CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: St Luke's Warren Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$159
about 1.5× the $107 Medicare rate · typically $118–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$166
About the fair price
about $7 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $159 This hospital $166 Cash price $5,245 Hospital's list price $5,828

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $118 Priciest $166

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, lower back (lumbar spine) is about $159 (about 1.5× the $107 Medicare rate). St Luke's Warren Hospital charges insurers about $166, or about $5,245 in cash — about the fair price. Located in Phillipsburg, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $117 - $1,562 110%
Blue Cross Blue Shieldmajor $117 - $1,357 110%
Aetnamajor $119 - $2,034 111%
Cignamajor $1,583 1482%
Humanamajor $122 114%
AmeriHealth $166 155%
Geisinger $119 - $1,639 111%
Oscar Health $1,515 1418%
UPMC Health Plan $123 - $1,597 115%

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 185 Roseberry St, Phillipsburg, NJ 08865
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals