Emergency Department Visit with Low Level of Medical Decision Making Cost in Puerto Rico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 16 Puerto Rico hospitals. CPT 99283. 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 16 of 16 hospitals.
| Hospital | Cash | Medicare | Humana | TRICARE |
|---|---|---|---|---|
| BAYAMON MEDICAL CENTER BAYAMON |
$70.00 | — | — | — |
| HOSPITAL DAMAS PONCE |
$90.00 | — | $69.07 | $69.07 |
| DOCTORS CENTER HOSPITAL DORADO DORADO |
$101 | $264 | $182 | — |
| UNIVERSITY OF PUERTO RICO HOSPITAL, DR. FEDERICO TRILLA KM 8 3 |
$125 | — | — | — |
| HOSPITAL DE LA CONCEPCION SAN GERMAN |
$130 | $210 | $210 | — |
| MANATI MEDICAL CENTER DR ALEJANDRO OTERO LOPEZ MANATI PUEBLO |
$150 | — | — | — |
| PUERTO RICO WOMEN AND CHILDRENS HOSPITAL BAYAMON |
$150 | — | — | — |
| HOSPITAL ESPANOL AUXILIO MUTUO SAN PABLO BAYAMON |
$223 | $188 | — | — |
| HOSPITAL PAVIA CAGUAS CAGUAS |
$223 | — | — | — |
| DOCTORS CENTER HOSPITAL BAYAMON CALLE J #9 |
$250 | $264 | — | — |
| DOCTORS CENTER HOSPITAL MANATI MANATI |
$250 | $264 | — | — |
| DOCTORS CENTER HOSPITAL SAN JUAN SANTURCE |
$250 | $264 | — | — |
| DOCTORS CENTER HOSPITAL SAN JUAN SANTURCE |
$250 | $264 | — | — |
| DOCTORS CENTER HOSPITAL SAN FERNANDO DE CAROLINA APARTADO 8 |
$250 | $264 | — | — |
| DOCTORS CENTER HOSPITAL SAN FERNANDO DE CAROLINA APARTADO 8 |
$250 | $264 | — | — |
| MAYAGUEZ MEDICAL CENTER MAYAGUEZ |
$250 | $63.10 | $40.00 | — |
That is the median of what the 16 Puerto Rico hospitals above publish for Emergency department visit with low level of medical decision making — 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 99283 in Puerto Rico, Medicare reimburses about $69.48 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Puerto Rico range from $70.00 to $250 — that means hospital cash prices are typically 2.2x 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 with low level of medical decision making cost in Puerto Rico?
- Cash prices for emergency department visit with low level of medical decision making (CPT 99283) in Puerto Rico range from $70.00 to $250, with a median of $150. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with low level of medical decision making in Puerto Rico?
- The cheapest Puerto Rico hospital published cash price for this procedure is $70.00. 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.