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The file with the price list is classified under the following groups: Shoppable Services, Gross Charges (for self pay patients), Negotiated (Insurance)
Also classified in the following service categories: Emergency Services, Over Per Diem Services (services paid in addition to standar per diem rate),
Room and Board hospitalizations, Radiology and Other ambulatory services.

Depending on the medical plan, the hospital will have different contracting methodologies: DRG, Per Diems, Fee Schedules, etc.
The negotiated could present these distinctions by medical plan. In any case, we recommend that you contact us if you have any questions.

High and low prices can be easily identified. List is sorted by code, from low to high negociated prices prices.

In the case of patients without insurance (Self pay), services are billed at the standard rate of all applicable codes.

The above means that, in some cases such as emergency rooms and hospitalizations, it is not possible to calculate the final cost until all the services and supplies used
in the patient are known.

Contracts with most medical plans that are not negotiated under the DRG methodology include Over-Per Diem services.
These are services that the insurer pays above a basic contracted rate. In other words, the basic rates contracted do not include these services. 
This typically occurs in hospital stays and emergency room visits. 

In some services, to obtain the total price, both the services of the MD and the Hospital must be considered. A reasonable estimated can be made, before service.

You can call the Billing department at 787-801-0081.


Other notes:

1. Cash discounts are not currently available.
2. Self pay prices are equal to Hospital Standard Rates.
3. Cero Values should be data based errors. Please call for correct prices. For total price you must sum both Physician's and Hospital's Component.
4. In-house ambulatory Clinical Laboratory services are not provided.
5. DRG and APC pricings will be dependent on final Codification of service.  Please call for more information.
6. Please be aware that Over Per Diem Services may apply, in the case of Per Diem Rates negotiated with insurace companies. Refer to proper Group in the list.

	        CT Scans	At Insurance company's fee updated schedule, for all providers.			
		MRI		At Cost of external facility. Service not provided in CMC.			
		High cost drugs	At Insurance company's fee updated schedule, for all providers.			
		Blood		At Insurance company's fee updated schedule, for all providers.			
		Hypernutrition	At Insurance company's fee updated schedule, for all providers.			
		Prosthetics	Orthopedic, pacemakers, etc.			
		Hemodialisis	Based on cost of third party provider (Atlantis Health Care)			

7. Some services such as Pharmacy Drugs may be contrated at currrent supplier price at the time of service.  Please call for more information.

8. The DRG is  a patient classification scheme which provides a means of relating the type of patients a hospital treats (i.e., its case mix)
   to the costs incurred by the hospital.  Price paid to the hospital is based on a weight value (case mix value).  The price will be based on final diagnosis codification.