CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Marshfield Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$545
about 5.1× the $107 Medicare rate · typically $189–$892
modeled estimate · not a bill or quote
What this hospital charges insurers
$585
About the fair price
about $40 over the fair price · 5.5× Medicare
Medicare pays $107 Fair price $545 This hospital $585 Cash price $1,285 Hospital's list price $1,353

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $51 Priciest $585

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, lower back (lumbar spine) is about $545 (about 5.1× the $107 Medicare rate). Marshfield Medical Center charges insurers about $585, or about $1,285 in cash — about the fair price. Located in Marshfield, WI.

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 $585 548%
Blue Cross Blue Shieldmajor $1,609 - $1,838 1506%
Aetnamajor $1,299 1216%
Cignamajor $1,272 1191%
HealthPartners $1,285 1203%
Medica $1,256 - $1,281 1176%
Molina $1,150 1077%
Sanford Health Plan $744 697%
Security Health Plan $1,188 - $1,748 1112%
+ 9 smaller / regional plans $676 - $1,306
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 611 St Joseph Ave, Marshfield, WI 54449
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals