Are healthcare and health insurance expensive in Managua?

"Healthcare and health insurance in Managua, can be considered relatively affordable compared to more developed countries. Public healthcare is available for free or at a low cost, but the quality of care and facilities may not be up to international standards. Private healthcare facilities offer better quality care, but at a higher cost. Health insurance is available through local providers or international companies, with varying levels of coverage and costs. Overall, healthcare and health insurance expenses in Managua are generally more affordable than in many other countries, but the quality of care may vary significantly depending on the chosen provider," mentioned another expat when asked about moving to Managua, Nicaragua.