Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

72133 — CT Lumbar Spine Without & With Contrast

What each payer pays HOSPITAL METROPOLITANO DR SUSONI (CCN 400117) 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.

$175 All-payer median here
$194 Cash / self-pay here
20 payer/plan-name variants
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 $650 271.4% 1
MAPFRE $325 85.7% 1
BL $300 71.4% 1
ACAA $255 45.7% 1
TRIPLE-S SALUD $252 43.8% 2
Fondo Del Seguro Estado $246 40.6% 1
Humana $244 39.5% 2
MSO $203 16.1% 1
Aetna $198 12.9% 1
MC $175 0.0% 1
VA / CHAMPVA $174 -0.3% 1
CH $174 -0.3% 1
Comerciales $174 -0.3% 1
Cigna Healthcare $173 -0.9% 1
Hospicio $162 -7.1% 1
FIRST MEDICAL HEALTH PLAN (REFORM) $162 -7.1% 1
Prossam $155 -11.6% 1
Plan de Salud Menonita $150 -14.3% 1
MCS $143 -18.5% 2
TRICARE $126 -27.8% 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.