CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Allendale County Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$385
about 3.6× the $107 Medicare rate · typically $122–$843
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $385 Cash price $383 Hospital's list price $450

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $330 309%
Humanamajor $330 309%
Devoted Health $330 309%
+ 5 smaller / regional plans $330
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1787 Allendale Fairfax Rd, Fairfax, SC 29827
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals