health North Greenville Ltach · Travelers Rest $106
- Prisma Health Hillcrest Hospital · Simpsonville $108
- Prisma Health Patewood Hospital · Greenville $108
- Novant Health Hilton Head Medical Center · Hilton Head Island $109
- East Cooper Medical Center · Mount Pleasant $109
- Coastal Carolina Hospital · Hardeeville $109
Insurance negotiated median for the same procedure, sorted lowest first.