Payer comparison · CPT 72197 · TYLER, TX

72197 — Pr MRI Pelvis Wo/w Cntrst

What each payer pays Ut Health East Texas Rehabilitation Hospital (CCN 453072) 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.

$953 All-payer median here

$1,096 Cash / self-pay here

30 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

Aetna	$953	0.0%	2
Amerigroup	$953	0.0%	3
ANDREWS CENTER BEHAVIORAL HEALTH [3950]	$953	0.0%	1
BCBS [1155]	$953	0.0%	4
BCBS MEDICAID [1165]	$953	0.0%	1
BCBS MEDICARE REPLACEMENT [1160]	$953	0.0%	1
Centene	$953	0.0%	1
PARKLAND COMMUNITY HEALTH PLAN (MEDICAID MANAGED CARE)	$953	0.0%	1
PHCS (Private Healthcare Systems)	$953	0.0%	1
Superior HealthPlan	$953	0.0%	1
TML [1980]	$953	0.0%	1
US DEPARTMENT OF LABOR - BLACK LUNG	$953	0.0%	1
WebTPA Employer Services LLC	$953	0.0%	1
WellCare Health Plans	$953	0.0%	1
Cigna Healthcare	$953	0.0%	4
GROUP PENSION ADMIN [1450]	$953	0.0%	1
Healthfirst	$953	0.0%	1
Humana	$953	0.0%	2
LUCENT HEALTH [6000]	$953	0.0%	1
MAILHANDLERS [1595]	$953	0.0%	1
MANAGED MEDICAID [3845]	$953	0.0%	1
MANAGED MEDICARE [1600]	$953	0.0%	1
Meritain Health	$953	0.0%	1
Molina Healthcare	$873	-8.5%	1
UnitedHealthcare	$707	-25.8%	4
WORKER'S COMP [2125]	$707	-25.8%	2
UNICARE [2040]	$461	-51.7%	1
UMR (UnitedHealthcare TPA)	$461	-51.7%	1
GOLDEN RULE INSURANCE	$461	-51.7%	1
Centers for Medicare & Medicaid Services	$230	-75.9%	3

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.