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HCHospitalCostData

Updated April 2026

Intracranial Hemorrhage or Cerebral Infarction with MCC in Puerto Rico

33 Puerto Rico hospitals report Medicare totals for this DRG, averaging $10,979 (well below the $17,212 national mean), with a 2× spread from $7,057 to $15,926. 0 carry an A grade, 0 carry an F.

Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 065) is a Neurological procedure tracked in CMS Inpatient Payment files. Across Puerto Rico, 2,743 hospitals report payment data for 565,218 total discharges, with an average Medicare payment of $17,212 (median $16,772). A $35,289 maximum and $5,455 minimum on the same DRG procedure is normal for the Medicare payment system — DRG codes bundle cases that may differ in complexity, and hospital wage-index adjustments alone can move payments by 30% across regions.

Within Puerto Rico, the 2,743 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($17,212) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Intracranial Hemorrhage or Cerebral Infarction with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Neurology and neurosurgery DRGs span stroke care, craniotomy, spinal procedures, and seizure management. Outcomes vary substantially by hospital volume and stroke-center designation, which the CMS Care Compare site flags directly.

Intracranial Hemorrhage or Cerebral Infarction with MCC is Medicare DRG 065 in the Neurological category. National Medicare average for this DRG is $17,212 across 2,743 reporting hospitals. The state-level view here filters that universe down to Puerto Rico only.

Cost Picture in Puerto Rico

Puerto Rico's average for this DRG sits well below the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 2× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Puerto Rico Reporting Intracranial Hemorrhage or Cerebral Infarction with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#HospitalPaymentGrade
1Hospital Oncologico Dr Isaac Gonzalez Martinez
San Juan
$7,057B
2San Juan Municipality Hospital
Rio Piedras
$7,905B
3Hospital Menonita Humacao, Inc
Humacao
$7,908B
4Presbyterian Community Hospital
San Juan
$7,910C
5Hospital Espanol Auxilio Mutuo San Pablo
Bayamon
$8,923C
6Hospital Universitario Dr Ruiz Arnau
Bayamon
$8,931B
7Hospital General De Castaner
Castaner
$9,009C
8Hospital Episcopal San Lucas Ii
Ponce
$9,163C
9Hospital Pavia Caguas
Caguas
$9,180C
10Centro Medico Del Noreste
Fajardo
$9,363C
11Bella Vista Hospital
Mayaguez
$9,468B
12Hope Medical Center
Humacao
$9,490C
13Hospital Centro Comprensivo Del Cancer
San Juan
$9,767C
14Hospital Comunitario Buen Samaritano Inc
Aguadilla
$9,809B
15University Pediatric Hospital
San Juan
$10,013B
16Doctor's Center De San Juan
Santurce
$10,322C
17Hospital Metropolitano De La Montana
Bda Nueva
$10,531B
18Hospital Perea
Mayaguez
$10,989B
19Centro Cardiovascular De Puerto Rico Y El Caribe
San Juan
$11,175B
20Hospital De La Concepcion
San German
$12,006B
21Puerto Rico Women And Children Hospital Llc
Bayamon
$12,081C
22San Juan Va Medical Center
San Juan
$12,104C
23Hospital San Carlos Borromeo
Moca
$12,109C
24Auxilio Mutuo Hospital
San Juan
$12,337B
25Hospital San Antonio Inc
Mayaguez
$12,749B
26First Hospital Panamericano
Cidra
$12,778B
27The San Jorge Hospital Inc
San Juan
$12,974C
28Bayamon Medical Center
Bayamon
$13,555C
29Hospital Metropolitano Psiquiatrico De Cabo Rojo
Cabo Rojo
$13,721C
30Centro De Salud Conductual Menonita-Cima
Aibonito
$13,865B
31Doctors' Center Bayamon
Bayamon
$14,458C
32Manati Medical Center Dr Otero Lopez
Manati
$14,734B
33Caribbean Medical Center
Fajardo
$15,926B

Frequently Asked Questions

How much does intracranial hemorrhage or cerebral infarction with mcc cost in Puerto Rico?

Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 065) averages $10,979 in total Medicare payment across 33 Puerto Rico hospitals reporting this code. Within the state, payments span $7,057 to $15,926 — about 2× from cheapest to most expensive.

Is Intracranial Hemorrhage or Cerebral Infarction with MCC more or less expensive in Puerto Rico than nationally?

Puerto Rico's state-level average of $10,979 sits well below the national Medicare average of $17,212 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 2× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

  • CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
  • CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
  • CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
  • Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.