Lumbar spine CT scan, without then with contrast at UPMC Kane

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT LUMBAR W/WO

Kane, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Kane’s median price of $595 is 25% above the median hospital's median price ($475), higher than 56% of the 2,501 hospitals reporting CPT 72133. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72133 at UPMC Kane

Negotiated rates from the hospital’s own file: 6 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Aetna chip/medicaid facility · fee schedule · outpatient	$215	$215	—	—	—	$215 – $215
2	UnitedHealthcare unison kids facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
3	Highmark medicaid facility · fee schedule · outpatient	$289	$289	—	—	—	$289 – $289
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$304	$304	—	—	—	$304 – $304
5	Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$524	$524	$368	70%	—	$156 – $892
6	Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$524	$524	$368	70%	—	$156 – $892
7	Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$524	$524	$368	70%	—	$156 – $892
8	Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$524	$524	$368	70%	—	$156 – $892
9	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$539	$539	$379	70%	—	$160 – $918
10	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$545	$545	$383	70%	—	$162 – $928
11	UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges	$550	$550	$387	70%	—	$164 – $937
12	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$566	$566	$398	70%	—	$168 – $964
13	UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges	$577	$577	$405	70%	—	$171 – $982
14	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$595	$595	—	—	—	$595 – $595
15	Highmark managed care - social mission facility · fee schedule · outpatient	$595	$595	—	—	—	$595 – $595
16	UnitedHealthcare commercial facility · per diem · outpatient	$701	$701	—	—	—	$701 – $701
17	Highmark commercial - indemnity facility · fee schedule · outpatient	$729	$729	—	—	—	$729 – $729
18	Highmark managed care facility · fee schedule · outpatient	$729	$729	—	—	—	$729 – $729
19	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$992	$992	$697	70%	—	$295 – $1.7k
20	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$992	$992	$697	70%	—	$295 – $1.7k
21	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	$747	70%	—	$316 – $1.8k
22	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$747	70%	—	$316 – $1.8k
23	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$31.9k	$31.9k	$22.4k	70%	—	$9.5k – $54.3k

Last updated: Mar 6, 2026

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