CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Carrus Behavioral Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$470
about 4.4× the $107 Medicare rate · typically $151–$751
modeled estimate · not a bill or quote
What this hospital charges insurers
$464
About the fair price
about $6 under the fair price · 4.3× Medicare
Medicare pays $107 Fair price $470 This hospital $464 Cash price $474 Hospital's list price $474

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $464

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, lower back (lumbar spine) is about $470 (about 4.4× the $107 Medicare rate). Carrus Behavioral Hospital charges insurers about $464, or about $474 in cash — about the fair price. Located in Sherman, TX.

What each insurance company pays

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

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

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser 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 $464 434%

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Facility Profile & Credentials

  • Address: 1724 W Us Highway 82 Suite 200, Sherman, TX 75092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Psychiatric