Emergency Department Visit for Problem That May Not Require Health Care Professi… Cost in Puerto Rico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 18 Puerto Rico hospitals. CPT 99281. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Puerto Rico
Sorted by cash price (lowest first). Showing top 18 of 18 hospitals.
| Hospital | Cash | Medicare | Humana | TRICARE |
|---|---|---|---|---|
| HOSPITAL DAMAS PONCE |
$48.00 | — | $11.13 | $11.13 |
| HOSPITAL DE LA CONCEPCION SAN GERMAN |
$50.00 | $65.22 | $65.22 | — |
| BAYAMON MEDICAL CENTER BAYAMON |
$56.71 | — | $200 | — |
| MAYAGUEZ MEDICAL CENTER MAYAGUEZ |
$100 | $21.64 | $39.88 | — |
| ASHFORD HOSPITAL SAN JUAN |
$165 | — | — | — |
| MANATI MEDICAL CENTER DR ALEJANDRO OTERO LOPEZ MANATI PUEBLO |
$175 | — | $161 | — |
| MANATI MEDICAL CENTER DR ALEJANDRO OTERO LOPEZ MANATI PUEBLO |
$175 | — | $161 | — |
| UNIVERSITY OF PUERTO RICO HOSPITAL, DR. FEDERICO TRILLA KM 8 3 |
$175 | — | — | — |
| HOSPITAL ESPANOL AUXILIO MUTUO SAN PABLO BAYAMON |
$200 | $57.61 | — | — |
| PUERTO RICO WOMEN AND CHILDRENS HOSPITAL BAYAMON |
$200 | — | $200 | — |
| DOCTORS CENTER HOSPITAL DORADO DORADO |
$200 | $82.00 | $182 | — |
| HOSPITAL PAVIA CAGUAS CAGUAS |
$200 | — | — | — |
| DOCTORS CENTER HOSPITAL MANATI MANATI |
$250 | $82.00 | — | — |
| DOCTORS CENTER HOSPITAL SAN FERNANDO DE CAROLINA APARTADO 8 |
$250 | $82.00 | — | — |
| DOCTORS CENTER HOSPITAL SAN FERNANDO DE CAROLINA APARTADO 8 |
$250 | $82.00 | — | — |
| DOCTORS CENTER HOSPITAL BAYAMON CALLE J #9 |
$250 | $82.00 | — | — |
| DOCTORS CENTER HOSPITAL SAN JUAN SANTURCE |
$250 | $82.00 | — | — |
| DOCTORS CENTER HOSPITAL SAN JUAN SANTURCE |
$250 | $82.00 | — | — |
That is the median of what the 18 Puerto Rico hospitals above publish for Emergency department visit for problem that may not require health care professi… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99281 in Puerto Rico, Medicare reimburses about $11.03 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Puerto Rico range from $48.00 to $250 — that means hospital cash prices are typically 18.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit for problem that may not require health care professi… cost in Puerto Rico?
- Cash prices for emergency department visit for problem that may not require health care professi… (CPT 99281) in Puerto Rico range from $48.00 to $250, with a median of $200. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit for problem that may not require health care professi… in Puerto Rico?
- The cheapest Puerto Rico hospital published cash price for this procedure is $48.00. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.