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CT lumbar spine without contrast

CPT 72131 · negotiated-rate distribution across hospitals in PA

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Hospitals
58
Min
$99.79
Median
$1,029.34
Max
$2,295.27
Range multiplier
23.0×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27187$36.58$1,086.12$2,950.6080.7×
Blue Cross Blue Shield27180$42.60$466.78$2,447.5057.5×
UnitedHealthcare2795$39.92$159.38$3,560.9589.2×
upmc health plan2595$39.92$152.45$2,295.2757.5×
Cigna2791$96.03$1,171.50$2,342.0124.4×
Multiplan1150$774.47$2,666.82$3,916.005.1×
intergroup1544$918.45$2,513.30$4,160.754.5×
pa health & wellness2141$109.49$236.19$2,315.5221.1×
amerihealth caritas2240$104.42$156.26$2,208.3221.1×
First Health1334$989.10$2,030.00$3,426.503.5×
geisinger1832$120.88$192.63$2,290.7319.0×
private health care systems1326$815.23$2,097.20$3,916.004.8×
Humana1425$94.18$1,271.70$4,160.7544.2×
upmc work partners2121$240.00$701.10$713.113.0×
Medicaid219$37.53$119.19$276.337.4×
keystone first517$108.36$245.80$386.673.6×
Medicare213$44.20$96.67$234.865.3×
wirerope works512$1,724.16$1,900.96$1,900.961.1×
preferred healthcare system612$1,130.40$1,171.50$3,181.752.8×
america's choice512$2,735.20$2,735.20$3,077.101.1×
health partners plans (jefferson health plan)1111$132.85$208.99$208.991.6×
health partners plans39$105.54$105.54$112.091.1×
three rivers provider network48$750.01$1,913.56$3,077.104.1×
selectcare48$1,271.70$2,366.80$3,916.003.1×
jup geisinger commercial17$79.36$275.84$418.155.3×
health coalition partners46$1,271.70$1,879.55$3,916.003.1×
abington pro ibc16$50.33$111.05$185.853.7×
pennsylvania health and wellness36$118.15$215.14$309.402.6×
gateway health plan35$39.81$105.72$137.363.5×
innovage55$92.34$112.09$129.971.4×
jup health partners chip15$37.53$69.24$229.986.1×
naphcare45$147.74$164.84$183.671.2×
health payors organization24$2,925.00$3,542.88$4,160.751.4×
national provider network24$1,100.00$1,882.50$2,665.002.4×
Medicare Advantage24$101.50$103.88$111.171.1×
ibc23$128.63$564.89$838.486.5×
jup pa health_wellness13$65.64$114.53$180.172.7×
health plan of upper ohio valley13$101.38$101.38$1,382.7713.6×
geisinger health plan23$376.27$378.53$393.921.0×
occunet33$126.72$181.32$181.321.4×
Oscar Health33$161.12$164.84$164.841.0×
fidelis23$117.01$3,671.25$3,671.2531.4×
pa health_wellness chc23$114.53$114.53$180.171.6×
elder health33$128.89$131.87$131.871.0×
prime health services33$170.98$174.92$174.921.0×
clover health33$113.85$116.48$116.481.0×
Anthem BCBS13$395.00$1,031.53$1,379.403.5×
univera13$476.70$1,048.74$1,398.322.9×
ibc employee benefit22$115.42$118.13$120.841.0×
optum va ccn22$92.34$94.50$96.671.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Curahealth Heritage ValleyBeaverPA9$917.00$247.59$39.81$99.79$806.00
Upmc Northwest HospitalSenecaPA13$2,280.00$1,368.00$91.94$912.00$3,704.00
Upmc Bedford Memorial HospitalEverettPA17$1,413.00$847.80$36.58$876.06$1,271.70
Upmc St MargaretPittsburghPA12$2,900.00$1,740.00$87.53$832.30$2,465.00
Upmc PassavantPittsburghPA14$2,993.00$1,795.80$94.21$815.23$2,783.49
Upmc HamotEriePA16$3,178.00$1,906.80$115.76$701.10$2,542.40
Charles Cole Memorial HospitalCoudersportPA14$1,286.00$771.60$145.52$466.78$1,279.00
American Oncologic HospialPhiladelphiaPA16$6,129.00$105.54$292.05$3,799.98
Upmc ShadysidePittsburghPA20$4,895.00$2,937.00$105.72$2,295.27$4,160.75
WellsboroWellsboroPA14$3,419.00$2,480.80$112.77$2,274.89$3,248.05
Upmc JamesonNew CastlePA13$1,250.00$750.00$101.31$186.41$1,100.00
Muncy Valley HospitalMuncyPA15$3,419.00$2,051.40$112.77$1,808.65$3,248.05
Temple University HospitalPhiladelphiaPA20$6,129.00$105.54$166.31$2,083.86
Divine Providence HospitalWilliamsportPA15$3,419.00$2,051.40$102.37$1,630.86$3,077.10
Williamsport Hospital & Medical CtrWilliamsportPA15$3,419.00$2,051.40$102.37$1,630.86$3,077.10
Lock Haven HospitalLock HavenPA15$3,419.00$2,051.40$102.37$1,630.86$3,077.10
Jeanes HospitalPhiladelphiaPA18$6,129.00$105.54$154.90$2,083.86
Upmc Mercy HospitalPittsburghPA16$3,250.00$1,950.00$84.51$1,235.00$2,925.00
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$3,363.00$123.52$91.84$120.84$1,090.95
Upmc MckeesportMckeesportPA13$3,017.00$1,810.20$93.97$1,154.01$2,564.45
Upmc Horizon HospitalGreenvillePA17$3,025.00$1,815.00$90.77$1,152.53$2,571.25
Upmc East HospitalMonroevillePA13$3,105.00$1,863.00$101.65$1,089.86$2,484.00
Aria HealthPhiladelphiaPA34$1,671.00$155.09$37.53$108.36$418.15
Altoona Regional Health SystemAltoonaPA12$2,343.00$1,405.80$88.10$1,029.34$1,874.40
Upmc Childrens Hospital Of PghPittsburghPA12$2,343.00$1,405.80$88.10$1,029.34$1,874.40
The Childrens Home Of PittsburghPittsburghPA12$2,343.00$1,405.80$88.10$1,029.34$1,874.40
Upmc Magee-Womens HospitalPittsburghPA12$2,343.00$1,405.80$88.10$1,029.34$1,874.40
Allied Services Rehab HospitalScrantonPA0$314.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$314.00
Penn State Hershey Rehabilitation LlHummelstownPA0$532.00$138.37
St Christophers Hospital For ChildrPhiladelphiaPA0$7,906.00$3,953.00
Lifecare Hospitals Of Chester CountyWest ChesterPA0$2,621.00$2,621.00
Holy Spirit HospitalCamp HillPA0$532.00$127.09
Chestnut Hill HospitalPhiladelphiaPA0$2,665.00$666.25
Uniontown HospitalUniontownPA0$1,051.00$525.50
Reading Hospital And Medical CenterReadingPA0$2,665.00$1,865.50
Clarion HospitalClarionPA0$940.00$526.40
St. Joseph Medical CenterReadingPA0$532.00$138.37
Hospital Of The Univ Of PennaPhiladelphiaPA0$4,995.00$4,995.00
Windber Hospital Inc.WindberPA0$683.50$580.98
Pottstown Memorial Medical CenterPottstownPA0$3,274.00$818.50
Wayne Memorial HospitalHonesdalePA0$4,704.00$3,292.80
Phoenixville HospitalPhoenixvillePA0$2,665.00$666.25
Miners HospitalHastingsPA0$1,852.00$740.80
Westmoreland Regional HospitalGreensburgPA0$1,399.00$839.40
Armstrong County MemorialKittanningPA0$1,893.00$567.90
Butler Memorial HospitalButlerPA0$1,938.00$1,356.60
The Chester County HospitalWest ChesterPA0$2,621.00$2,621.00
Doylestown HospitalDoylestownPA0$2,752.00$2,752.00
Frick HospitalMount PleasantPA0$1,399.00$839.40
Latrobe Area HospitalLatrobePA0$1,399.00$839.40
Presbyterian Medical CenterPhiladelphiaPA0$4,165.00$4,165.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$4,995.00$4,995.00
Milton S. Hershey Medical CenterHersheyPA0$532.00$176.25
Physicians Care Surgical HospitalRoyersfordPA0$2,628.00$291.92
Hampden Medical CenterEnolaPA0$532.00$167.42
Meyersdale Community HospitalMeyersdalePA0$1,323.00$529.20
Miners HospitalHastingsPA0$1,852.00$740.80

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.