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.
Original text from hospital filings
CT LUMBAR SPINE WO CONTRAST
Winston-Salem, NC
See all hospitals reporting CPT 72131 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $374 is 9% above the median hospital's median price ($343), higher than 52% of the 2,627 hospitals reporting CPT 72131. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 29 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 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $101.39 | $101.39 | $101.39 – $101.39 |
| 2 | Humana medicare fee schedule · outpatient | $101.39 | $101.39 | $101.39 – $101.39 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $101.39 | $101.39 | $101.39 – $101.39 |
| 4 | Aetna medicare fee schedule · outpatient | $103.92 | $103.92 | $103.92 – $103.92 |
| 5 | Cigna healthspring fee schedule · outpatient | $104.43 | $104.43 | $104.43 – $104.43 |
| 6 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $374.25 | $374.25 | $374.25 – $374.25 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $374.25 | $374.25 | $374.25 – $374.25 |
| 8 | WellCare medicaid fee schedule · outpatient | $374.25 | $374.25 | $374.25 – $374.25 |
| 9 | Cigna aca fee schedule · outpatient | $764.71 | $764.71 | $764.71 – $764.71 |
| 10 | Caresource qualified health plan fee schedule · outpatient | $790.40 | $790.40 | $790.40 – $790.40 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $1,031 | $1,031 | $1,031 – $1,031 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $1,067 | $1,067 | $1,067 – $1,067 |
| 13 | Cigna commercial fee schedule · outpatient | $1,174 | $1,174 | $1,174 – $1,174 |
| 14 | Aetna commercial fee schedule · outpatient | $1,217 | $1,217 | $1,217 – $1,217 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $1,330 | $1,330 | $1,330 – $1,330 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1,358 | $1,358 | $1,358 – $1,358 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1,358 | $1,358 | $1,358 – $1,358 |
| 18 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $1,436 | $1,436 | $1,436 – $1,436 |
| 19 | Humana commercial fee schedule · outpatient | $1,539 | $1,539 | $1,539 – $1,539 |
| 20 | Aetna aca fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 21 | Aetna first health fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 22 | Aetna non-par products of apcn fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 23 | Aetna rental network products fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 24 | Aetna whole health non-multitier fee schedule · outpatient | $1,581 | $1,581 | $1,581 – $1,581 |
| 25 | Medcost mbs fee schedule · outpatient | $1,680 | $1,680 | $1,680 – $1,680 |
Last updated: Mar 30, 2026
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