CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Bellin Memorial Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$233
about 2.2× the $107 Medicare rate · typically $110–$681
modeled estimate · not a bill or quote
What this hospital charges insurers
$261
About the fair price
about $28 over the fair price · 2.4× Medicare
Medicare pays $107 Fair price $233 This hospital $261 Cash price $415 Hospital's list price $639

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 $261

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 $233 (about 2.2× the $107 Medicare rate). Bellin Memorial Hospital charges insurers about $261, or about $415 in cash — about the fair price. Located in Green Bay, WI.

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 $105 - $756 98%
Blue Cross Blue Shieldmajor $165 - $481 154%
Aetnamajor $100 - $165 94%
Cignamajor $450 - $456 421%
Humanamajor $100 - $359 94%
+ 12 smaller / regional plans $100 - $1,628
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: 744 S Webster Ave, Green Bay, WI 54301
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals