CMS Price Transparency Data

X-ray, lower back

Facility: Hospital Metropolitano Dr Pila

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $24
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Hospital Metropolitano Dr Pila is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.22x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $81 (76%)
Insurance Median: $24 (22%)
Cash: $81 (76% of Medicare)
Ins. Median: $24 (22% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $12 11%
First Medical $13 - $21 12%
Triple S $13 - $34 12%
Acaa $14 13%
Mso $15 - $27 14%
Privado $16 15%
Hospicio $19 18%
Humana $20 - $31 19%
Cigna $22 21%
Va $22 21%
Bl $23 22%
Plan De Salud Menonita $23 22%
Comerciales $24 22%
Life Link $24 22%
Mc $24 22%
Mcs $24 - $40 22%
Wellcare $24 22%
Prossam $27 25%
Fondo Del Seguro Estado $34 32%
Ch $36 34%
Salud Correccional $36 34%
Tricare $40 37%
Aarp $42 39%
Mapfre $48 45%
Corvel Corporation $51 48%

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