CMS Price Transparency Data

X-ray, pelvis

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $14
  • Cash Discount Price: $67
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Hospital Metropolitano Dr Susoni is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.13x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$67

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $67 (63%)
Insurance Median: $14 (13%)
Cash: $67 (63% of Medicare)
Ins. Median: $14 (13% 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%
First Medical $8 7%
Hospicio $8 7%
Mc $8 7%
Fondo Del Seguro Estado $9 8%
Cigna $10 9%
Tricare $10 9%
Prossam $11 10%
Aetna $12 11%
Mcs $12 11%
Ch $14 13%
Comerciales $14 13%
Plan De Salud Menonita $14 13%
Triple S $14 - $24 13%
Va $14 13%
Aarp $16 15%
Humana $17 - $25 16%
Mapfre $23 22%
Mso $25 23%
Bl $27 25%

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