La Romana (Casa de Campo)
La Romana is hard to rate because we didn't stay in the area. We booked an excursion to Santo Domingo through Carnival ($80 per person). I am a history buff so I thought it was very interesting seeing the "Firsts" in the Americas. The drive there and back was long but scenic.
Looks like the cruise lines have this port cornered, so good luck in finding any non-Carnival price gouging excursion when you get off the ship. There are taxis who will take you to places.
We have considered going to the Dominican Republic before because there are some good deals. We've heard good and bad about the place, crime in particular. We had no problems though. We didn't get to see the nice resort areas up close. I couldn't help but compare it to Mexico. The vendors in Santo Domingo are very pushy. Not as pushy as Jamaica, but more so than Mexico. There is a little more language barrier than Mexico. Our guide was very good though. They seem to be really proud of their history, but you can't help but notice the enormous amount of trash everywhere along the roads. I also saw a huge rat at Diego Columbus's house outside. I know of the economic problems, but just seems like this should be a priority if you are going to be getting in tourists.