▸ Payer

international medical card

Negotiated rates published by hospitals for international medical card across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

714

Median neg. rate

$144

Top procedures for international medical card

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	9	$633.33
MRI brain with and without contrast	CPT	70553	9	$633.33
MRI lumbar spine without contrast	CPT	72148	9	$633.33
MRI brain with contrast	CPT	70552	9	$633.33
MRI chest without contrast	CPT	71550	9	$633.33
MRI chest with contrast	CPT	71551	9	$633.33
MRI chest with and without contrast	CPT	71552	9	$633.33
MRI cervical spine without contrast	CPT	72141	9	$633.33
MRI thoracic spine without contrast	CPT	72146	9	$633.33
MRI lumbar spine with and without contrast	CPT	72149	9	$633.33
MRI cervical spine with and without contrast	CPT	72156	9	$633.33
MRI lumbar spine with contrast	CPT	72158	9	$633.33
MRI upper extremity joint without contrast	CPT	73221	9	$633.33
CT head without contrast	CPT	70450	9	$275
CT head with contrast	CPT	70460	9	$275
CT head with and without contrast	CPT	70470	9	$275
CT neck with contrast	CPT	70491	9	$153.22
CT chest without contrast	CPT	71250	9	$275
CT chest with contrast	CPT	71260	9	$275
CT chest with and without contrast	CPT	71270	9	$275
CT cervical spine without contrast	CPT	72125	9	$275
CT thoracic spine without contrast	CPT	72128	9	$275
CT lumbar spine without contrast	CPT	72131	9	$275
CT pelvis without contrast	CPT	72192	9	$275
CT pelvis with contrast	CPT	72193	9	$275
Chest X-ray single view	CPT	71045	9	$21.11
Lumbosacral spine X-ray	CPT	72100	9	$42
Shoulder X-ray	CPT	73030	9	$44
Humerus X-ray	CPT	73060	9	$29
Hand X-ray 3 views	CPT	73130	9	$39

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Doctors Center Hospital Oh-Dorado	Dorado	PR	$243.51
Doctors' Center Hospital - Bayamón	—	—	$251.8
Doctors Center Hospital Bayamon	Bayamon	PR	$251.8
Doctor Center Hospital Manati Inc.	Manati	PR	$251.8
Doctors' Center Hospital - San Fernando de la Carolina	—	—	$280.87
Doctors Center Hospital Carolina	Manati	PR	$280.87
Doctors' Center Hospital - Manatí	—	—	$281.12
Doctors Center Hospital San Juan I	San Juan	PR	$281.12
Doctors' Center Hospital - San Juan	—	—	$281.12

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States with hospitals publishing rates for international medical card.

State	Hospitals	Avg rate
PR	5	$261.56

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