CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: UPMC Wellsboro

Billing Code: 72131 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$159
about 1.5× the $107 Medicare rate · typically $98–$365
modeled estimate · not a bill or quote
What this hospital charges insurers
$152
About the fair price
about $7 under the fair price · 1.4× Medicare
Medicare pays $107 Fair price $159 This hospital $152 Cash price $2,266 Hospital's list price $3,260

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 $152

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 $159 (about 1.5× the $107 Medicare rate). UPMC Wellsboro charges insurers about $152, or about $2,266 in cash — about the fair price. Located in Wellsboro, PA.

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 $113 - $2,906 106%
Blue Cross Blue Shieldmajor $155 - $1,729 145%
Aetnamajor $558 - $2,951 522%
Cignamajor $651 - $718 609%
AmeriHealth $152 142%
Geisinger $152 - $2,291 142%
HealthPartners $209 196%
UPMC Health Plan $152 - $1,491 142%
+ 4 smaller / regional plans $236 - $3,077
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

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Facility Profile & Credentials

  • Address: 32-36 Central Avenue, Wellsboro, PA 16901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals