Puerto Rico · 73140

X-Ray Of Finger, Minimum Of 2 Views in Puerto Rico

Puerto Rico Medicare Avg
$10.29
44% below national avg
National Medicare Avg
$18.49
All states combined
Billed Charge (PR)
$27.43
What providers submit
Est. Commercial (PR)
$33.83
National avg: $57.04
Est. Cash / Self-Pay (PR)
$18.87
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

37
Services in PR
24
Providers
N/A
Min Payment
N/A
Max Payment

Puerto Rico Pricing in Context

In Puerto Rico, CPT code 73140 (X-Ray Of Finger, Minimum Of 2 Views) carries an average Medicare payment of $10.29 — 44% below the national benchmark of $18.49. 24 providers across the state submitted claims for this procedure in 2023, performing 37 total services. Individual payments in PR ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Puerto Rico is $27.43, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Puerto Rico sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for X-Ray procedures, the estimated commercial insurance price in Puerto Rico lands near $33.83, with self-pay cash prices typically around $18.87. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does X-Ray Of Finger, Minimum Of 2 Views cost in Puerto Rico?

The average Medicare payment for X-Ray Of Finger, Minimum Of 2 Views in Puerto Rico is $10.29, which is 44% below the national average of $18.49. Providers in PR typically bill $27.43 for this procedure.

What does X-Ray Of Finger, Minimum Of 2 Views cost with insurance in Puerto Rico?

With commercial insurance in Puerto Rico, X-Ray Of Finger, Minimum Of 2 Views costs an estimated $33.83. Without insurance, the estimated cash price is $18.87. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform X-Ray Of Finger, Minimum Of 2 Views in Puerto Rico?

24 providers in Puerto Rico billed Medicare for X-Ray Of Finger, Minimum Of 2 Views in 2023, performing 37 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is X-Ray Of Finger, Minimum Of 2 Views cheaper in Puerto Rico than the national average?

Yes — X-Ray Of Finger, Minimum Of 2 Views costs 44% below the national average in Puerto Rico. The state average Medicare payment is $10.29 compared to $18.49 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial