CMS Price Transparency Data

X-ray, hip

Facility: Caribbean Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $12
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a X-ray, hip 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 $9 - $33 10%
Acaa $10 - $30 11%
Humana $10 - $37 11%
Int Life Insurance $10 11%
Mapfre $10 - $16 11%
Medicare (plans) $10 - $31 11%
Mmm $10 - $26 11%
Preferrd Health $10 11%
Tricare $10 - $31 11%
Veteran Administration $10 - $18 11%
Champva $11 - $31 12%
First Medical Ases $11 - $37 12%
Health First $11 12%
Mmm Multi Health Ases $11 - $37 12%
Triples S Reforma $11 - $18 12%
UnitedHealthcare $11 - $12 12%
Well Care $11 - $31 12%
Asociacion De Maestros Pr $12 - $25 13%
Hoffa $12 13%
Imc Privado $12 - $13 13%
Mcs Classicare $12 - $16 13%
Mcs Privado $12 - $16 13%
Menonita Privado $12 - $30 13%
Tsa $12 - $31 13%
Union Carpinteros $12 13%
Comercial Others $14 16%
Auxilio Mutuo $15 - $31 17%
Auxilio Mutuo Plus $15 - $31 17%
Triple S Privado $15 - $31 17%
Panamerican Life Insurance $16 18%
Cfse $31 - $42 35%

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