Prices at 3 hospitals in Puerto Rico, from their machine-readable files. Here the median cash price is $140 — 33% below the US median ($210), roughly 1.8× the Medicare rate.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Hospital Pavia Caguas | Caguas, PR | $72 | $26 | — | — | — |
| Hospital General De Castaner | Castaner, PR | $140 | $81 | — | — | — |
| Hospital De La Concepcion | San German, PR | $160 | $60 | — | — | — |
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)
Typical cash price here is $140 — about 1.8× the Medicare rate ($76). Reasonable. A fair cash price is usually within ~2× Medicare ($152).
💡 Asking for the cash price instead of the $160 list price could save about $20 (12%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Speech therapy cost in other states
All Speech therapy prices (national) → · All hospitals in Puerto Rico →