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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in PR

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Hospitals
5
Min
$381
Median
$381
Max
$383
Range multiplier
1.0×

By payer (7 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Humana55$428$428$4281.0×
international medical card55$275$275$2751.0×
mapfre55$400$400$4001.0×
mcs life insurance55$381$381$3811.0×
Medicare Advantage55$356$356$3561.0×
plan de salud menonita55$300$300$3831.3×
triple-s55$450$450$4951.1×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
DOCTORS CENTER HOSPITAL SAN JUAN ISAN JUANPR7$275$275$275$383$450
DOCTORS CENTER HOSPITAL CAROLINAMANATIPR7$275$275$275$383$450
DOCTORS CENTER HOSPITAL BAYAMONBAYAMONPR7$275$275$275$381$450
DOCTOR CENTER HOSPITAL MANATI INC.MANATIPR7$275$275$275$381$450
DOCTORS CENTER HOSPITAL OH-DORADODORADOPR7$150$150$275$381$495

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.