Routine eye exam cost in Puerto Rico

Prices at 3 hospitals in Puerto Rico, from their machine-readable files. Here the median cash price is $94 — 35% below the US median ($143), roughly 1.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Hospital General De Castaner Castaner, PR $88 $86
Hospital Pavia Caguas Caguas, PR $100 $15

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 September 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)
$105
Cash / self-pay
$94
Insurer-negotiated
$86
Medicare pays
$88
$89$99
Median cash $94  ·  Medicare $88  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $94 — about 1.1× the Medicare rate ($88). Reasonable. A fair cash price is usually within ~2× Medicare ($175).

💡 Asking for the cash price instead of the $105 list price could save about $11 (10%).

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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.

Routine eye exam cost in other states

All Routine eye exam prices (national) → · All hospitals in Puerto Rico →