Physical therapy evaluation (high complexity) cost in Puerto Rico

Prices at 3 hospitals in Puerto Rico, from their machine-readable files. Here the median cash price is $45 — 83% below the US median ($266), roughly 0.5× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Hospital Pavia Caguas Caguas, PR $35 $20 17.1%
Bayamon Medical Center Bayamon, PR $45 $20 285 min 15.8%
Hospital De La Concepcion San German, PR $175 $100 16.2%

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 August 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)
$45
Cash / self-pay
$45
Insurer-negotiated
$20
Medicare pays
$98
$37$149
Median cash $45  ·  Medicare $98  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $45 — about 0.5× the Medicare rate ($98). Reasonable. A fair cash price is usually within ~2× Medicare ($196).

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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.

Physical therapy evaluation (high complexity) cost in other states

All Physical therapy evaluation (high complexity) prices (national) → · All hospitals in Puerto Rico →