CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mayaguez Medical Center Dr Ramon Emeterio Betances

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $31
Cash Discount Price: $92
vs. Medicare Baseline: 0.35x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mayaguez Medical Center Dr Ramon Emeterio Betances is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $92. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.35x the Medicare baseline. Located in Carr 2 Bo Sabalos, Mayaguez, PR.

Cash / Self-Pay

$92

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $92 (103%)

Insurance Median: $31 (35%)

Cash: $92 (103% of Medicare)

Ins. Median: $31 (35% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	13%
International Medical Card	$19	21%
Acaa	$22	25%
Medical Card System	$24	27%
McS Classicare	$24	27%
Triple S	$26 - $32	29%
Mmm	$26	29%
Humana	$27	30%
Privado	$28	31%
Plan Vital	$30 - $87	34%
Prossam	$34	38%
Menonita Comercial	$36	40%
Salud Correccional	$37	42%
Mapfre	$40	45%
Palic	$50	56%
Fondo Seguro Estado	$51	57%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $92.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mayaguez Medical Center Dr Ramon Emeterio Betances is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72040.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.