Payer comparison · CPT 58120 · MOCA, PR

58120 — Dilation And Curettage

What each payer pays HOSPITAL SAN CARLOS BORROMEO (CCN 400111) 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.

$740 All-payer median here

19 payer/plan-name variants

← This hospital National rates for 58120 →

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

MCRA APC	$2,235	202.1%	1
VETERANS	$2,235	202.1%	1
VA / CHAMPVA	$2,235	202.1%	1
TRICARE	$2,235	202.1%	1
MCS Life Insurance Company	$958	29.4%	2
MENONITA COM	$788	6.5%	1
ASOCIACION OUT	$770	4.1%	1
Humana	$761	2.8%	2
PMC IN	$757	2.3%	1
MMM HEALTHCARE	$757	2.3%	3
PMC OUT	$757	2.3%	1
PANAMERICAN LIFE	$740	0.0%	1
PSM VITAL	$728	-1.6%	1
TRIPLE-S SALUD	$727	-1.8%	3
FMVITAL	$719	-2.9%	1
MAPFRE	$709	-4.2%	1
BELLA VISTA	$650	-12.2%	1
INTERNATIONAL MEDICAL CARD	$559	-24.5%	1
ACAA	$450	-39.2%	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.