CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Caribbean Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $14
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.16x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Caribbean Medical Center is $14. 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 0.16x 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
$14

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: $14 (16%)
Ins. Median: $14 (16% 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 $7 - $15 8%
Asociacion De Maestros Pr $8 - $17 9%
Union Carpinteros $8 9%
Menonita Ases $9 - $26 10%
Humana $10 - $29 11%
Imc Privado $10 11%
Medicare (plans) $10 - $22 11%
Mmm $10 - $19 11%
Tricare $10 - $22 11%
Veteran Administration $10 - $15 11%
Champva $11 - $22 12%
First Medical Ases $11 - $29 12%
Health First $11 12%
Mmm Multi Health Ases $11 - $29 12%
Triples S Reforma $11 - $15 12%
UnitedHealthcare $11 12%
Well Care $11 - $22 12%
Hoffa $12 13%
Mcs Classicare $12 13%
Mcs Privado $12 13%
Menonita Privado $12 - $24 13%
Tsa $12 - $22 13%
Mapfre $14 16%
Auxilio Mutuo $16 - $32 18%
Auxilio Mutuo Plus $16 - $32 18%
Triple S Privado $16 18%
Panamerican Life Insurance $33 37%
Cfse $34 38%

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