Payer comparison · CPT 72128 · SAN JUAN, PR

72128 — CT Chest Spine Without Contrast

What each payer pays HOSPITAL SAN FRANCISCO (CCN 400098) 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.

$127 All-payer median here

$162 Cash / self-pay here

27 payer/plan-name variants

← This hospital National rates for 72128 →

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

VA / CHAMPVA	$325	156.4%	1
MPC-PR Other Insurances	$300	136.7%	1
CORVEL	$300	136.7%	1
BL	$288	126.8%	1
Cigna Healthcare	$275	117.0%	1
Medicaid (Generic)	$275	117.0%	1
Prossam	$275	117.0%	1
ACAA	$199	56.8%	1
Western Medical Hospice	$162	28.2%	1
Privado	$162	28.2%	1
Comerciales	$151	19.2%	1
MC	$150	18.3%	1
MAPFRE	$150	18.3%	1
Plan de Salud Menonita	$133	5.2%	2
MCS	$123	-3.1%	2
CH	$108	-15.1%	1
MPC - US	$108	-15.1%	1
US	$108	-15.1%	1
Humana	$103	-18.6%	2
FIRST MEDICAL HEALTH PLAN (REFORM)	$99	-21.9%	2
Fondo Del Seguro Estado	$92	-27.1%	1
PR Other Insurances	$87	-31.1%	1
UnitedHealthcare	$87	-31.3%	2
TRIPLE-S SALUD	$86	-32.5%	3
Medicare (Generic)	$80	-37.3%	1
TRICARE	$80	-37.3%	1
MSO	$68	-46.4%	2

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.