Emergency department visit (level 4) cost in Puerto Rico

Prices at 10 hospitals in Puerto Rico, from their machine-readable files. Here the median cash price is $250 — 74% below the US median ($950), roughly 2.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Bayamon Medical Center Bayamon, PR $175 $104 285 min 15.8%
Hospital General De Castaner Castaner, PR $211 $110
Doctor's Center De San Juan Santurce, PR $250 $410 15.5%
Doctors' Center Bayamon Bayamon, PR $250 $410 16.6%
Doctors' Center Hospital, Inc Manati, PR $250 $410 ★ 1/5 16.3%
Doctors Center Hospital Carolina Llc Carolina, PR $250 $410 315 min 15.8%
Hospital De La Concepcion San German, PR $335 $193 16.2%
Hospital Pavia Caguas Caguas, PR $352 $27 17.1%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$250
Cash / self-pay
$250
Insurer-negotiated
$169
Medicare pays
$118
$200$340
Median cash $250  ·  Medicare $118  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $250 — about 2.1× the Medicare rate ($118). On the higher side. A fair cash price is usually within ~2× Medicare ($236).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Emergency department visit (level 4) cost in other states

All Emergency department visit (level 4) prices (national) → · All hospitals in Puerto Rico →