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 →

Payer comparison · CPT 72196 · MONTICELLO, UT

72196 — MRI Pelvis With Contrast

What each payer pays SAN JUAN HOSPITAL (CCN 461308) 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.

$3,967 All-payer median here
$3,002 Cash / self-pay here
23 payer/plan-name variants
← This hospital National rates for 72196 →
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
   
Rocky Mountain Health Care Services $4,289 8.1% 1
Medicaid - Co $4,289 8.1% 1
Medicaid - Nm $4,289 8.1% 1
Medicaid - Ut $4,289 8.1% 1
Medicare (Generic) $4,289 8.1% 1
Molina Healthcare $4,289 8.1% 1
EDUCATORS MUTUAL INSURANCE (EMI) $4,289 8.1% 1
Medicaid - Az $4,289 8.1% 1
Humana $4,182 5.4% 2
UnitedHealthcare $4,074 2.7% 1
SelectHealth $4,074 2.7% 2
DESERET MUTUAL BENEFIT ADMINISTRATORS $4,074 2.7% 1
Great-West Healthcare $3,989 0.5% 1
Wise Provider Networks $3,946 -0.5% 1
PEHP (Public Employees Health Program) $3,946 -0.5% 1
Blue Cross Blue Shield $3,860 -2.7% 1
MultiPlan $3,860 -2.7% 1
Cigna Healthcare $3,860 -2.7% 1
Aetna $3,860 -2.7% 1
University Of Utah Health Plans $3,860 -2.7% 1
PHCS (Private Healthcare Systems) $3,645 -8.1% 2
TRICARE $3,217 -18.9% 3
Three Rivers Provider Network $2,573 -35.1% 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.