How many shoppable procedure prices are published for Mayaguez Medical Center Dr Ramon Emeterio Betances?

Mayaguez Medical Center Dr Ramon Emeterio Betances in Mayaguez, PR currently has 82 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Mayaguez Medical Center Dr Ramon Emeterio Betances's CMS Care Compare overall star rating?

CMS Care Compare assigns Mayaguez Medical Center Dr Ramon Emeterio Betances an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 216 Beds · urban Updated: 2026-03-31

Mayaguez Medical Center Dr Ramon Emeterio Betances

Carr 2 Bo Sabalos, Mayaguez, PR 00682 · 82 Priced Procedures · 55% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 30% of the Time

File Completeness66

Price Logic71

Peer Alignment66

Clean Billing75

Real Cash Discount6

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Mayaguez Medical Center Dr Ramon Emeterio Betances prices routine shoppable procedures near 2.5× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 4.7× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

Regional Benchmark in PRU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 30% of shoppable procedures (25/100 Cash Honesty)
1-Star CMS clinical rating with 55% patient recommendation (35/100 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)

Outpatient surgery & OR suites carry a 3.1× markup over Medicare rates
Captive ER (3.6×) & laboratory (4.1×) services average 1.88× higher multiples than routine shoppable care (2.5×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 2.0× Medicare (43¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.5× Medicare

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

Back-Door Captive & ER1.88× Divergence

4.7× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.1× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

3.6× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.1× MedicareElevated

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

3.1× MedicareFair

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

30% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 35/100Watchout

Procedure Prices at Mayaguez Medical Center Dr Ramon Emeterio Betances

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 82 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,625	$3,625	$6,109	0.6×
Inguinal hernia repair CPT Code: `49505`	$2,500	$2,500	$3,629	0.7×
Breast lump removal CPT Code: `19120`	$513	$513	$3,875	0.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$471	$471	$981	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$429	$429	$987	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$398	$398	$1,256	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$325	$325	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$325	$325	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$325	$325	$369	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$325	$325	$511	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$211	$211	$201	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$231	$231	$583	0.4×
New patient office visit (30-44 min) CPT Code: `99203`	$200	$200	$110	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$201	$201	$272	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$175	$175	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$175	$175	$163	1.1×
CT scan, sinuses CPT Code: `70486`	$175	$175	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$175	$175	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$175	$175	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$175	$175	$169	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$175	$175	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$175	$175	$258	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$175	$175	$303	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$175	$175	$448	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$145	$145	$134	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$125	$125	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$125	$125	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$125	$125	$132	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$125	$125	$148	0.8×
Blood transfusion CPT Code: `36430`	$150	$150	$498	0.3×
X-ray, shoulder CPT Code: `73030`	$92	$92	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$92	$92	$93	1.0×
X-ray, chest (single view) CPT Code: `71045`	$90	$90	$92	1.0×
X-ray, foot CPT Code: `73630`	$90	$90	$92	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$104	$104	$123	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$100	$100	$123	0.8×
Blood test, vitamin D CPT Code: `82306`	$122	$122	$31	3.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$56	$56	$14	4.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$76	$76	$19	4.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$55	$55	$14	3.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$43	$43	$11	3.9×
Blood test, vitamin B12 CPT Code: `82607`	$62	$62	$16	3.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$69	$69	$18	3.8×
Hepatitis B vaccine HCPCS Code: `90744`	$85	$85	$37	2.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$65	$65	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$65	$65	$87	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$13	$13	$3	4.3×
Blood test, calcium CPT Code: `82310`	$21	$21	$5	4.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$21	$5	4.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$25	$25	$6	4.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$16	$16	$4	4.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$40	$40	$10	4.0×
Hepatitis C antibody test CPT Code: `86803`	$59	$59	$15	3.9×
Blood test, lipase CPT Code: `83690`	$28	$28	$7	4.0×
Blood test, magnesium CPT Code: `83735`	$28	$28	$7	4.0×
Blood test, sodium CPT Code: `84295`	$20	$20	$5	4.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$16	$16	$4	4.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$32	$32	$8	4.0×
Blood test, basic metabolic panel CPT Code: `80048`	$35	$35	$9	3.9×
Culture, bacterial CPT Code: `87070`	$35	$35	$9	3.9×
Blood test, amylase CPT Code: `82150`	$27	$27	$7	3.9×
Culture, blood CPT Code: `87040`	$42	$42	$11	3.8×
Blood test, potassium CPT Code: `84132`	$19	$19	$5	3.8×
Blood test, liver function panel CPT Code: `80076`	$34	$34	$9	3.8×
X-ray, chest (two views) CPT Code: `71046`	$45	$45	$93	0.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$16	$5	3.2×
Blood test, hemoglobin CPT Code: `85018`	$8	$8	$3	2.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$25	$25	$14	1.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$23	$23	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$28	$28	$33	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$28	$28	$34	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$28	$28	$38	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$25	$25	$35	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$25	$25	$38	0.7×
Prosthetic fitting and training CPT Code: `97761`	$28	$28	$45	0.6×
Blood antibody screen CPT Code: `86850`	$25	$25	$46	0.5×
X-ray, ankle CPT Code: `73610`	$30	$30	$93	0.3×
X-ray, lower back CPT Code: `72110`	$35	$35	$112	0.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$11	$11	$40	0.3×
X-ray, hand CPT Code: `73130`	$25	$25	$93	0.3×
X-ray, hip CPT Code: `73502`	$25	$25	$93	0.3×
X-ray, pelvis CPT Code: `72170`	$25	$25	$110	0.2×

Showing top 25 high-impact procedures of 82 total

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

Audit a Bill or Quote at Mayaguez Medical Center Dr Ramon Emeterio Betances (Zero PHI Required)

CMS CCN: 400103

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $3,625

Insurer Median $3,625

1. Amount on Your Bill or Quote ($) Pre-filled with Mayaguez Medical Center Dr Ramon Emeterio Betances’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: $3,625

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Mayaguez Medical Center Dr Ramon Emeterio Betances's published 45 CFR § 180 self-pay cash rate is $3,625 (vs. $3,625 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $6,109 Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($6,109).

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)

Public IRS & CMS ownership records classify Mayaguez Medical Center Dr Ramon Emeterio Betances 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 Overall1/5 Stars (1/5)

Safety Composite35/100

Would Recommend55%

Rated 9 or 10 (HCAHPS)49%

30-Day Mortality vs U.S.worse

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionworse

Source: CMS Hospital Care Compare (384 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 Mayaguez Medical Center Dr Ramon Emeterio Betances.

Price Index: 0.99× regional baseline

Quality: 9/100 CMS composite

Median Household Income$18,067U.S. Census ACS

Local Uninsured Share4.2%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 59/100 · Caution CMS CCN 400103

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 400103) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-31

Validated Rate Rows1,539 (CMS v3.0.0)

File Integrity DigestVerified · CCN 400103

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