Payer comparison · CPT 70543 · SAN JUAN, PR

70543 — Pr MRI Orbt/face/nck Wo/w Cntrst

What each payer pays HOSPITAL PAVIA SANTURCE (CCN 400019) 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.

$304 All-payer median here

$1,503 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 70543 →

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	$802	163.5%	2
NHI	$800	162.7%	1
BL	$650	113.5%	1
Bella Vista	$433	42.3%	1
Humana	$431	41.6%	2
MC	$388	27.3%	1
TRIPLE-S SALUD	$366	20.1%	3
CORVEL	$358	17.4%	1
MAPFRE	$350	14.9%	1
Nagico Insurance	$325	6.7%	1
MCS	$313	2.9%	2
Cigna Healthcare	$306	0.6%	1
Virgin Islands Medicaid	$288	-5.3%	1
Fondo Del Seguro Estado	$288	-5.3%	1
Comerciales	$286	-6.1%	1
FIRST MEDICAL HEALTH PLAN (REFORM)	$284	-6.8%	2
Prossam	$239	-21.6%	1
Plan de Salud Menonita	$227	-25.6%	2
TRICARE	$171	-43.7%	1
Plan Socios Auxilio	$162	-46.6%	1
Auxilio Salud Plus	$162	-46.6%	1
MSO	$155	-49.0%	2
VA / CHAMPVA	$110	-64.0%	1
Aetna	$110	-64.0%	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.