CMS Price Transparency Data
CT scan, lower back (lumbar spine)
Facility: Methodist Mansfield Medical Center
Billing Code: 72131 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72131
- Insurance Median: $113
- Cash Discount Price: $2,263
- vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a CT scan, lower back (lumbar spine) at Methodist Mansfield Medical Center is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,263. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 2700 E Broad Street, Mansfield, TX.
Cash / Self-Pay
$2,263
Average discount available for prompt cash payment at this facility.
Insurance Median
$113
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: $2,263 (2119%)
Insurance Median: $113 (106%)
Cash: $2,263 (2119% of Medicare)
Ins. Median: $113 (106% 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 |
|---|---|---|
| UnitedHealthcare | $100 - $113 | 94% |
| Aetna | $105 - $170 | 98% |
| Blue Cross Blue Shield | $105 - $767 | 98% |
| Community Hospice Of Texas [2005] | $105 | 98% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] | $105 | 98% |
| Faith Hospice [2008] | $105 | 98% |
| Generic Hospice [2011] | $105 | 98% |
| Heart To Heart Hospice [2012] | $105 | 98% |
| Homebound Cardinal Hospice [4019] | $105 | 98% |
| Hospice Plus [2013] | $105 | 98% |
| Kindful Health Hospice [4016] | $105 | 98% |
| Lions Hospice [2015] | $105 | 98% |
| Medicare (plans) | $105 - $113 | 98% |
| New Century Hospice [2003] | $105 | 98% |
| Odyssey Hospice [2018] | $105 | 98% |
| Silverado Hospice [4017] | $105 | 98% |
| Ust Health Proof [1005] | $105 | 98% |
| Vista Care Hospice [2023] | $105 | 98% |
| Vitas Hospice [2024] | $105 | 98% |
| Vna Hospice [2025] | $105 | 98% |
| Wellcare [7016] | $105 | 98% |
| American Health Advantage Of Texas [7099] | $110 | 103% |
| Cigna | $110 - $195 | 103% |
| Globalhealth [1003] | $110 | 103% |
| Procare Advantage [7018] | $110 | 103% |
| Humana | $112 | 105% |
| Southwestern Health Resources Swhr [7015] | $112 | 105% |
| Provider Partners Health Plan [7025] | $114 | 107% |
| Alternative Service Concepts [8005] | $131 | 123% |
| Oscar Insurance Company [2057] | $137 | 128% |
| Bright Healthcare [2222] | $147 | 138% |
| Molina [3017] | $153 | 143% |
| Wellpoint Marketplace Exchange [3071] | $163 | 153% |
| Kempton Group Administrators, Tower Extrusions [3061] | $168 | 157% |
| 90 Degree Benefit [3057] | $174 | 163% |
| Allied National [2031] | $174 | 163% |
| Entrust/90 Degree [2058] | $174 | 163% |
| Ambetter / Centene | $180 | 169% |
| Imperial Insurance Companies [3073] | $189 | 177% |
| Web Tpa [3049] | $195 | 183% |
| Department Of Labor [8004] | $210 | 197% |
| Evry Health [1013] | $210 | 197% |
| Generic Workers Comp Tx Non Par [9010] | $210 | 197% |
| Generic Workers Comp Tx Par [8002] | $210 | 197% |
| Generic Workers Comp Tx Par [9011] | $210 | 197% |
| Sana Benefits [3069] | $210 | 197% |
| Tristar Risk Management [8006] | $210 | 197% |
| Velocity [3070] | $210 | 197% |
| Health Plans Inc [5017] | $263 | 246% |
| Medical Cost Containment Professionals [3059] | $263 | 246% |
| Dart Member Care [3039] | $284 | 266% |
| Healthscope Benefits [2052] | $284 | 266% |
| Healthscope Benefits [3063] | $284 | 266% |
| Medicaid / KanCare | $369 - $448 | 345% |
| Friday Health Plan [2061] | $500 | 468% |