Doctor's Center De San Juan
Pda. 20 C/ San Rafael # 1395, Santurce, PR 00909 · 81 Priced Procedures · 64% Patient Recommendation
Typical commercial prices here are +26% above the fair benchmark (1.26×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.26× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Doctor's Center De San Juan prices routine shoppable procedures near 0.5× Medicare (p50 1.41×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.60×, +13% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.54× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
- 2-Star CMS clinical rating with 64% patient recommendation (55/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.26× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.4×) & laboratory (0.9×) services average 3.40× higher multiples than routine shoppable care (0.5×)
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 2.0× Medicare (45¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Doctor's Center De San Juan
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 81 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Breast lump removal CPT Code: 19120 | $700 | 0.2× |
| Blood transfusion CPT Code: 36430 | $555 | 1.1× |
| MRI, brain (no contrast) CPT Code: 70551 | $400 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $425 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $400 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $400 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $337 | 0.6× |
| CT scan, head (no contrast) CPT Code: 70450 | $250 | 1.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $250 | 1.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $275 | 0.6× |
| CT scan, head (with contrast) CPT Code: 70460 | $250 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $250 | unverified |
| CT scan, sinuses CPT Code: 70486 | $250 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $250 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $250 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $275 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $150 | 0.0× |
| Bunion correction surgery CPT Code: 28296 | $150 | 0.0× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $100 | 0.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $125 | 0.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $124 | 0.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $124 | 0.1× |
| Colonoscopy with biopsy CPT Code: 45380 | $123 | 0.1× |
| Cataract surgery with lens implant CPT Code: 66984 | $125 | 0.0× |
| Inguinal hernia repair CPT Code: 49505 | $125 | 0.0× |
Audit a Bill or Quote at Doctor's Center De San Juan (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Doctor's Center De San Juan's published 45 CFR § 180 self-pay cash rate is $700 (vs. $700 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($3,875).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Doctor's Center De San Juan as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (334 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Doctor's Center De San Juan.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.