CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Geisinger-Community Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$153
about 1.4× the $107 Medicare rate · typically $120–$182
modeled estimate · not a bill or quote
What this hospital charges insurers
$163
About the fair price
about $10 over the fair price · 1.5× Medicare
Medicare pays $107 Fair price $153 This hospital $163 Cash price $3,140 Hospital's list price $5,064

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $83 Priciest $163

Black dot = this hospital, among the 9 PA 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 $153 (about 1.4× the $107 Medicare rate). Geisinger-Community Medical Center charges insurers about $163, or about $3,140 in cash — about the fair price. Located in Scranton, PA.

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 $1,173 1098%
Blue Cross Blue Shieldmajor $394 - $1,098 369%
Aetnamajor $110 - $2,988 103%
Cignamajor $2,233 2091%
Humanamajor $107 100%
Ambetter (Centene) $347 325%
AmeriHealth $159 149%
Geisinger $105 - $302 98%
Health Net $2,968 2779%
HealthPartners $166 155%
UPMC Health Plan $163 - $173 153%
+ 4 smaller / regional plans $105 - $4,558
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1822 Mulberry Street, Scranton, PA 18510
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals