CT scan of lower spine without contrast dye at Texas Orthopedic Hospital

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

Computed tomography, lumbar spine; without contrast material

HOUSTON, TX

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How this price compares nationally

Texas Orthopedic Hospital’s median price of $635 is 85% above the median hospital's median price ($343), higher than 63% 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 Texas Orthopedic Hospital

Negotiated rates from the hospital’s own file: 10 payers, 36 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 mgmcd fee schedule · outpatient	$109.02	$109.02	$109.02 – $109.02
2	Molina chip fee schedule · outpatient	$115.23	$115.23	$115.23 – $115.23
3	Molina star fee schedule · outpatient	$115.23	$115.23	$115.23 – $115.23
4	Molina starkids fee schedule · outpatient	$115.23	$115.23	$115.23 – $115.23
5	Molina starplus fee schedule · outpatient	$115.23	$115.23	$115.23 – $115.23
6	Aetna Better Health mgmcd fee schedule · outpatient	$115.43	$115.43	$115.43 – $115.43
7	Humana mcd fee schedule · outpatient	$130.94	$130.94	$130.94 – $130.94
8	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$207.04	$207.04	$207.04 – $207.04
9	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$224.16	$224.16	$224.16 – $224.16
10	UnitedHealthcare allpayerappendix fee schedule · outpatient	$245.18	$245.18	$245.18 – $245.18
11	UnitedHealthcare smallgroup fee schedule · outpatient	$245.18	$245.18	$245.18 – $245.18
12	Blue Cross Blue Shield bav fee schedule · outpatient	$277.96	$277.96	$277.96 – $277.96
13	Blue Cross Blue Shield hmo fee schedule · outpatient	$422.54	$422.54	$422.54 – $422.54
14	Blue Cross Blue Shield eposoa fee schedule · outpatient	$479.70	$479.70	$479.70 – $479.70
15	Blue Cross Blue Shield ppo fee schedule · outpatient	$536.86	$536.86	$536.86 – $536.86
16	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$541.54	$541.54	$541.54 – $541.54
17	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$541.54	$541.54	$541.54 – $541.54
18	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$541.54	$541.54	$541.54 – $541.54
19	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$541.54	$541.54	$541.54 – $541.54
20	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$541.54	$541.54	$541.54 – $541.54
21	Aetna qhpexchange per diem · outpatient	$729.00	$729.00	$729.00 – $729.00
22	Aetna newbusiness per diem · outpatient	$989.00	$989.00	$989.00 – $989.00
23	Aetna comm per diem · outpatient	$1,059	$1,059	$1,059 – $1,059
24	Aetna oon per diem · outpatient	$1,246	$1,246	$1,246 – $1,246
25	Aetna asa per diem · outpatient	$1,322	$1,322	$1,322 – $1,322

Page 1 of 2 · 36 rates

Last updated: May 14, 2026

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