How many shoppable procedure prices are published for Doctors Center Hospital Carolina LLC?

Doctors Center Hospital Carolina LLC in Carolina, PR currently has 75 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Doctors Center Hospital Carolina LLC's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Doctors Center Hospital Carolina LLC's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Proprietary 109 Beds · urban Updated: 2025-10-20

Doctors Center Hospital Carolina LLC

Edif Jesus T Pineiro Ave Fernandez Juncos Bo Puebl, Carolina, PR 00979 · 75 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.17×vs. Fair Market Price

Typical commercial prices here are +17% above the fair benchmark (1.17×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic97

Peer Alignment66

Clean Billing70

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.17× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Doctors Center Hospital Carolina LLC prices routine shoppable procedures near 1.1× Medicare (p50 1.14×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.60×, +40% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#11 of 17 in PR · 58th State Percentile#1,922 of 3,385 in U.S. · 56th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.57× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 62% patient recommendation (55/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.17× 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 (1.3×) & laboratory (1.8×) services average 1.45× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.60×) jump +40% above the median procedure ratio (Q50 1.14×)
Unnegotiated chargemaster list prices average 14.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.45× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+40% Upper Tail

Q25 0.57× · Q50 1.14× · Q75 1.60×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 55/100Elevated

Procedure Prices at Doctors Center Hospital Carolina LLC

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 75 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$2,975	$650	$511	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$2,800	$625	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,800	$625	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,800	$625	$369	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,925	$383	$448	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,750	$275	$167	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,750	$280	$258	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,925	$300	$303	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,750	$275	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,750	$280	$242	unverified
CT scan, sinuses CPT Code: `70486`	$1,750	$275	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,750	$275	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,750	$275	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,050	$275	$163	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$875	$118	$110	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$875	$139	$272	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$525	$135	$981	0.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,050	$135	$987	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$4,900	$135	$1,256	0.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$770	$100	$123	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$648	$100	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$438	$80	$148	0.5×
Blood test, vitamin D CPT Code: `82306`	$1,750	$69	$31	2.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,400	$68	$87	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$438	$75	$123	0.6×
Ultrasound, pelvis CPT Code: `76856`	$459	$75	$130	0.6×
X-ray, lower back CPT Code: `72110`	$140	$64	$112	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$408	$70	$126	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$438	$64	$132	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$2,100	$77	$201	0.4×
Hepatitis C antibody test CPT Code: `86803`	$140	$38	$15	2.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$532	$26	$14	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$350	$20	$11	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$336	$35	$40	0.9×
X-ray, foot CPT Code: `73630`	$221	$42	$92	0.5×
X-ray, ankle CPT Code: `73610`	$186	$42	$93	0.5×
X-ray, hand CPT Code: `73130`	$175	$41	$93	0.4×
X-ray, shoulder CPT Code: `73030`	$165	$39	$92	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$70	$7	$3	2.3×
Culture, bacterial CPT Code: `87070`	$210	$20	$9	2.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$175	$11	$6	1.8×
Blood test, basic metabolic panel CPT Code: `80048`	$350	$12	$9	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$280	$33	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$441	$36	$64	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$168	$9	$5	1.8×
Blood test, sodium CPT Code: `84295`	$105	$8	$5	1.6×
Blood test, liver function panel CPT Code: `80076`	$294	$14	$9	1.6×
Occupational therapy (self-care training) CPT Code: `97535`	$210	$33	$38	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$203	$32	$93	0.3×
X-ray, pelvis CPT Code: `72170`	$147	$35	$110	0.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$105	$6	$4	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$378	$27	$18	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$105	$6	$4	1.5×
Blood test, amylase CPT Code: `82150`	$308	$10	$7	1.4×
Blood test, calcium CPT Code: `82310`	$252	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$126	$7	$5	1.4×
Blood test, potassium CPT Code: `84132`	$105	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$63	$4	$3	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$435	$21	$16	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$385	$18	$14	1.3×
Blood test, magnesium CPT Code: `83735`	$126	$9	$7	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$350	$23	$19	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$441	$30	$25	1.2×
Blood test, lipase CPT Code: `83690`	$168	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$119	$9	$8	1.1×
Physical therapy (gait training) CPT Code: `97116`	$280	$29	$33	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$280	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$336	$28	$34	0.8×
X-ray, chest (two views) CPT Code: `71046`	$315	$29	$93	0.3×
X-ray, hip CPT Code: `73502`	$221	$25	$93	0.3×
Blood antibody screen CPT Code: `86850`	$420	$12	$46	0.3×
X-ray, chest (single view) CPT Code: `71045`	$578	$20	$92	0.2×
Blood transfusion CPT Code: `36430`	$7,000	$30	$498	0.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$462	$15	$10	unverified
Culture, blood CPT Code: `87040`	—	—	$11	—

Showing top 25 high-impact procedures of 75 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Doctors Center Hospital Carolina LLC (Zero PHI Required)

CMS CCN: 400132

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $2,975

Insurer Median $650

1. Amount on Your Bill or Quote ($) Pre-filled with Doctors Center Hospital Carolina LLC’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $2,975

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Doctors Center Hospital Carolina LLC's published 45 CFR § 180 self-pay cash rate is $2,975 (vs. $650 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,464 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($2,975) is $2,464 above the denoised Fair BaseRate ($511) and 8.4× the $356 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 660782101

Public IRS & CMS ownership records classify Doctors Center Hospital Carolina LLC 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite55/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)57%

Median ER Wait315 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

Source: CMS Hospital Care Compare (377 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Doctors Center Hospital Carolina LLC.

Price Index: 1.11× regional baseline

Quality: 48/100 CMS composite

Median Household Income$26,981U.S. Census ACS

Local Uninsured Share9.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 72/100 · Corroborated CMS CCN 400132 EIN 660782101

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 400132) ↗ Verify IRS Form 990 (EIN 660782101) ↗ CMS HCRIS Cost Reports ↗

Published MRF File660782101_doctors-center-hospital---san-fernando-de-carolina_standardcharges.json

Publication / Vintage2025-10-20 · 6.01 MB

Validated Rate Rows423 (CMS v3.0.0)

File Integrity Digest6ae298da816e27e1ad26…

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.

Submit MRF Update Correction Policy