Re-evaluation for Physical Therapy, Typically 20 Minutes Cost in Puerto Rico
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 15 Puerto Rico hospitals. CPT 97164. 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 15 of 15 hospitals.
| Hospital | Cash | Medicare | Humana |
|---|---|---|---|
| MANATI MEDICAL CENTER DR ALEJANDRO OTERO LOPEZ MANATI PUEBLO |
$30.00 | $30.00 | $30.00 |
| MANATI MEDICAL CENTER DR ALEJANDRO OTERO LOPEZ MANATI PUEBLO |
$30.00 | $30.00 | $30.00 |
| MAYAGUEZ MEDICAL CENTER MAYAGUEZ |
$30.00 | — | — |
| BAYAMON MEDICAL CENTER BAYAMON |
$30.00 | — | — |
| HOSPITAL ESPANOL AUXILIO MUTUO SAN PABLO BAYAMON |
$35.00 | — | — |
| HOSPITAL PAVIA CAGUAS CAGUAS |
$35.00 | — | — |
| DOCTORS CENTER HOSPITAL SAN JUAN SANTURCE |
$40.00 | $70.00 | — |
| DOCTORS CENTER HOSPITAL SAN JUAN SANTURCE |
$40.00 | $70.00 | — |
| DOCTORS CENTER HOSPITAL BAYAMON CALLE J #9 |
$40.00 | $70.00 | — |
| DOCTORS CENTER HOSPITAL MANATI MANATI |
$40.00 | $70.00 | — |
| DOCTORS CENTER HOSPITAL SAN FERNANDO DE CAROLINA APARTADO 8 |
$40.00 | $70.00 | — |
| DOCTORS CENTER HOSPITAL SAN FERNANDO DE CAROLINA APARTADO 8 |
$40.00 | $70.00 | — |
| UNIVERSITY OF PUERTO RICO HOSPITAL, DR. FEDERICO TRILLA KM 8 3 |
$50.00 | $58.17 | — |
| ASHFORD HOSPITAL SAN JUAN |
$55.00 | — | — |
| HOSPITAL DE LA CONCEPCION SAN GERMAN |
$115 | $69.57 | $69.57 |
That is the median of what the 15 Puerto Rico hospitals above publish for Re-evaluation for physical therapy, typically 20 minutes — 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 97164 in Puerto Rico, Medicare reimburses about $67.85 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Puerto Rico range from $30.00 to $115 — that means hospital cash prices are typically 0.6x 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 re-evaluation for physical therapy, typically 20 minutes cost in Puerto Rico?
- Cash prices for re-evaluation for physical therapy, typically 20 minutes (CPT 97164) in Puerto Rico range from $30.00 to $115, with a median of $40.00. Prices vary widely by hospital.
- Where can I find the cheapest re-evaluation for physical therapy, typically 20 minutes in Puerto Rico?
- The cheapest Puerto Rico hospital published cash price for this procedure is $30.00. 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.