Payer comparison · CPT 72195 · SAN JUAN, PR

72195 — Pr MRI Pelvis Wo 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.

$247 All-payer median here

$1,371 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 72195 →

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	224.1%	1
BL	$520	110.6%	1
UnitedHealthcare	$448	81.6%	2
Bella Vista	$433	75.5%	1
Humana	$406	64.6%	2
TRIPLE-S SALUD	$386	56.3%	3
CORVEL	$358	44.8%	1
MAPFRE	$338	36.7%	1
Nagico Insurance	$325	31.6%	1
MC	$325	31.6%	1
FIRST MEDICAL HEALTH PLAN (REFORM)	$263	6.6%	2
Cigna Healthcare	$247	-0.1%	1
MCS	$228	-7.8%	2
Plan de Salud Menonita	$206	-16.8%	2
Prossam	$198	-19.7%	1
Virgin Islands Medicaid	$197	-20.3%	1
Comerciales	$194	-21.5%	1
Auxilio Salud Plus	$162	-34.2%	1
Plan Socios Auxilio	$162	-34.2%	1
Fondo Del Seguro Estado	$162	-34.2%	1
TRICARE	$117	-52.6%	1
MSO	$117	-52.6%	2
VA / CHAMPVA	$75	-69.6%	1
Aetna	$75	-69.6%	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.