Office visit, new patient (level 4) cost in Puerto Rico

Prices at 8 hospitals in Puerto Rico, from their machine-readable files. Here the median cash price is $683 — 165% above the US median ($258), roughly 3.9× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Bayamon Medical Center Bayamon, PR $140 $132 — 279 min —
Hospital Pavia Caguas Caguas, PR $150 $32 — — —
Hospital De La Concepcion San German, PR $209 — — — —
Hospital General De Castaner Castaner, PR $229 $167 — — —
Doctors Center Hospital Carolina Llc Carolina, PR $1,138 $104 — 347 min —
Doctor's Center De San Juan Santurce, PR $1,400 $104 — — —
Doctors' Center Bayamon Bayamon, PR $1,400 $104 — — —
Doctors' Center Hospital, Inc Manati, PR $1,400 $104 ★ 1/5 — —

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 October 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)
$712
Cash / self-pay
$683
Insurer-negotiated
$104
Medicare pays
$177
$147$1,400
Median cash $683  ·  Medicare $177  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $683 — about 3.9× the Medicare rate ($177). High vs Medicare. A fair cash price is usually within ~2× Medicare ($355).

💡 Asking for the cash price instead of the $712 list price could save about $29 (4%).

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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.

Office visit, new patient (level 4) cost in other states

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