Payer comparison · CPT 72149 · SAN JUAN, PR

72149 — MRI Lumbar Spine With Contrast

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.

$239 All-payer median here

$1,788 Cash / self-pay here

25 payer/plan-name variants

← This hospital National rates for 72149 →

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

NHI	$800	235.4%	1
BL	$520	118.0%	1
Humana	$454	90.4%	2
UnitedHealthcare	$444	86.3%	2
Bella Vista	$433	81.7%	1
MC	$388	62.5%	1
TRIPLE-S SALUD	$366	53.3%	3
CORVEL	$358	49.9%	1
MAPFRE	$350	46.7%	1
Nagico Insurance	$325	36.3%	1
FIRST MEDICAL HEALTH PLAN (REFORM)	$266	11.5%	2
Cigna Healthcare	$254	6.6%	1
MCS	$252	5.6%	2
Plan de Salud Menonita	$241	1.1%	2
Virgin Islands Medicaid	$226	-5.3%	1
Comerciales	$223	-6.4%	1
ACAA	$223	-6.5%	1
Prossam	$218	-8.6%	1
Fondo Del Seguro Estado	$165	-30.8%	1
Auxilio Salud Plus	$162	-31.9%	1
Plan Socios Auxilio	$162	-31.9%	1
TRICARE	$138	-42.0%	1
MSO	$124	-48.2%	2
Aetna	$92	-61.4%	1
VA / CHAMPVA	$92	-61.4%	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.