CMS Price Transparency Data

CT scan, pelvis

Facility: Jefferson Einstein Philadelphia Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$133
about 1.2× the $107 Medicare rate · typically $121–$185
modeled estimate · not a bill or quote
What this hospital charges insurers
$125
About the fair price
about $8 under the fair price · 1.2× Medicare
Medicare pays $107 Fair price $133 This hospital $125 Cash price $125

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 $82 Priciest $125

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, pelvis is about $133 (about 1.2× the $107 Medicare rate). Jefferson Einstein Philadelphia Hospital charges insurers about $125, or about $125 in cash — about the fair price. Located in Philadelphia, 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 $111 - $300 104%
Blue Cross Blue Shieldmajor $114 107%
Aetnamajor $115 - $297 108%
Cignamajor $113 - $305 106%
Humanamajor $108 101%
Geisinger $91 - $442 85%
UPMC Health Plan $114 - $160 107%
WellCare $119 111%
+ 2 smaller / regional plans $115 - $2,832

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Facility Profile & Credentials

  • Address: 5501 Old York Road, Philadelphia, PA 19141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals