CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $120
Cash Discount Price: $300
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Hospital Metropolitano Dr Pila is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $300 (281%)

Insurance Median: $120 (112%)

Cash: $300 (281% of Medicare)

Ins. Median: $120 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
First Medical	$44 - $162	41%
Privado	$55	51%
Mso	$56 - $72	52%
Va	$73	68%
Auxilio Mutuo	$75	70%
Acaa	$82	77%
Hospicio	$85	80%
Mcs	$90 - $131	84%
Tricare	$90	84%
Ch	$102	95%
Humana	$102 - $206	95%
Salud Correccional	$102	95%
Fondo Del Seguro Estado	$107	100%
Triple S	$107 - $150	100%
Plan De Salud Menonita	$121 - $150	113%
Prossam	$130	122%
Cigna	$139	130%
Bl	$150	140%
Comerciales	$150	140%
Life Link	$150	140%
Mc	$150	140%
Wellcare	$150	140%
Aarp	$275	257%
Mapfre	$300	281%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $300.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hospital Metropolitano Dr Pila is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.