CT scan of lower spine without contrast dye at Alexian Brothers Medical Center

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT LUMBAR SPINE W/O DYE

Village, IL

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How this price compares nationally

Alexian Brothers Medical Center’s median price of $139 is 59% below the median hospital's median price ($343), higher than 20% of the 2,627 hospitals reporting CPT 72131. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72131 at Alexian Brothers Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare 1663_medicare advantage uhc inpatient (ab,sa) 95% 20231001 other · inpatient	$105.31	$105.31	$105.31 – $105.31
2	UnitedHealthcare 1695_medicare advantage uhc outpatient (ab,sa) 95% 20240101 other · outpatient	$105.31	$105.31	$105.31 – $105.31
3	Aetna 1657_medicare advantage aetna inpatient (ab,sa) 20231001 other · inpatient	$110.85	$110.85	$110.85 – $110.85
4	Aetna 1689_medicare advantage aetna outpatient (ab,sa) 20240101 other · outpatient	$110.85	$110.85	$110.85 – $110.85
5	Blue Cross Blue Shield 1690_medicare advantage bcbs outpatient (ab,sa) 20240101 other · outpatient	$110.85	$110.85	$110.85 – $110.85
6	Blue Cross Blue Shield 1733_medicare advantage bcbs inpatient (ab,sa) 20240101 other · inpatient	$110.85	$110.85	$110.85 – $110.85
7	Humana 1659_medicare advantage humana inpatient (ab,sa) 20231001 other · inpatient	$110.85	$110.85	$110.85 – $110.85
8	Humana 1691_medicare advantage humana outpatient (ab,sa) 20240101 other · outpatient	$110.85	$110.85	$110.85 – $110.85
9	UnitedHealthcare 1661_medicare advantage uhc inpatient 100% (ab,sa) 20231001 other · inpatient	$110.85	$110.85	$110.85 – $110.85
10	UnitedHealthcare 1694_medicare advantage uhc outpatient (ab,sa) 100% 20240101 other · outpatient	$110.85	$110.85	$110.85 – $110.85
11	UnitedHealthcare 1662_medicare advantage uhc inpatient (ab,sa) 101% 20231001 other · inpatient	$111.96	$111.96	$111.96 – $111.96
12	Molina 1645_medicare advantage molina hc of il inpatient 103% 20231001 other · inpatient	$114.18	$114.18	$114.18 – $114.18
13	Molina 1693_medicare advantage molina hc of il outpatient (ab,sa) 103% 20240101 other · outpatient	$114.18	$114.18	$114.18 – $114.18
14	Aetna Better Health 1656_medicare advantage aetna better health inpatient (ab,sa) 20231001 other · inpatient	$116.39	$116.39	$116.39 – $116.39
15	Aetna Better Health 1688_medicare advantage aetna better health outpatient (ab,sa) 20240101 other · outpatient	$116.39	$116.39	$116.39 – $116.39
16	Cigna 1615_cigna ifp (ab) 20231001 other · outpatient	$139.56	$139.56	$139.56 – $139.56
17	Blue Cross Blue Shield 1681_blue cross blue shield focus care (ab) outpatient 20240101 other · outpatient	$145.21	$145.21	$145.21 – $145.21
18	Blue Cross Blue Shield 1731_blue cross blue shield focus care (ab) inpatient 20240101 other · inpatient	$145.21	$145.21	$145.21 – $145.21
19	Blue Cross Blue Shield 1729_blue cross blue shield bcs (ab) inpatient 20240101 other · inpatient	$147.43	$147.43	$147.43 – $147.43
20	Ambetter 1646_ambetter (ab,sa) inpatient 20231001 other · inpatient	$179.58	$179.58	$179.58 – $179.58
21	Ambetter 1683_ambetter (ab,sa) outpatient 20240101 other · outpatient	$179.58	$179.58	$179.58 – $179.58
22	Blue Cross Blue Shield 1700_blue cross blue shield bcs (ab) outpatient 20240101 other · outpatient	$193.99	$193.99	$193.99 – $193.99
23	Aetna 1717_aetna hmo (ab,sa) 20240101 other · outpatient	$213.69	$213.69	$213.69 – $213.69
24	Humana 1621_humana ppo (ab) 20231001 fee schedule · outpatient	$429.22	$429.22	$429.22 – $429.22
25	Humana 1619_humana hmo (ab) 20231001 fee schedule · outpatient	$432.15	$432.15	$432.15 – $432.15

Page 1 of 2 · 30 rates

Last updated: Jan 1, 2026

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