CMS Price Transparency Data

X-ray, foot

Facility: Caribbean Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $13
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Caribbean Medical Center is $13. 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 0.15x 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
$13

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: $13 (15%)
Ins. Median: $13 (15% 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
Menonita Ases $7 - $23 8%
Acaa $8 - $17 9%
Champva $8 - $21 9%
First Medical Ases $8 - $27 9%
Health First $8 9%
Humana $8 - $26 9%
Medicare (plans) $8 - $21 9%
Mmm $8 - $18 9%
Mmm Multi Health Ases $8 - $27 9%
Tricare $8 - $21 9%
Triples S Reforma $8 - $13 9%
UnitedHealthcare $8 - $13 9%
Veteran Administration $8 - $20 9%
Well Care $8 - $21 9%
Tsa $9 - $21 10%
Asociacion De Maestros Pr $12 - $23 13%
Ace $13 15%
American Health $13 15%
Atlantic Southern $13 15%
Cigna $13 15%
Comercial Others $13 15%
Cosvi Seg Esco $13 15%
Global Health Plan $13 15%
Hoffa $13 15%
Imc Privado $13 15%
Int Life Insurance $13 15%
Mapfre $13 - $16 15%
Mcs Classicare $13 - $15 15%
Mcs Privado $13 - $16 15%
Menonita Privado $13 - $28 15%
National Life Seg Esco $13 15%
Panamerican Life Insurance $13 - $20 15%
Preferrd Health $13 15%
Union Carpinteros $13 15%
Union Independiente Acueductos $13 15%
Auxilio Mutuo $14 - $28 16%
Auxilio Mutuo Plus $14 - $28 16%
Cfse $14 - $30 16%
Triple S Privado $14 16%

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