CMS Price Transparency Data

X-ray, foot

Facility: Hospital Metropolitano Dr Pila

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $17
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Hospital Metropolitano Dr Pila is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.19x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.
Cash / Self-Pay
$46

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $46 (52%)
Insurance Median: $17 (19%)
Cash: $46 (52% of Medicare)
Ins. Median: $17 (19% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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
Auxilio Mutuo $7 8%
Acaa $8 9%
First Medical $8 - $13 9%
Mso $8 - $18 9%
Triple S $8 - $21 9%
Privado $10 11%
Hospicio $11 12%
Humana $12 - $20 13%
Va $13 15%
Bl $14 16%
Plan De Salud Menonita $14 16%
Cigna $16 18%
Mcs $17 - $28 19%
Prossam $17 19%
Comerciales $20 22%
Life Link $20 22%
Mc $20 22%
Wellcare $20 22%
Fondo Del Seguro Estado $21 24%
Ch $23 26%
Salud Correccional $23 26%
Aarp $26 29%
Tricare $28 31%
Corvel Corporation $31 35%
Mapfre $32 36%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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