CMS Price Transparency Data

X-ray, pelvis

Facility: Hospital Pavia Arecibo

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $11
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Hospital Pavia Arecibo is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.10x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $33 (31%)
Insurance Median: $11 (10%)
Cash: $33 (31% of Medicare)
Ins. Median: $11 (10% 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%
Bl $8 7%
First Medical $8 7%
Mcs $8 - $25 7%
Medicare (plans) $8 7%
Plan Auxilio Mutuo $8 7%
Plan De Salud Menonita $8 7%
Privado $8 7%
Triple S $8 - $24 7%
Fondo Del Seguro Estado $9 8%
Prossam $9 8%
Cigna $10 9%
Hospicio $11 10%
Humana $12 - $25 11%
Mapfre $12 11%
Mc $13 12%
Auxilio Platino $14 13%
Mso $14 - $16 13%
Aarp $16 15%
Comerciales $16 15%
Ch $25 23%
Tricare $25 23%
Va $25 23%

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