CMS Price Transparency Data

X-ray, shoulder

Facility: Caribbean Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $12
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder 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 - $23 8%
Acaa $8 - $17 9%
Champva $9 - $20 10%
First Medical Ases $9 - $26 10%
Health First $9 10%
Humana $9 - $26 10%
Medicare (plans) $9 - $20 10%
Mmm $9 - $17 10%
Mmm Multi Health Ases $9 - $26 10%
Tricare $9 - $20 10%
Triples S Reforma $9 - $13 10%
UnitedHealthcare $9 - $12 10%
Veteran Administration $9 - $18 10%
Well Care $9 - $20 10%
Asociacion De Maestros Pr $10 - $20 11%
Hoffa $10 - $12 11%
Mcs Classicare $10 - $12 11%
Mcs Privado $10 - $12 11%
Tsa $10 - $20 11%
Ace $12 13%
American Health $12 13%
Atlantic Southern $12 13%
Auxilio Mutuo $12 - $29 13%
Auxilio Mutuo Plus $12 - $29 13%
Cigna $12 13%
Comercial Others $12 13%
Cosvi Seg Esco $12 13%
Global Health Plan $12 13%
Imc Privado $12 - $14 13%
Int Life Insurance $12 13%
Mapfre $12 13%
Menonita Privado $12 - $28 13%
National Life Seg Esco $12 13%
Panamerican Life Insurance $12 - $15 13%
Preferrd Health $12 13%
Union Carpinteros $12 13%
Union Independiente Acueductos $12 13%
Option Helth Care Network $14 16%
Triple S Privado $14 - $29 16%
Cfse $29 - $30 33%

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