CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Hospital Metropolitano Dr Pila

Billing Code: 73721 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$208
about 0.9× the $244 Medicare rate · typically $152–$366
modeled estimate · not a bill or quote
What this hospital charges insurers
$211
About the fair price
about $3 over the fair price · 0.9× Medicare
Medicare pays $244 Fair price $208 This hospital $211 Cash price $650 Hospital's list price $650

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 $67 Priciest $307

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, knee or other leg joint is about $208 (about 0.9× the $244 Medicare rate). Hospital Metropolitano Dr Pila charges insurers about $211, or about $650 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 $301 123%
Humanamajor $207 - $488 85%
WellCare $244 100%
+ 14 smaller / regional plans $63 - $650
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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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