CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$155
about 1.4× the $107 Medicare rate · typically $114–$167
modeled estimate · not a bill or quote
What this hospital charges insurers
$168
About the fair price
about $13 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $155 This hospital $168

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 $168

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 $155 (about 1.4× the $107 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $168 — about the fair price. Located in East Stroudsburg, 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 $115 - $159 108%
Blue Cross Blue Shieldmajor $113 - $496 106%
Aetnamajor $116 - $615 109%
Cignamajor $114 - $403 107%
Humanamajor $118 110%
Ambetter (Centene) $336 315%
AmeriHealth $114 - $152 107%
Devoted Health $118 110%
Geisinger $116 - $263 109%
HealthPartners $116 - $222 109%
UPMC Health Plan $118 - $540 110%
+ 5 smaller / regional plans $119 - $647

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Facility Profile & Credentials

  • Address: 206 East Brown Street, East Stroudsburg, PA 18301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals