CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $293
  • Cash Discount Price: $552
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Hospital Metropolitano Dr Susoni is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $552. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.20x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$552

Average discount available for prompt cash payment at this facility.

Insurance Median
$293

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $552 (226%)
Insurance Median: $293 (120%)
Cash: $552 (226% of Medicare)
Ins. Median: $293 (120% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Mcs $119 - $292 49%
Tricare $147 60%
Humana $149 - $650 61%
Mso $149 61%
Triple S $154 - $325 63%
Ch $210 86%
Comerciales $210 86%
Va $210 86%
Aetna $229 94%
Prossam $258 106%
Plan De Salud Menonita $288 118%
Cigna $301 123%
First Medical $312 128%
Hospicio $325 133%
Mc $325 133%
Acaa $387 159%
Aarp $650 267%
Bl $650 267%
Fondo Del Seguro Estado $650 267%
Mapfre $650 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Calle Palma Num 55, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals