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
HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast
GERMANTOWN, TN
See all hospitals reporting CPT 72131 →Price type
Methodist Lebonheur Germantown Hosp’s median price of $97 is 72% below the median hospital's median price ($343), higher than 4% 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: 10 payers, 33 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 hb uhc mschips ob & mlh-tn adult hospitals contract other · both | $50.00 | $50.00 | $50.00 – $50.00 |
| 2 | Molina hb molina hc of ms - mscan mlh-tn contract fee schedule · both | $81.46 | $81.46 | $81.46 – $81.46 |
| 3 | UnitedHealthcare hb uhc ms can mlh-ms-ob contract fee schedule · both | $81.46 | $81.46 | $81.46 – $81.46 |
| 4 | Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $97.20 | $97.20 | $97.20 – $97.20 |
| 5 | UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $97.20 | $97.20 | $97.20 – $97.20 |
| 6 | Blue Cross Blue Shield hb medicare advantage / managed care - tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 7 | Humana hb medicare advantage / managed care - tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 8 | Medicare hb medicare-tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 9 | Optum hb medicare advantage / managed care - tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 10 | UnitedHealthcare hb medicare advantage / managed care - tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 11 | UnitedHealthcare hb va - tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 12 | WellCare hb medicare advantage / managed care - tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 13 | WellCare hb medicare advantage wellcare/wellpoint - tn contract other · both | $97.38 | $97.38 | $97.38 – $97.38 |
| 14 | Tricare hb tricare - tn contract other · both | $98.35 | $98.35 | $98.35 – $98.35 |
| 15 | Devoted hb medicare advantage devoted - tn contract other · both | $100.30 | $100.30 | $100.30 – $100.30 |
| 16 | Molina hb molina mschips - mlh-tn contract fee schedule · both | $101.83 | $101.83 | $101.83 – $101.83 |
| 17 | Blue Cross Blue Shield hb bluecare adult contract fee schedule · both | $110.68 | $110.68 | $110.68 – $110.68 |
| 18 | Blue Cross Blue Shield hb medicaid tn - bcbs tenncare select - muh-mnh-msh-mgh-mhm fee schedule · both | $115.39 | $115.39 | $115.39 – $115.39 |
| 19 | Cigna hb cigna hmo - germantown-north-south-olive branch-cancer inst-university case rate · both | $128.78 | $128.78 | $128.78 – $128.78 |
| 20 | Cigna hb cigna ifp - germantown-north-south-olive branch-cancer inst-university case rate · both | $141.32 | $141.32 | $141.32 – $141.32 |
| 21 | Cigna hb cigna localplus - germantown-north-south-olive branch-cancer inst-university case rate · both | $149.17 | $149.17 | $149.17 – $149.17 |
| 22 | UnitedHealthcare hb xr tn uhc exchange fee schedule · both | $153.85 | $153.85 | $153.85 – $153.85 |
| 23 | Cigna hb cigna oap - germantown-north-south-olive branch-cancer inst-university case rate · both | $164.87 | $164.87 | $164.87 – $164.87 |
| 24 | UnitedHealthcare hb uhc fed ex all payer (choice) fee schedule · both | $179.33 | $179.33 | $179.33 – $179.33 |
| 25 | UnitedHealthcare hb uhc all payer appendix - muh-mnh-msh-mgh-mci fee schedule · both | $179.33 | $179.33 | $179.33 – $179.33 |
Last updated: Mar 19, 2026
See CT scan of lower spine without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.