CT scan, lower back (lumbar spine)
Facility: Sanford Clear Lake Medical Center
Billing Code: 72131 (CPT)
Highest price of the 9 SD hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 SD 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 $149 (about 1.4× the $107 Medicare rate). Sanford Clear Lake Medical Center charges insurers about $705, or about $2,539 in cash — well above the fair price. Located in Clear Lake, SD.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $149. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $1,765 - $2,650 | 1652% |
| Blue Cross Blue Shieldmajor | $705 - $2,761 | 660% |
| Aetnamajor | $1,765 - $2,758 | 1652% |
| Cignamajor | $2,857 | 2675% |
| Health Net | $2,857 | 2675% |
| HealthPartners | $1,765 - $2,380 | 1652% |
| Medica | $2,619 - $2,799 | 2452% |
| Sanford Health Plan | $1,628 - $2,952 | 1524% |
| Security Health Plan | $1,746 | 1635% |
| UCare | $1,749 - $2,789 | 1637% |
| + 2 smaller / regional plans | $1,800 - $2,857 |
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 Sanford Clear Lake Medical Center
Compare: CT scan, lower back (lumbar spine) at other SD hospitals
- Douglas County Memorial Hospital-Cah · Armour $94
- Black Hills Surgical Hospital LLC · Rapid City $106
- Sanford Medical Center Aberdeen · Aberdeen $110
- Sanford Usd Medical Center · Sioux Falls $113
- Huron Regional Medical Center · Huron $116
- Monument Health Rapid City Hospital · Rapid City $132
- Dunes Surgical Hospital · Dakota Dunes $227
- Bowdle Hospital - Cah · Bowdle $235
Insurance negotiated median for the same procedure, sorted lowest first.