CMS Price Transparency Data

X-ray, lower back

Facility: Bella Vista Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $24
  • Cash Discount Price: $87
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Bella Vista Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.22x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$87

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: $87 (81%)
Insurance Median: $24 (22%)
Cash: $87 (81% 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
Medicare (plans) $12 - $79 11%
Acaa $14 13%
Mcs $16 - $24 15%
Asociacion Maestros (Prossam) $18 17%
International Medical Card $21 20%
Servicios De Salud Bella Vista $21 20%
Triple S Vital $22 - $40 21%
Triple S $23 22%
Mapfre Life Insurance Life Insurance $24 22%
Plan Salud Menonita Vital $24 22%
First Medical Vital $27 - $30 25%
Fondo Del Seguro Del Estado $32 30%
Champva $39 37%
Tricare $39 37%
UnitedHealthcare $39 37%
Plan Salud Menonita $46 43%
Preferred Medical Choice(Pmc) $79 74%
Triple S Advantage $80 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals