CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 70553 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$319

about 0.9× the $356 Medicare rate · typically $231–$464

modeled estimate · not a bill or quote

What this hospital charges insurers

$261

Below the fair price — a good deal

about $58 under the fair price · 0.7× Medicare

Medicare pays $356 Fair price $319 This hospital $261 Cash price $800 Hospital's list price $800

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

One of the lower prices — 7 of 8 other PR hospitals charge more for the same procedure.

Cheapest $250 Priciest $325

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a MRI, brain (with and without contrast) is about $319 (about 0.9× the $356 Medicare rate). Hospital Metropolitano Dr Pila charges insurers about $261, or about $800 in cash — below the fair price — a good deal. 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	$358	100%
Humanamajor	$253 - $544	71%
+ 13 smaller / regional plans	$102 - $1,300

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 800), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70553.

Insurance Before you use insurance

Call your insurance company to confirm Hospital Metropolitano Dr Pila is in-network.
Ask your insurer whether prior approval is required for CPT code 70553.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Hospital Metropolitano Dr Pila

Compare: MRI, brain (with and without contrast) at other PR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.