Ct scan of lower spine with contrast
Medicare pricing data for 12,437 providers across 52 states
This procedure has a 5.8x markup — hospitals charge $356.29 but Medicare allows only $61.57. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $55 in Vermont to $111 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Ct scan of lower spine with contrast (HCPCS code 72132) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.57, but hospitals typically charge $356.29 — a 5.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $61.57, your out-of-pocket cost would be approximately $12.31. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.8x more than what Medicare allows for this procedure. Medicare actually pays $47.92 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $111 | $983 | 50 | 140 | +80.1% |
| Texas | $69 | $504 | 950 | 5,181 | +12.3% |
| Washington | $69 | $326 | 277 | 1,047 | +11.8% |
| California | $68 | $421 | 1,016 | 3,606 | +10.7% |
| Nevada | $67 | $534 | 123 | 403 | +8.8% |
| New York | $67 | $338 | 608 | 2,712 | +8.5% |
| Georgia | $66 | $425 | 318 | 1,388 | +7.4% |
| New Jersey | $66 | $318 | 307 | 1,394 | +7.2% |
| Tennessee | $65 | $471 | 404 | 3,197 | +6.2% |
| Oregon | $64 | $349 | 143 | 542 | +4.5% |
| Utah | $63 | $247 | 96 | 343 | +3.1% |
| Florida | $63 | $417 | 835 | 3,501 | +2.5% |
| Indiana | $63 | $388 | 204 | 675 | +2.2% |
| Idaho | $62 | $333 | 74 | 293 | +1.0% |
| Minnesota | $62 | $442 | 444 | 1,835 | +1.0% |
| Maryland | $62 | $293 | 230 | 1,668 | +0.9% |
| Alabama | $62 | $285 | 243 | 1,302 | +0.6% |
| Kansas | $62 | $242 | 128 | 527 | +0.3% |
| New Mexico | $61 | $353 | 58 | 215 | -0.4% |
| Iowa | $61 | $302 | 89 | 233 | -0.6% |
| Connecticut | $60 | $283 | 219 | 1,139 | -1.9% |
| Missouri | $60 | $344 | 295 | 1,864 | -2.9% |
| Illinois | $59 | $406 | 454 | 1,578 | -3.9% |
| North Carolina | $59 | $326 | 480 | 2,987 | -4.1% |
| Arizona | $59 | $580 | 232 | 2,119 | -4.2% |
| District of Columbia | $59 | $287 | 36 | 181 | -4.4% |
| Rhode Island | $59 | $284 | 75 | 300 | -4.7% |
| Nebraska | $59 | $247 | 99 | 555 | -5.0% |
| Virginia | $58 | $271 | 354 | 2,151 | -5.6% |
| Colorado | $58 | $309 | 225 | 1,034 | -5.7% |
| Massachusetts | $58 | $255 | 320 | 2,746 | -5.7% |
| Arkansas | $57 | $247 | 143 | 564 | -7.0% |
| South Carolina | $57 | $282 | 184 | 844 | -7.1% |
| West Virginia | $57 | $296 | 85 | 289 | -7.9% |
| Pennsylvania | $57 | $233 | 573 | 4,328 | -8.0% |
| New Hampshire | $57 | $466 | 53 | 114 | -8.2% |
| Ohio | $56 | $314 | 482 | 1,974 | -8.6% |
| Mississippi | $56 | $311 | 101 | 362 | -8.6% |
| Delaware | $56 | $223 | 25 | 169 | -8.8% |
| Michigan | $56 | $253 | 425 | 3,030 | -8.8% |
| Maine | $56 | $231 | 29 | 41 | -8.9% |
| Montana | $56 | $239 | 47 | 215 | -9.0% |
| Hawaii | $56 | $344 | 36 | 131 | -9.2% |
| Louisiana | $56 | $307 | 171 | 606 | -9.3% |
| North Dakota | $56 | $350 | 26 | 89 | -9.5% |
| Wyoming | $56 | $334 | 19 | 77 | -9.7% |
| Puerto Rico | $56 | $233 | 7 | 38 | -9.7% |
| Oklahoma | $56 | $244 | 183 | 1,589 | -9.8% |
| Kentucky | $55 | $223 | 144 | 812 | -10.1% |
| Wisconsin | $55 | $544 | 240 | 854 | -10.4% |
| South Dakota | $55 | $155 | 23 | 93 | -10.5% |
| Vermont | $55 | $331 | 11 | 36 | -10.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber