CT scan, lower back (lumbar spine)
Facility: Northern Louisiana Medical Center
Billing Code: 72131 (CPT)
- CPT Billing Code: 72131
- Insurance Median: $3,723
- Cash Discount Price: $2,048
- vs. Medicare Baseline: 34.86x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 3486% of the Medicare baseline (a markup of 3386%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $226 - $532 | 212% |
| UnitedHealthcare | $278 - $2,238 | 260% |
| Medicaid / KanCare | $532 - $3,723 | 498% |
| Aetna | $532 - $2,234 | 498% |
| Humana | $586 | 549% |
| Golden Rule Ins | $1,392 - $2,238 | 1303% |
| First Health | $1,600 - $3,165 | 1498% |
| Verity Healthnet | $1,824 | 1708% |
| Cigna | $1,862 | 1743% |
| Kaiser Permanente | $1,862 | 1743% |
| Gilsbar | $2,048 | 1917% |
| Self Pay | $2,048 | 1917% |
| Geha | $2,978 - $3,537 | 2788% |
| Multiplan | $3,165 | 2963% |
| PHCS | $3,165 | 2963% |
| Work Comp City of Ruston | $3,351 | 3137% |
| Work Comp First Health | $3,351 | 3137% |
| Work Comp Nlmc Emp | $3,351 | 3137% |
| Workers Compensation | $3,351 | 3137% |
| The Hartford | $3,723 | 3486% |
| Equitable | $3,723 | 3486% |
| Fox Everett Inc | $3,723 | 3486% |
| Nlmc Community Services | $3,723 | 3486% |
| Liberty Mutual Group | $3,723 | 3486% |
| State Farm Insurance | $3,723 | 3486% |
| Lin Parish Detention | $3,723 | 3486% |
| Nalc Health Benefit Plan | $3,723 | 3486% |
| Apwu Health Plan | $3,723 | 3486% |
| Ruston Regional Specialty | $3,723 | 3486% |
| Washington National Ins | $3,723 | 3486% |
| Benefit Trust Life | $3,723 | 3486% |
| Mva Insurance Payors | $3,723 | 3486% |
| Gsu Athletics | $3,723 | 3486% |
| Ltu Athletics | $3,723 | 3486% |
| Lifecare Specialty Hosp | $3,723 | 3486% |
| McR American Hlth Adv | $3,723 | 3486% |
| United Teachers Ins | $3,723 | 3486% |
| Us Dept of Labor | $3,723 | 3486% |
| Misc Commercial | $3,723 | 3486% |
| Crime Victims Compensatio | $3,723 | 3486% |
| Ima Insurance | $3,723 | 3486% |
| Healthfirst Tpa | $3,723 | 3486% |
| Sterling Investors Life | $3,723 | 3486% |
| Ltu Student Ins Bollinger | $3,723 | 3486% |
| State Mutual Ins | $3,723 | 3486% |
| Liberty Healthshare | $3,723 | 3486% |
| Nalc Natl Assoc Ltr Carri | $3,723 | 3486% |
| Industrial Accounts | $3,723 | 3486% |
| Union Bankers Insurance C | $3,723 | 3486% |
| Premier Hospice | $3,723 | 3486% |
| Principal Mutual Life Ins | $3,723 | 3486% |
| Aflc American Family Life | $3,723 | 3486% |
| Bankers Life and Casualty | $3,723 | 3486% |
| Specialty Hosp of Winnfie | $3,723 | 3486% |
| Physicians Mutual Ins | $3,723 | 3486% |
| Guarantee Trust Life Ins | $3,723 | 3486% |
| Aarp | $3,723 | 3486% |
| Gmp Employers Retiree Tru | $3,723 | 3486% |
| Union Fidelity Life Ins | $3,723 | 3486% |
| Lincoln Kidney Center | $3,723 | 3486% |
| Protective Life Ins | $3,723 | 3486% |
| Hospice of Caring Hearts | $3,723 | 3486% |
| Newera | $3,723 | 3486% |
| United American | $3,723 | 3486% |
| American Life Accident | $3,723 | 3486% |