CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Surgical Institute of Reading

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$149
about 1.4× the $107 Medicare rate · typically $81–$315
modeled estimate · not a bill or quote
What this hospital charges insurers
$181
Above the fair price
about $32 over the fair price · 1.7× Medicare
Medicare pays $107 Fair price $149 This hospital $181 Cash price $151 Hospital's list price $2,441

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 $181

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 $149 (about 1.4× the $107 Medicare rate). Surgical Institute of Reading charges insurers about $181, or about $151 in cash — above the fair price. Located in Wyomissing, 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 $149. 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 $109 102%
Blue Cross Blue Shieldmajor $181 - $193 169%
Aetnamajor $105 - $2,026 98%
Cignamajor $114,239 106955%
Geisinger $105 - $157 98%
+ 2 smaller / regional plans $88 - $1,465
Government programs also on file: Military & VA.
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.

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Facility Profile & Credentials

  • Address: 2752 Century Boulevard, Wyomissing, PA 19610
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals