CMS Price Transparency Data

X-ray, lower back

Facility: Caribbean Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $23
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Caribbean Medical Center is $23. 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 $106.81, this hospital’s rate is 0.22x 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
$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%)
Insurance Median: $23 (22%)
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
Humana $12 - $39 11%
Medicare (plans) $12 - $34 11%
Menonita Ases $12 - $38 11%
Mmm $12 - $28 11%
Tricare $12 - $34 11%
Veteran Administration $12 - $23 11%
Champva $13 - $34 12%
First Medical Ases $13 - $40 12%
Health First $13 12%
Mmm Multi Health Ases $13 - $40 12%
Triples S Reforma $13 - $22 12%
UnitedHealthcare $13 12%
Well Care $13 - $34 12%
Acaa $14 - $29 13%
Mcs Classicare $14 - $23 13%
Tsa $16 - $34 15%
Asociacion De Maestros Pr $18 - $35 17%
Hoffa $18 17%
Imc Privado $21 20%
Union Carpinteros $21 20%
Auxilio Mutuo $23 - $46 22%
Auxilio Mutuo Plus $23 - $46 22%
Menonita Privado $23 - $46 22%
Triple S Privado $23 22%
Mapfre $24 22%
Mcs Privado $24 22%
Panamerican Life Insurance $24 22%
Cfse $50 47%

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