CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Lamb Healthcare Center

Billing Code: 72131 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72131
Insurance Median: $103
Cash Discount Price: $298
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Lamb Healthcare Center is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 1500 S Sunset, Littlefield, TX.

Cash / Self-Pay

$298

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $298 (279%)

Insurance Median: $103 (96%)

Cash: $298 (279% of Medicare)

Ins. Median: $103 (96% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Team Choice	$63 - $1,092	59%
Aetna	$68 - $955	64%
Department Of Assistive And Rehabilitative Services	$69 - $751	65%
Cigna	$81 - $887	76%
Capstar	$88 - $955	82%
Great West Healthcare	$88 - $955	82%
Healthsmart	$88 - $955	82%
Blue Cross Blue Shield	$92 - $1,119	86%
Humana	$94 - $1,024	88%
Prime Health Services	$94 - $1,024	88%
Healthnet	$102	95%
Superior Health Plan	$102	95%
Stratose	$112	105%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $298.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72131.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lamb Healthcare Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72131.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.