CT scan, lower back (lumbar spine)
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 72131 (CPT)
- CPT Billing Code: 72131
- Insurance Median: $2,540
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 23.78x 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 2378% of the Medicare baseline (a markup of 2278%). 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 |
|---|---|---|
| Tricare | $106 | 99% |
| Devoted Health Plan | $121 | 113% |
| Oxford | $174 | 163% |
| Global Exchange Managed Care | $176 | 165% |
| Health Partners Plan | $235 | 220% |
| Americhoice | $438 | 410% |
| UnitedHealthcare | $438 - $2,408 | 410% |
| Wellcare | $468 | 438% |
| Horizon | $471 - $2,374 | 441% |
| Self Pay | $509 | 477% |
| Magnacare | $1,356 - $3,052 | 1270% |
| Cigna | $1,423 - $1,709 | 1332% |
| Qualcare Commercial | $1,696 | 1588% |
| Evernorth | $1,696 | 1588% |
| Great West Life | $1,709 | 1600% |
| Aetna | $1,950 - $2,801 | 1826% |
| Amerihealth | $2,180 - $2,850 | 2041% |
| Mutual of Omaha | $2,204 | 2063% |
| Qualcare Wc | $2,204 | 2063% |
| First McO | $2,204 | 2063% |
| Active Care Plus | $2,204 | 2063% |
| Consumer Health Network (Chn) | $2,374 - $3,052 | 2223% |
| Donio Trucking | $2,374 | 2223% |
| Devon/ Ullicare | $2,543 | 2381% |
| Private Healthcare System (PHCS) | $2,713 | 2540% |
| Coventry Health Care | $2,713 | 2540% |
| Blue Cross Blue Shield | $2,790 | 2612% |
| Health Payors Org | $2,882 | 2698% |
| Prime Health Services | $2,882 | 2698% |
| Three Rivers Provider Network (Trpn) | $2,882 | 2698% |
| Health South | $2,882 | 2698% |
| Metrahealth of Nj | $2,882 | 2698% |
| McS Commercial | $3,052 | 2857% |
| Metracomp | $3,052 | 2857% |
| Choice Care | $3,052 | 2857% |
| Health Network Inc | $3,052 | 2857% |
| Multiplan | $3,052 | 2857% |
| Galaxy Health Network | $3,052 | 2857% |
| Active Care Nj Pip | $3,052 | 2857% |
| Provider Select, Inc | $3,052 | 2857% |
| Intergroup Preferred Program | $3,052 | 2857% |
| Beech Street | $3,052 | 2857% |
| Department of Corrections | $3,052 | 2857% |
| Atlantis Health Plan | $3,137 | 2937% |
| Master Care Inc | $3,137 | 2937% |
| Advance Healthcare System | $3,221 | 3016% |
| Community Care Network | $3,221 | 3016% |
| McSi/Mrsi No Fault | $3,221 | 3016% |
| McSi/Mrsi Worker's Comp | $3,221 | 3016% |
| Health Network America | $3,221 | 3016% |
| National Health Plan | $3,221 | 3016% |