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 →

72194 — CT Pelvis 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.

$173 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 $650 274.8% 1
MAPFRE $325 87.4% 1
BL $300 73.0% 1
ACAA $255 47.0% 1
Fondo Del Seguro Estado $246 41.8% 1
Humana $244 40.7% 2
MSO $203 17.2% 1
Aetna $200 15.5% 1
TRIPLE-S SALUD $177 1.8% 2
MC $175 0.9% 1
Cigna Healthcare $173 0.0% 1
VA / CHAMPVA $171 -1.3% 1
Comerciales $171 -1.3% 1
CH $171 -1.3% 1
Hospicio $162 -6.3% 1
FIRST MEDICAL HEALTH PLAN (REFORM) $162 -6.3% 1
Prossam $153 -11.6% 1
Plan de Salud Menonita $150 -13.5% 1
MCS $133 -23.4% 2
TRICARE $127 -27.0% 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.