CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Baptist Memorial Hospital - Carroll County

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72131
  • Insurance Median: $175
  • Cash Discount Price: $791
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Baptist Memorial Hospital - Carroll County is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $791. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.64x the Medicare baseline. Located in 631 Rb Wilson Dr, Huntingdon, TN.
Cash / Self-Pay
$791

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $791 (741%)
Insurance Median: $175 (164%)
Cash: $791 (741% of Medicare)
Ins. Median: $175 (164% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Wellpoint $84 - $102 79%
Triwest $93 87%
Humana $97 - $2,268 91%
Oscar $97 91%
Vaccn $97 91%
Veterans Evaluation Services $97 91%
Cigna $98 - $730 92%
Aetna $102 - $2,148 95%
American Health Plan $102 95%
Blue Cross Blue Shield $102 - $350 95%
Shared Health $102 95%
Arlington Community Schools $150 140%
Bartlett City Schools $160 150%
City Of Bartlett $160 150%
City Of Lakeland $160 150%
Collierville Schools $160 150%
Eas Mssc Schools $160 150%
Lakeland School System $160 150%
Town Of Collierville $160 150%
Magnolia Tn $164 154%
First State Bank Trust $165 154%
Armstrong Relocation $175 164%
Ashley Furniture Stores $175 164%
Brimhall Foods $175 164%
Building Plastic $175 164%
Burch Food Services $175 164%
Cannon Motor Company $175 164%
Carlisle $175 164%
Crittenden County $175 164%
Davidson Hospitality $175 164%
Desoto Co Board Of Supervisors $175 164%
Dunn Investment Company $175 164%
First Choice Health Plan Of Ms $175 - $2,406 164%
First Community Bank $175 164%
French Camp Academy $175 164%
Gossett Motor Cars $175 164%
Hattiesburg Clinic $175 164%
Heartland Catfish Company $175 164%
Heavy Machines $175 164%
Hollowell Industries $175 164%
Hospitality Management Advisors $175 164%
Jas D Collier $175 164%
Malco Theaters $175 164%
Mechanical Systems $175 164%
Mid-South Transport $175 164%
Patterson Warehouses $175 164%
Radians $175 164%
Rei Nation $175 164%
Retzer Resources $175 164%
Ritchey Automotive $175 164%
Security One $175 164%
Silver Tree $175 164%
State Systems $175 164%
United Tn Holdings $175 164%
Vaughn Electric $175 164%
W G Yates $175 164%
W W Wood Products $175 164%
Watkins Uiberall $175 164%
Y K Auto Group $175 164%
Employers Health Network $194 182%
Harding Academy $194 182%
Ppo Holdings $1,306 1223%
Magnolia Regional Health Center $1,375 1287%
Littler $1,718 1608%
UnitedHealthcare $1,983 1857%
Mpcn $2,578 2414%
Multiplan $2,578 2414%
Novasys $2,578 2414%
Ppo Plus $2,921 2735%
Qca $3,093 2896%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 631 Rb Wilson Dr, Huntingdon, TN 38344
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals