CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Punxsutawney Area Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$114
about 1.1× the $107 Medicare rate · typically $105–$161
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $107 Fair price $114 This hospital $112 Cash price $209 Hospital's list price $569

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 $112

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 $114 (about 1.1× the $107 Medicare rate). Punxsutawney Area Hospital charges insurers about $112, or about $209 in cash — about the fair price. Located in Punxsutawney, 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 $31 - $382 29%
Blue Cross Blue Shieldmajor $27 - $2,059 25%
Aetnamajor $45 - $340 42%
Cignamajor $46 - $567 43%
Humanamajor $107 100%
Ambetter (Centene) $48 - $128 45%
AmeriHealth $45 - $120 42%
Geisinger $46 - $305 43%
UPMC Health Plan $45 - $908 42%
+ 1 smaller / regional plan $57 - $218
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals