CMS Price Transparency Data

X-ray, lower back

Facility: Manati Medical Center Dr Otero Lopez

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $47
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 0.44x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Manati Medical Center Dr Otero Lopez is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.44x the Medicare baseline. Located in Carr 668 Calle Hernandez Carrion Urb Atenas, Manati, PR.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $73 (68%)
Insurance Median: $47 (44%)
Cash: $73 (68% of Medicare)
Ins. Median: $47 (44% 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
Medicare (plans) $12 11%
Mmm $36 34%
Plan Vital $43 - $45 40%
Triple S Com $43 - $46 40%
Menonita Comercial $46 43%
Triple S $46 - $47 43%
McS Classicare $48 45%
Medical Card System $48 45%
Acaa $57 53%
Humana $62 58%
International Medical Card $63 59%
Prossam $70 66%
Mapfre $72 67%
Palic $72 67%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 668 Calle Hernandez Carrion Urb Atenas, Manati, PR 00674
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals