Best Hospitals in Puerto Rico 2026
Puerto Rico has 61 hospitals with an average procedure payment of $10K. The top-rated hospital is Manati Medical Center Dr Otero Lopez in Manati with a 3-star CMS rating.
61 Puerto Rico hospitals appear in the CMS Inpatient Payment dataset. Ranked by average payment per documented procedure: Hospital Espanol Auxilio Mutuo San Pablo is the lowest at $6,979; Hospital Pavia Arecibo the highest at $15,204. The gap between the extremes is large enough to matter for any patient with elective scheduling.
Ranking interpretation: the rankings sort on the Medicare payment-per-procedure average, weighted equally across DRG codes. That makes them most useful as a cost-comparison starting point — the LakeQuality value grade layered on top combines this cost data with CMS Hospital Compare quality measures, which is usually the more decision-useful number. For patients comparing hospital costs, the ranking is a useful first cut, but the procedure-specific page is the better tool: cost spreads vary by DRG code, and the all-procedure average can hide important per-procedure differences.
Across Puerto Rico's 61 Medicare-participating hospitals, the average payment per procedure is $10K, below the national average of $16K. 0% ofPuerto Rico's hospitals carry a CMS quality rating of 4 stars or higher, and 61% earn an A or B on our Value Score, which weighs price (40%), quality (40%), and patient outcomes (20%).
Procedure prices in Puerto Rico range from Hospital Espanol Auxilio Mutuo San Pablo at $7K per procedure to Hospital Pavia Arecibo at $15K — a difference of $8K on the same kinds of inpatient stays. Where you go for the same procedure can swing the bill by more than the procedure itself.
All numbers come from the latest CMS Hospital Compare release, which uses Medicare claims data and only reflects payments for Medicare inpatient stays — not what private insurers or self-pay patients actually pay. Star ratings combine seven groups of measures including mortality, patient safety, readmissions, and patient experience. Lower-priced hospitals can still earn an A on the Value Score if their quality stays competitive.
Top 3 Hospitals in Puerto Rico
Manati Medical Center Dr Otero Lopez
Manati, PR
Puerto Rico's top-rated hospital with a 3-star CMS quality rating and an average payment of $9K per procedure. Outcome score: 66/100.
Auxilio Mutuo Hospital
San Juan, PR
Second-best in Puerto Rico. 3-star CMS rating with an outcome score of 64/100. Average procedure payment: $11K.
Hospital De La Concepcion
San German, PR
Third on quality + outcomes. 3-star CMS rating; Value Score 69/100. Lists 17 priced procedures.
Top 20 of 61 Hospitals in Puerto Rico
| # | Hospital | City | Quality | Avg Payment | Value |
|---|---|---|---|---|---|
| 1 | Manati Medical Center Dr Otero Lopez | Manati | ★★★☆☆ | $9K | B |
| 2 | Auxilio Mutuo Hospital | San Juan | ★★★☆☆ | $11K | B |
| 3 | Hospital De La Concepcion | San German | ★★★☆☆ | $13K | B |
| 4 | Doctors' Center Hospital, Inc | Manati | ★★☆☆☆ | $12K | C |
| 5 | San Juan Va Medical Center | San Juan | ★★☆☆☆ | $9K | C |
| 6 | Hospital Damas Inc | Ponce | ★★☆☆☆ | $11K | C |
| 7 | Hospital Espanol Auxilio Mutuo San Pablo | Bayamon | ★☆☆☆☆ | $7K | C |
| 8 | Hospital Pavia Santurce | San Juan | ★☆☆☆☆ | $9K | C |
| 9 | Hospital Menonita Caguas Inc | Caguas | ☆☆☆☆☆ | $9K | B |
| 10 | Hospital Metropolitano Dr Susoni | Arecibo | ☆☆☆☆☆ | $9K | B |
| 11 | Hospital General De Castaner | Castaner | ☆☆☆☆☆ | $13K | C |
| 12 | Hope Medical Center | Humacao | ☆☆☆☆☆ | $13K | C |
| 13 | Hospital Metropolitano Psiquiatrico De Cabo Rojo | Cabo Rojo | ☆☆☆☆☆ | $12K | C |
| 14 | Doctors' Center Bayamon | Bayamon | ☆☆☆☆☆ | $12K | C |
| 15 | Hospital San Carlos Borromeo | Moca | ☆☆☆☆☆ | $12K | C |
| 16 | Hospital Pavia Hato Rey, Inc | Hato Rey | ☆☆☆☆☆ | $12K | C |
| 17 | Hospital Upr, Dr Federico Trilla | Carolina | ☆☆☆☆☆ | $12K | C |
| 18 | Centro Medico Del Noreste | Fajardo | ☆☆☆☆☆ | $12K | C |
| 19 | Puerto Rico Women And Children Hospital Llc | Bayamon | ☆☆☆☆☆ | $11K | C |
| 20 | The San Jorge Hospital Inc | San Juan | ☆☆☆☆☆ | $11K | C |
Hospital quality and cost data for Puerto Rico is sourced from the Centers for Medicare & Medicaid Services (CMS) Hospital Compare dataset.
Frequently Asked Questions
Based on CMS quality ratings and patient outcomes, Manati Medical Center Dr Otero Lopez in Manati is the top-rated hospital in Puerto Rico with a 3-star CMS rating and an average procedure payment of $9K. Its Value Score is 75/100 (Grade B).
Puerto Rico has 61 Medicare-participating hospitals. The average procedure payment across the state is $10K, and 61% of hospitals earn an A or B Value Score.
Puerto Rico's average procedure payment of $10K is below the national average of $16K. Within the state, prices range from $7K at Hospital Espanol Auxilio Mutuo San Pablo to $15K at Hospital Pavia Arecibo — a gap of $8K per procedure.
Of 61 hospitals analyzed in Puerto Rico, 0 (0%) earn a CMS quality rating of 4 stars or better. CMS star ratings combine measures of mortality, safety, readmission, patient experience, timeliness, and effectiveness of care.
Hospitals are ranked first by CMS star quality rating (1-5 stars), then by outcome score, which reflects mortality rates, patient safety, and readmissions. The Value Score combines price percentile (40%, lower price = higher score), quality rating (40%), and outcome score (20%).
Hospitals ranked by CMS star quality rating and outcome score. Value Score: price percentile (40% inverted), quality rating (40%), outcome score (20%).