CT scan, lower back (lumbar spine)
Facility: American Fork Hospital
Billing Code: 72131 (CPT)
This hospital's typical commercial price is $107 compared to the $106 fair price benchmark.
4-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Highest price of the 9 UT hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.
Note: 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 $106 (about 1.0× the $107 Medicare rate). American Fork Hospital charges insurers about $107, or about $1,863 in cash — about the fair price. Located in American Fork, UT.
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
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 | $46 - $2,111 | 43% |
| Blue Cross Blue Shieldmajor | $46 - $1,888 | 43% |
| Aetnamajor | $46 - $2,111 | 43% |
| Cignamajor | $1,565 - $2,111 | 1465% |
| Humanamajor | $46 - $110 | 43% |
| HealthPartners | $46 - $105 | 43% |
| Molina | $46 - $116 | 43% |
| SelectHealth | $46 - $1,257 | 43% |
| + 32 smaller / regional plans | $45 - $2,235 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at American Fork Hospital
Compare: CT scan, lower back (lumbar spine) at other UT hospitals
- Primary Children's Hospital · Salt Lake City $64
- Intermountain Health Utah Valley Hospital · Provo $94
- Intermountain Health Riverton Hospital · Riverton $102
- Holy Cross Hospital - Salt Lake · Salt Lake City $105
- Holy Cross Hospital-Davis · Layton $105
- Holy Cross Hospital-Jordan Valley · West Jordan $105
- Intermountain Health Layton Hospital · Layton $105
- Intermountain Health Spanish Fork Hospital · Spanish Fork $105
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at American Fork Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $902
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $902).
Self-Pay Cash Rate ($1,863) Beats Your Bill
American Fork Hospital's published 45 CFR § 180 self-pay cash rate is $1,863 (vs. $107 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $106 Fair BaseRate ($107 Medicare)
Your bill ($2,484) is $2,378 above the denoised Fair BaseRate ($106) and 23.2× the $107 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.