Payer comparison · CPT 72158 · SAN JUAN, PR

72158 — Pr MRI Lumb Spine 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.

$278 All-payer median here

$1,788 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 72158 →

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	187.9%	1
UnitedHealthcare	$786	182.8%	2
BL	$650	133.9%	1
Humana	$454	63.4%	2
Bella Vista	$433	56.0%	1
MC	$388	39.5%	1
TRIPLE-S SALUD	$366	31.6%	3
CORVEL	$358	28.7%	1
MAPFRE	$350	26.0%	1
Nagico Insurance	$325	17.0%	1
Cigna Healthcare	$302	8.8%	1
FIRST MEDICAL HEALTH PLAN (REFORM)	$302	8.7%	2
Virgin Islands Medicaid	$258	-7.3%	1
Comerciales	$255	-8.4%	1
Prossam	$241	-13.4%	1
Plan de Salud Menonita	$240	-13.8%	2
MCS	$239	-14.0%	2
Fondo Del Seguro Estado	$194	-30.0%	1
TRICARE	$166	-40.3%	1
Auxilio Salud Plus	$162	-41.5%	1
Plan Socios Auxilio	$162	-41.5%	1
MSO	$147	-47.1%	2
Aetna	$117	-57.8%	1
VA / CHAMPVA	$117	-57.8%	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.