CMS Price Transparency Data

X-ray, chest (single view)

Facility: Caribbean Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $10
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Caribbean Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.11x the Medicare baseline. Located in 151 Ave Osvaldo Molina, Fajardo, PR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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%)
Insurance Median: $10 (11%)
Ins. Median: $10 (11% 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.

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 - $10 6%
Asociacion De Maestros Pr $6 - $12 7%
Hoffa $6 7%
Menonita Ases $7 - $16 8%
Humana $8 - $17 9%
Mcs Privado $8 9%
Medicare (plans) $8 - $12 9%
Mmm $8 - $12 9%
Panamerican Life Insurance $8 9%
Tricare $8 - $11 9%
Veteran Administration $8 - $9 9%
Champva $9 - $11 10%
First Medical Ases $9 - $18 10%
Health First $9 10%
Mcs Classicare $9 - $11 10%
Mmm Multi Health Ases $9 - $18 10%
Triples S Reforma $9 - $10 10%
Tsa $9 - $11 10%
UnitedHealthcare $9 10%
Well Care $9 - $11 10%
Imc Privado $10 11%
Union Carpinteros $10 11%
Mapfre $11 12%
Auxilio Mutuo $13 - $26 15%
Auxilio Mutuo Plus $13 - $26 15%
Menonita Privado $13 - $26 15%
Triple S Privado $13 15%
Cfse $20 22%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Ave Osvaldo Molina, Fajardo, PR 00738
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals