CMS Price Transparency Data

X-ray, hand

Facility: Caribbean Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $12
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Caribbean Medical Center is $12. 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 0.13x 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
$12

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: $12 (13%)
Ins. Median: $12 (13% 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 - $26 8%
Asociacion De Maestros Pr $8 - $17 9%
Champva $8 - $24 9%
First Medical Ases $8 - $29 9%
Humana $8 - $29 9%
Medicare (plans) $8 - $24 9%
Mmm $8 - $19 9%
Mmm Multi Health Ases $8 - $29 9%
Tricare $8 - $24 9%
Triples S Reforma $8 - $23 9%
Veteran Administration $8 - $15 9%
Acaa $9 - $18 10%
Health First $9 10%
Tsa $9 - $24 10%
UnitedHealthcare $9 10%
Well Care $9 - $24 10%
Hoffa $11 12%
Union Carpinteros $11 12%
Mcs Classicare $12 - $15 13%
Mcs Privado $12 - $15 13%
Imc Privado $13 15%
Auxilio Mutuo $14 - $28 16%
Auxilio Mutuo Plus $14 - $28 16%
Triple S Privado $14 16%
Panamerican Life Insurance $15 17%
Mapfre $16 18%
Menonita Privado $27 30%
Cfse $33 37%

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