CMS Price Transparency Data

X-ray, lower back

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $23
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Hospital Metropolitano Dr Susoni is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.22x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

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: $134 (125%)
Insurance Median: $23 (22%)
Cash: $134 (125% of Medicare)
Ins. Median: $23 (22% 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%
Tricare $19 18%
First Medical $21 20%
Hospicio $21 20%
Cigna $22 21%
Prossam $22 21%
Ch $23 22%
Comerciales $23 22%
Fondo Del Seguro Estado $23 22%
Mcs $23 - $24 22%
Plan De Salud Menonita $23 22%
Triple S $23 - $36 22%
Va $23 22%
Aetna $24 22%
Mc $24 22%
Humana $32 - $36 30%
Mso $36 34%
Aarp $42 39%
Bl $46 43%
Mapfre $48 45%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Calle Palma Num 55, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals