Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 77049 · PONCE, PR

77049 — MRI Breast C-+ W/cad Bi

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.

$295 All-payer median here
$975 Cash / self-pay here
15 payer/plan-name variants
← This hospital National rates for 77049 →
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
   
Prossam $750 154.2% 1
MAPFRE $750 154.2% 1
Humana $497 68.4% 2
BL $342 15.9% 1
Plan de Salud Menonita $301 2.1% 2
Fondo Del Seguro Estado $295 0.0% 1
TRIPLE-S SALUD $295 0.0% 3
CH $295 0.0% 1
Salud Correccional $295 0.0% 1
TRICARE $265 -10.0% 1
MCS $236 -20.1% 2
FIRST MEDICAL HEALTH PLAN (REFORM) $235 -20.4% 2
Privado $207 -30.0% 1
VA / CHAMPVA $206 -30.1% 1
MSO $177 -39.9% 2

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.