Hospital General De Castaner
Carr 135 Km 64 2, Castaner, PR 00631 · 64 Priced Procedures
Typical commercial prices here are 23% below the fair benchmark (0.77×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Hospital General De Castaner maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.68× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.06× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 23% below peer Fair BaseRate (0.77×)
- Self-pay cash beats commercial insurance on 17% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (47.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.77× 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 (0.7×) & laboratory (0.4×) services average 2.20× higher multiples than routine shoppable care (0.5×)
- Upper-quartile procedures (Q75 1.06×) jump +56% above the median procedure ratio (Q50 0.68×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Hospital General De Castaner
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 64 published procedures.
Audit a Bill or Quote at Hospital General De Castaner (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $328
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (47.6% of gross = $328).
Self-Pay Cash Rate ($551) Beats Your Bill
Hospital General De Castaner's published 45 CFR § 180 self-pay cash rate is $551 (vs. $275 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($688) is $240 above the denoised Fair BaseRate ($448) and 1.9× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (47.6% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
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 Hospital General De Castaner.
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.