CT scan, lower back (lumbar spine)
Facility: Schuylkill Medical Center - South Jackson Street
Billing Code: 72131 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a CT scan, lower back (lumbar spine) is about $132 (about 1.2× the $107 Medicare rate). Schuylkill Medical Center - South Jackson Street charges insurers about $164 — above the fair price. Located in Pottsville, PA.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $132. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $109 - $164 | 102% |
| Blue Cross Blue Shieldmajor | $105 - $1,160 | 98% |
| Aetnamajor | $110 - $582 | 103% |
| Cignamajor | $108 - $403 | 101% |
| Humanamajor | $111 | 104% |
| Ambetter (Centene) | $319 | 299% |
| AmeriHealth | $108 - $159 | 101% |
| Devoted Health | $111 | 104% |
| Geisinger | $107 - $256 | 100% |
| HealthPartners | $110 - $210 | 103% |
| UPMC Health Plan | $111 - $512 | 104% |
| + 5 smaller / regional plans | $112 - $612 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Schuylkill Medical Center - South Jackson Street
Compare: CT scan, lower back (lumbar spine) at other PA hospitals
- Penn Highlands Connellsville · Connellsville $83
- Heritage Valley Beaver · Beaver $99
- Heritage Valley Sewickley · Sewickley $99
- Penn State Health Hampden Medical Center · Enola $103
- Penn State Health Lancaster Medical Center · Lancaster $104
- Allegheny Valley Hospital · Natrona $106
- Uniontown Hospital · Uniontown $106
- Allegheny General Hospital · Pittsburgh $106
Insurance negotiated median for the same procedure, sorted lowest first.