CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Jefferson Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 1.0× the $107 Medicare rate · typically $103–$118
modeled estimate · not a bill or quote
What this hospital charges insurers
$106
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $107 Fair price $108 This hospital $106 Cash price $1,187 Hospital's list price $1,465

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 0 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $83 Priciest $106

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 $108 (about 1.0× the $107 Medicare rate). Jefferson Hospital charges insurers about $106, or about $1,187 in cash — about the fair price. Located in Jefferson Hills, 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 $73 - $335 68%
Blue Cross Blue Shieldmajor $48 - $191 45%
Aetnamajor $106 - $249 99%
Cignamajor $75 - $239 70%
Humanamajor $108 101%
AmeriHealth $53 - $229 50%
Geisinger $73 - $222 68%
Medical Mutual $252 236%
Molina $112 105%
+ 6 smaller / regional plans $39 - $532
Government programs also on file: Medicare.

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: 565 Coal Valley Road, Jefferson Hills, PA 15025
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals