Prices at 7 hospitals in Puerto Rico, from their machine-readable files. Here the median cash price is $46 — 86% below the US median ($340), roughly 1.0× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Bayamon Medical Center | Bayamon, PR | $38 | $40 | — | 285 min | 15.8% |
| Hospital Pavia Caguas | Caguas, PR | $44 | $82 | — | — | 17.1% |
| Hospital De La Concepcion | San German, PR | $48 | $22 | — | — | 16.2% |
| Hospital General De Castaner | Castaner, PR | $73 | $37 | — | — | — |
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)
Typical cash price here is $46 — about 1.0× the Medicare rate ($47). Reasonable. A fair cash price is usually within ~2× Medicare ($94).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
X-ray of the lower back (lumbar spine) cost in other states
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