CMS Price Transparency Data

X-ray, lower back

Facility: Hospital Pavia Hato Rey, Inc

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $23
  • Cash Discount Price: $148
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Hospital Pavia Hato Rey, Inc is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.22x the Medicare baseline. Located in Ave Ponce De Leon 435, Hato Rey, PR.
Cash / Self-Pay
$148

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: $148 (139%)
Insurance Median: $23 (22%)
Cash: $148 (139% 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
Auxilio Salud Plus $12 11%
Acaa $14 13%
Tricare $14 13%
Triple S $16 - $34 15%
First Medical $18 - $21 17%
Prossam $18 17%
Mso $19 - $39 18%
Plan De Salud Menonita $19 - $23 18%
Privado $20 19%
Humana $21 - $22 20%
Bl $22 21%
Cigna $22 21%
Mcs $23 - $24 22%
Mapfre $24 22%
Mc $24 22%
Corvel Network $25 23%
Fondo Del Seguro Estado $25 23%
Bella Vista $28 26%
Ch $31 29%
Va $36 34%
Aarp $42 39%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Ave Ponce De Leon 435, Hato Rey, PR 00919
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals