CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Houston Methodist Cypress Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$148

about 1.4× the $107 Medicare rate · typically $121–$316

modeled estimate · not a bill or quote

What this hospital charges insurers

$142

About the fair price

about $6 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $148 This hospital $142 Cash price $1,225 Hospital's list price $2,449

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 $142

Black dot = this hospital, among the 9 TX 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 $148 (about 1.4× the $107 Medicare rate). Houston Methodist Cypress Hospital charges insurers about $142, or about $1,225 in cash — about the fair price. Located in Cypress, TX.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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
UnitedHealthcaremajor	$107 - $205	100%
Blue Cross Blue Shieldmajor	$105 - $814	98%
Aetnamajor	$107 - $335	100%
Cignamajor	$108	101%
Devoted Health	$112	105%
Molina	$110 - $210	103%
+ 1 smaller / regional plan	$171

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,225), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72131.

Insurance Before you use insurance

Call your insurance company to confirm Houston Methodist Cypress Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72131.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Houston Methodist Cypress Hospital

Compare: CT scan, lower back (lumbar spine) at other TX hospitals

Insurance negotiated median for the same procedure, sorted lowest first.