Payer comparison · CPT 72197 · SAN JUAN, PR

72197 — Pr MRI Pelvis 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.

$299 All-payer median here

$1,503 Cash / self-pay here

24 payer/plan-name variants

← This hospital National rates for 72197 →

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	$812	171.8%	2
NHI	$800	167.8%	1
BL	$650	117.6%	1
Bella Vista	$433	45.1%	1
MC	$388	29.7%	1
TRIPLE-S SALUD	$366	22.4%	3
Humana	$359	20.3%	2
CORVEL	$358	19.7%	1
MAPFRE	$350	17.2%	1
Nagico Insurance	$325	8.8%	1
MCS	$313	4.9%	2
FIRST MEDICAL HEALTH PLAN (REFORM)	$312	4.4%	2
Cigna Healthcare	$307	2.7%	1
Virgin Islands Medicaid	$287	-3.9%	1
Comerciales	$283	-5.1%	1
Prossam	$240	-19.7%	1
Plan de Salud Menonita	$231	-22.6%	2
Fondo Del Seguro Estado	$218	-26.9%	1
TRICARE	$173	-42.0%	1
MSO	$166	-44.6%	2
Plan Socios Auxilio	$162	-45.6%	1
Auxilio Salud Plus	$162	-45.6%	1
VA / CHAMPVA	$113	-62.2%	1
Aetna	$113	-62.2%	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.