Payer comparison · CPT 72157 · PONCE, PR

72157 — Pr MRI Thorac Spine Wo/w Cntrst

What each payer pays HOSPITAL METROPOLITANO DR PILA (CCN 400003) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$265 All-payer median here

$800 Cash / self-pay here

22 payer/plan-name variants

← This hospital National rates for 72157 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

UnitedHealthcare	$1,300	390.7%	1
ACAA	$750	183.1%	1
Comerciales	$700	164.2%	1
MAPFRE	$650	145.4%	1
MC	$388	46.3%	1
Humana	$380	43.5%	2
Cigna Healthcare	$358	35.3%	1
BL	$325	22.7%	1
MCS	$275	3.7%	2
Plan de Salud Menonita	$274	3.5%	2
TRIPLE-S SALUD	$273	3.2%	3
Fondo Del Seguro Estado	$273	3.2%	1
Salud Correccional	$265	0.0%	1
CH	$265	0.0%	1
Prossam	$260	-1.8%	1
TRICARE	$239	-9.7%	1
Hospicio	$215	-18.7%	1
FIRST MEDICAL HEALTH PLAN (REFORM)	$214	-19.4%	2
VA / CHAMPVA	$170	-35.6%	1
Auxilio Mutuo	$162	-38.7%	1
MSO	$147	-44.4%	2
Privado	$131	-50.6%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.