Imaging · procedure code 73721

Knee MRI cost in San Juan, PR

What health plans have contracted to pay providers for MRI lower extremity joint, without contrast in the San Juan-Bayamón-Caguas market, from the machine-readable files those plans publish under federal law. Not billed charges, and not an estimate.

Metro market

Knee MRI

San Juan-Bayamón-Caguas, PR · procedure code 73721

Local · metro· n=361Pooled filings, payers not identified
Medicare
$152
25th
$281
Median
$481
75th
$722
90th
$15225th
$281Median
$48175th
$72290th
$206Medicare

Middle price

$281

Half of this market is above it, half below

Middle half spans

$152 to $481

3.2x from low to high

The expensive end

$722

What the priciest providers charge

Medicare reference · Puerto Rico (nearest published locality)

$206

Performed in an office

Negotiated prices from published filings, reported only where the sample supports it. For your city, not a statewide average. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $152 to $481, a 3.2x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

The middle price sits at 136% of what Medicare pays for the same service at its Puerto Rico locality. Medicare is a fixed reference line most finance teams already have a feel for, which is why we print it beside every figure. It is not a fair price and not what anything should cost.

The expensive end

One in ten filings sits at or above $722. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market, though this is a smaller market and we mark it as one. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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