CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$73
about 0.6× the $126 Medicare rate · typically $47–$126
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $15 under the fair price · 0.5× Medicare
Medicare pays $126 Fair price $73 This hospital $58 Cash price $100 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

A typical price — 3 charge more and 5 charge less, among the 9 PR hospitals compared.

Cheapest $28 Priciest $80

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

A fair price for a Screening mammogram (both breasts) is about $73 (about 0.6× the $126 Medicare rate). Hospital Metropolitano Dr Pila charges insurers about $58, or about $100 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.

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $71 - $90 56%
+ 8 smaller / regional plans $15 - $102
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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