CMS Price Transparency Data

X-ray, lower back

Facility: Hospital Pavia Arecibo

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $21
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 0.20x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Hospital Pavia Arecibo is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.20x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $65 (61%)
Insurance Median: $21 (20%)
Cash: $65 (61% of Medicare)
Ins. Median: $21 (20% 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 $14 13%
Medicare (plans) $15 14%
First Medical $16 - $17 15%
Fondo Del Seguro Estado $16 15%
Plan Auxilio Mutuo $16 15%
Plan De Salud Menonita $16 - $20 15%
Triple S $16 - $34 15%
Mso $20 - $23 19%
Prossam $20 19%
Bl $21 20%
Cigna $21 20%
Mapfre $21 20%
Mcs $21 - $36 20%
Privado $21 20%
Comerciales $23 22%
Mc $23 22%
Hospicio $25 23%
Humana $26 - $36 24%
Auxilio Platino $30 28%
Ch $36 34%
Tricare $36 34%
Va $36 34%
Aarp $42 39%

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