CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$121
about 1.1× the $107 Medicare rate · typically $70–$194
modeled estimate · not a bill or quote
What this hospital charges insurers
$126
About the fair price
about $5 over the fair price · 1.2× Medicare
Medicare pays $107 Fair price $121 This hospital $126 Cash price $300 Hospital's list price $300

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

A typical price — 4 charge more and 4 charge less, among the 9 PR hospitals compared.

Cheapest $105 Priciest $134

Black dot = this hospital, among the 9 PR hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, neck (cervical spine) is about $121 (about 1.1× the $107 Medicare rate). Hospital Metropolitano Dr Pila charges insurers about $126, or about $300 in cash — about the fair price. Located in Ponce, PR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Cigna✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Cignamajor $139 130%
Humanamajor $102 - $206 95%
WellCare $150 140%
+ 14 smaller / regional plans $45 - $300
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 2435 Boulevard Luis A Ferre, Ponce, PR 00717
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals