CMS Price Transparency Data

CT scan, pelvis

Facility: Hospital Metropolitano Dr Pila

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$122
about 1.1× the $107 Medicare rate · typically $66–$192
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
About the fair price
about $2 under the fair price · 1.1× Medicare
Medicare pays $107 Fair price $122 This hospital $120 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 — 5 charge more and 3 charge less, among the 9 PR hospitals compared.

Cheapest $94 Priciest $139

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, pelvis is about $122 (about 1.1× the $107 Medicare rate). Hospital Metropolitano Dr Pila charges insurers about $120, 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 $97 - $206 91%
WellCare $150 140%
+ 14 smaller / regional plans $40 - $300
Government programs also on file: Military & VA.

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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