CMS Price Transparency Data

CT scan, pelvis

Facility: Hospital Pavia Arecibo

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $94
  • Cash Discount Price: $188
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Hospital Pavia Arecibo is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.88x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$188

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $188 (176%)
Insurance Median: $94 (88%)
Cash: $188 (176% of Medicare)
Ins. Median: $94 (88% 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
First Medical $45 - $162 42%
Plan Auxilio Mutuo $45 42%
Plan De Salud Menonita $45 - $122 42%
Triple S $45 - $162 42%
Medicare (plans) $53 50%
Mso $55 - $67 51%
Comerciales $64 60%
Mc $64 60%
Fondo Del Seguro Estado $80 75%
Ch $93 87%
Humana $93 - $191 87%
Mcs $93 - $162 87%
Tricare $93 87%
Va $93 87%
Prossam $114 107%
Cigna $119 111%
Hospicio $130 122%
Auxilio Platino $155 145%
Bl $162 152%
Corecare $162 152%
Mapfre $162 152%
Privado $162 152%
Acaa $164 154%
Aarp $275 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals