CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Henrico Doctors' Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$295

about 2.8× the $107 Medicare rate · typically $121–$314

modeled estimate · not a bill or quote

What this hospital charges insurers

$316

About the fair price

about $21 over the fair price · 3.0× Medicare

Medicare pays $107 Fair price $295 This hospital $316 Cash price $6,415 Hospital's list price $6,415

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $105 Priciest $316

Black dot = this hospital, among the 9 VA 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 $295 (about 2.8× the $107 Medicare rate). Henrico Doctors' Hospital charges insurers about $316, or about $6,415 in cash — about the fair price. Located in Richmond, VA.

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	$245 - $2,984	229%
Blue Cross Blue Shieldmajor	$148 - $587	139%
Aetnamajor	$1,408 - $1,705	1318%
Cignamajor	$886 - $1,393	830%
Health Net	$2,169 - $4,311	2031%
+ 4 smaller / regional plans	$1,178 - $5,969

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 6,415), 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 Henrico Doctors' 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 Henrico Doctors' Hospital

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

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