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County Price & Affordability Audit 6 of 19 Hospitals Priced Pop. 338,661 $26,981 Median Income

San Juan Municipio, PR Hospital Rates

Compare hospital price transparency compliance, fair price benchmarks, and local household charity-care eligibility across all 19 mapped hospitals in San Juan Municipio.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.05×vs. Fair Market Price
Position vs. 1.00× Fair Price+5% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +5% above the fair benchmark (1.05×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · San Juan Municipio Affordability & CoverageSummarizes local hospital price disclosure compliance in San Juan Municipio, U.S. Census median household income, local uninsured rate, and federal 200%–400% FPL charity-care income thresholds.6 of 19 Hospitals Priced
Hospitals Priced6 of 19Number of CMS-certified hospitals located inside San Juan Municipio that have published machine-readable price files out of all 19 local facilities.
Median Income$27.0k / yrU.S. Census ACS median annual household income in San Juan Municipio ($26,981/yr), used to measure medical bill burden and charity-care eligibility.
Uninsured Rate9.0%Percentage of San Juan Municipio residents without health insurance who rely on self-pay cash discounts and 501(r) nonprofit hospital financial assistance.

Local charity-care income cutoffs (200%–400% FPL): up to $31,920 (single) and $128,600 (family of 4) qualify for free or discounted hospital care.

County Hospital Pricing & Affordability Audit6 of 19 Local Hospitals Priced

San Juan Municipio, PR Hospital Price & Affordability Summary

San Juan Municipio, Puerto Rico (pop. 338,661) has 19 CMS-certified hospitals (6 publishing verified machine-readable price files) with a local price index of 1.05× the U.S. fair price benchmark and a $26,981 median household income.

County Price Index: 1.05× Fair MarketMedian Income: $26,981/yr
Advantage

Best Value & Patient Protections in San Juan Municipio

  • 6 of 19 hospitals in San Juan Municipio publish verified 45 CFR § 180 price files (Doctor's Center De San Juan, Doctors Center Hospital Carolina LLC, Presbyterian Community Hospital).
  • High-rated local clinical care: Auxilio Mutuo Hospital (4/5 CMS Stars).
  • Under federal 26 U.S.C. § 501(r), nonprofit hospitals must provide discounted Financial Assistance Policy (FAP) rates for San Juan Municipio families earning up to $128,600/yr (400% FPL).
Watchout

Where San Juan Municipio Patients Get Burned (Billing Watchouts)

  • 13 facilities in San Juan Municipio (Metropolitan Hospital, Centro Cardiovascular De Puerto Rico Y El Caribe) lack an indexed MRF price schedule — always demand a written Good Faith Estimate before scheduling.
  • With a 9.0% local uninsured rate and $26,981 median household income, an unnegotiated $5,000 hospital bill equals 9.6 weeks of typical San Juan Municipio family take-home pay.
  • Emergency department and inpatient ancillary charges vary significantly across Puerto Rico counties — inspect each hospital's profile below before paying a full chargemaster bill.
County MRF Price Coverage32% Published
6 of 19 Hospitals

Includes Doctor's Center De San Juan & Doctors Center Hospital Carolina LLC.

Free Care Income Cutoff (200% FPL)Nonprofit 501(r) Rule
$31,920 – $64,300

Single ($31,920) to Family of 4 ($64,300) threshold for 100% free charity care.

Discounted Care Cutoff (400% FPL)AGB Billing Cap
Up to $128,600/yr

4-person household income cap qualifying for statutory AGB billing limits in San Juan Municipio.

Puerto Rico County Price & Affordability Heatmap 8 of 78 Counties with MRF Hospital Data

Puerto Rico County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 78 counties in Puerto Rico

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup
San Juan Municipio6hosps
1.05× Fair
Income $27k
Arecibo Municipio2hosps
1.13× Fair
Income $23k
Fajardo Municipio1hosp
0.42× Fair
Income $25k
Lares Municipio1hosp
0.77× Fair
Income $19k
Ponce Municipio1hosp
0.92× Fair
Income $19k
Mayagüez Municipio1hosp
1.17× Fair
Income $18k
Dorado Municipio1hosp
1.28× Fair
Income $33k
Aguadilla Municipio1hosp
1.29× Fair
Income $20k
Bayamón Municipio0hosps
0.77× Fair
Income $31k
Carolina Municipio0hosps
0.77× Fair
Income $35k
Caguas Municipio0hosps
0.77× Fair
Income $30k
Guaynabo Municipio0hosps
0.77× Fair
Income $46k
Toa Baja Municipio0hosps
0.77× Fair
Income $30k
Trujillo Alto Municipio0hosps
0.77× Fair
Income $39k
Toa Alta Municipio0hosps
0.77× Fair
Income $33k
Vega Baja Municipio0hosps
0.77× Fair
Income $24k
Humacao Municipio0hosps
0.77× Fair
Income $26k
Cabo Rojo Municipio0hosps
0.77× Fair
Income $26k
Río Grande Municipio0hosps
0.77× Fair
Income $27k
Juana Díaz Municipio0hosps
0.77× Fair
Income $24k
Isabela Municipio0hosps
0.77× Fair
Income $20k
Canóvanas Municipio0hosps
0.77× Fair
Income $27k
Cayey Municipio0hosps
0.77× Fair
Income $28k
Gurabo Municipio0hosps
0.77× Fair
Income $40k
Showing top 24 counties with hospital price filings of 78 total in Puerto Rico

All Hospitals in San Juan Municipio (19)

Select any published hospital below to inspect its procedure price list, insurer discounts, and official MRF verification links.

MRF Compliance: 6 of 19 Published
  • Metropolitan Hospital · San Juan CMS CCN 400106 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • Centro Cardiovascular De Puerto Rico Y El Caribe · San Juan CMS CCN 400124 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • San Juan Municipality Hospital · Rio Piedras CMS CCN 400015 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • University Pediatric Hospital · San Juan CMS CCN 403301 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • Asociacion Hospital Del Maestro, Inc · San Juan CMS CCN 400004 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • Hospital Oncologico Dr Isaac Gonzalez Martinez · San Juan CMS CCN 400012 · Specialty / Outpatient Care
    Not Rated No MRF Indexed
  • Auxilio Mutuo Hospital · San Juan CMS CCN 400016 · 24/7 Emergency Services
    4/5 CMS Stars No MRF Indexed
  • Asem · San Juan CMS CCN 400127 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • Doctor's Center De San Juan · Santurce CMS CCN 400006 · 24/7 Emergency Services
    Not Rated MRF Published Inspect Prices →
  • Hospital Universitario De Adulto · Rio Piedras CMS CCN 400061 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • San Juan Capestrano Hospital Inc · Rio Piedras CMS CCN 404005 · Specialty / Outpatient Care
    Not Rated No MRF Indexed
  • Doctors Center Hospital Carolina LLC · Carolina CMS CCN 400132 · 24/7 Emergency Services
    Not Rated MRF Published Inspect Prices →
  • Hospital Centro Comprensivo Del Cancer · San Juan CMS CCN 400135 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • Hospital Episcopal San Lucas Metro · San Juan CMS CCN 400139 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • The San Jorge Hospital Inc · San Juan CMS CCN 400134 · 24/7 Emergency Services
    Not Rated No MRF Indexed
  • Presbyterian Community Hospital · San Juan CMS CCN 400001 · 24/7 Emergency Services
    Not Rated MRF Published Inspect Prices →
  • Hospital San Francisco · San Juan CMS CCN 400098 · 24/7 Emergency Services
    Not Rated MRF Published Inspect Prices →
  • Hospital Pavia Santurce · San Juan CMS CCN 400019 · 24/7 Emergency Services
    1/5 CMS Stars MRF Published Inspect Prices →
  • Hospital Pavia Hato Rey, Inc · Hato Rey CMS CCN 400128 · 24/7 Emergency Services
    Not Rated MRF Published Inspect Prices →

Compare Procedure Prices Across All Puerto Rico Hospitals

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