CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: St Christopher's Hospital for Children

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$149
about 1.4× the $107 Medicare rate · typically $108–$225
modeled estimate · not a bill or quote
What this hospital charges insurers
$167
About the fair price
about $18 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $149 This hospital $167 Cash price $3,953 Hospital's list price $7,906

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 $167

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 $149 (about 1.4× the $107 Medicare rate). St Christopher's Hospital for Children charges insurers about $167, or about $3,953 in cash — about the fair price. Located in Philadelphia, 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 $132 - $168 124%
Blue Cross Blue Shieldmajor $494 - $4,287 463%
Aetnamajor $154 - $5,930 144%
Cignamajor $203 190%
AmeriHealth $110 103%
Geisinger $107 - $3,558 100%
HealthPartners $136 - $1,774 127%
UPMC Health Plan $159 149%
+ 4 smaller / regional plans $119 - $298

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 160 East Erie Ave, Philadelphia, PA 19134
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens