CT scan, lower back (lumbar spine)
Facility: Bmh-Calhoun
Billing Code: 72131 (CPT)
- CPT Billing Code: 72131
- Insurance Median: $1,430
- Cash Discount Price: $960
- vs. Medicare Baseline: 13.39x 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 1339% of the Medicare baseline (a markup of 1239%). 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 |
|---|---|---|
| Veterans Evaluation Services | $106 | 99% |
| Molina | $108 - $1,469 | 101% |
| PPO Holdings | $702 | 657% |
| Magnolia Regional Health Center | $739 | 692% |
| Tricare | $754 | 706% |
| Ms Breast and Cervical | $794 | 743% |
| Vaccn | $794 | 743% |
| Triwest | $794 | 743% |
| Devoted Health | $810 | 758% |
| Blue Cross Blue Shield | $818 - $1,478 | 766% |
| Shared Health | $834 | 781% |
| Humana | $834 - $1,478 | 781% |
| Primewell | $834 | 781% |
| Aetna | $834 - $1,201 | 781% |
| American Health Plan | $834 | 781% |
| Magnolia Ms | $905 | 847% |
| Littler | $924 | 865% |
| Cigna | $1,016 | 951% |
| First Choice Health Plan of Ms | $1,191 | 1115% |
| First State Bank Trust | $1,350 | 1264% |
| Burch Food Services | $1,350 | 1264% |
| Arlington Community Schools | $1,430 | 1339% |
| Mechanical Systems | $1,430 | 1339% |
| United Tn Holdings | $1,430 | 1339% |
| Hollowell Industries | $1,430 | 1339% |
| Carlisle | $1,430 | 1339% |
| W G Yates | $1,430 | 1339% |
| City of Lakeland | $1,430 | 1339% |
| Watkins Uiberall | $1,430 | 1339% |
| Y K Auto Group | $1,430 | 1339% |
| Bartlett City Schools | $1,430 | 1339% |
| Delta Industries | $1,430 | 1339% |
| Malco Theaters | $1,430 | 1339% |
| Jas D Collier | $1,430 | 1339% |
| Radians | $1,430 | 1339% |
| State Systems | $1,430 | 1339% |
| Dunn Investment Company | $1,430 | 1339% |
| Hospitality Management Advisors | $1,430 | 1339% |
| Ritchey Automotive | $1,430 | 1339% |
| City of Bartlett | $1,430 | 1339% |
| Minact | $1,430 | 1339% |
| Crittenden County | $1,430 | 1339% |
| Building Plastic | $1,430 | 1339% |
| French Camp Academy | $1,430 | 1339% |
| Security One | $1,430 | 1339% |
| Desoto Co Board of Supervisors | $1,430 | 1339% |
| Lakeland School System | $1,430 | 1339% |
| Retzer Resources | $1,430 | 1339% |
| Armstrong Relocation | $1,430 | 1339% |
| Gossett Motor Cars | $1,430 | 1339% |
| Brimhall Foods | $1,430 | 1339% |
| Cannon Motor Company | $1,430 | 1339% |
| Town of Collierville | $1,430 | 1339% |
| Hattiesburg Clinic | $1,430 | 1339% |
| W W Wood Products | $1,430 | 1339% |
| Vaughn Electric | $1,430 | 1339% |
| Silver Tree | $1,430 | 1339% |
| Patterson Warehouses | $1,430 | 1339% |
| Rei Nation | $1,430 | 1339% |
| Collierville Schools | $1,430 | 1339% |
| First Community Bank | $1,430 | 1339% |
| Eas Mssc Schools | $1,430 | 1339% |
| Mid-South Transport | $1,430 | 1339% |
| Heavy Machines | $1,430 | 1339% |
| Ashley Furniture Stores | $1,430 | 1339% |
| Davidson Hospitality | $1,430 | 1339% |
| Heartland Catfish Company | $1,430 | 1339% |
| Advanced Health Systems Inc. | $1,478 | 1384% |
| Christian Health Aid | $1,478 | 1384% |
| PPO Plus | $1,570 | 1470% |
| Harding Academy | $1,588 | 1487% |
| Employers Health Network | $1,588 | 1487% |
| Qca | $1,662 | 1556% |
| Multiplan | $1,662 | 1556% |