CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Hospital Pavia Arecibo

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $12
  • Cash Discount Price: $38
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Hospital Pavia Arecibo is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.13x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$38

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $38 (43%)
Insurance Median: $12 (13%)
Cash: $38 (43% of Medicare)
Ins. Median: $12 (13% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $7 8%
Fondo Del Seguro Estado $8 9%
Plan De Salud Menonita $9 - $11 10%
First Medical $10 - $11 11%
Mapfre $10 11%
Mcs $10 - $26 11%
Privado $10 11%
Cigna $11 12%
Medicare (plans) $11 12%
Plan Auxilio Mutuo $11 12%
Prossam $11 12%
Triple S $11 - $22 12%
Humana $12 - $26 13%
Mso $13 - $16 15%
Aarp $14 16%
Comerciales $15 17%
Mc $15 17%
Bl $16 18%
Hospicio $17 19%
Auxilio Platino $21 24%
Ch $26 29%
Tricare $26 29%
Va $26 29%

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