CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Stephens Memorial Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$375
about 3.5× the $107 Medicare rate · typically $107–$968
modeled estimate · not a bill or quote
What this hospital charges insurers
$421
About the fair price
about $46 over the fair price · 3.9× Medicare
Medicare pays $107 Fair price $375 This hospital $421 Cash price $1,077 Hospital's list price $1,538

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 $421

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 $375 (about 3.5× the $107 Medicare rate). Stephens Memorial Hospital charges insurers about $421, or about $1,077 in cash — about the fair price. Located in Breckenridge, TX.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $135 - $790 126%
Blue Cross Blue Shieldmajor $347 - $1,844 325%
Aetnamajor $135 - $1,844 126%
Cignamajor $1,636 1532%
Humanamajor $830 777%
+ 1 smaller / regional plan $460
Government programs also on file: Medicaid.

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Facility Profile & Credentials

  • Address: 200 South Geneva Street, Breckenridge, TX 76424
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals