CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Titusville Area Hospital

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$206
about 1.9× the $107 Medicare rate · typically $110–$362
modeled estimate · not a bill or quote
What this hospital charges insurers
$325
Above the fair price
about $119 over the fair price · 3.0× Medicare
Medicare pays $107 Fair price $206 This hospital $325 Cash price $1,037 Hospital's list price $1,729

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 $325

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 $206 (about 1.9× the $107 Medicare rate). Titusville Area Hospital charges insurers about $325, or about $1,037 in cash — above the fair price. Located in Titusville, 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 $206. 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.

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 $167 - $588 156%
Blue Cross Blue Shieldmajor $350 - $588 328%
Aetnamajor $588 551%
Cignamajor $588 551%
Humanamajor $588 551%
UPMC Health Plan $97 - $472 91%
+ 1 smaller / regional plan $588
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.

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Facility Profile & Credentials

  • Address: 406 West Oak Street, Titusville, PA 16354
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals