CMS Price Transparency Data

X-ray, pelvis

Facility: Hospital Metropolitano Dr Pila

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $13
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Hospital Metropolitano Dr Pila is $13. 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 $106.81, this hospital’s rate is 0.12x 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
$13

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: $46 (43%)
Insurance Median: $13 (12%)
Cash: $46 (43% of Medicare)
Ins. Median: $13 (12% 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
Acaa $5 5%
Auxilio Mutuo $7 7%
First Medical $8 7%
Mc $8 7%
Privado $8 7%
Triple S $8 - $24 7%
Cigna $10 9%
Comerciales $10 9%
Hospicio $10 9%
Life Link $10 9%
Mso $10 - $14 9%
Wellcare $10 9%
Humana $11 - $16 10%
Mcs $12 - $20 11%
Prossam $12 11%
Bl $14 13%
Plan De Salud Menonita $14 13%
Va $14 13%
Aarp $16 15%
Tricare $20 19%
Mapfre $23 22%
Fondo Del Seguro Estado $24 22%
Ch $25 23%
Salud Correccional $25 23%
Corvel Corporation $30 28%

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