CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: UPMC Memorial

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$192
about 1.8× the $107 Medicare rate · typically $126–$388
modeled estimate · not a bill or quote
What this hospital charges insurers
$226
Above the fair price
about $34 over the fair price · 2.1× Medicare
Medicare pays $107 Fair price $192 This hospital $226 Cash price $876 Hospital's list price $1,460

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 $226

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 $192 (about 1.8× the $107 Medicare rate). UPMC Memorial charges insurers about $226, or about $876 in cash — above the fair price. Located in York, 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 $192. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $109 - $1,075 102%
Blue Cross Blue Shieldmajor $176 - $1,186 165%
Aetnamajor $106 - $829 99%
Cignamajor $107 - $589 100%
AmeriHealth $176 165%
Geisinger $107 - $1,055 100%
HealthPartners $189 177%
UPMC Health Plan $180 - $1,029 169%
+ 6 smaller / regional plans $163 - $1,186
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

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1701 Innovation Drive, York, PA 17408
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals