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Bella Vista Hospital

Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681 · (787) 652-6045

Acute Care HospitalsVoluntary non-profit - ChurchWebsite ↗

Price file

Prices published

File dated 2026-03-10

1,652 price rows for 39 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines

$20
cash
$475
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines

$325
cash
$390
cash
$225
cash
$126
cash
$539
cash
$500
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines

$9
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 6 lines

$21
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 5 lines

$20
cash
$819
cash
$2,300
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$26
cash
Liver function panel

CPT 80076 · lowest of 4 lines

$16
cash
$850
cash
$750
cash
$750
cash
$750
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines

$89
cash
$457
cash
$618
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines

$20
cash
$9
cash
$35
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines

$100
cash
$650
cash
$906
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines

$8
cash
$1,700
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 5 lines

$80
cash
TSH test (thyroid)

CPT 84443 · lowest of 3 lines

$27
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$125
cash
$180
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$146
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 3 lines

$126
cash
$20
cash
$225
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines

$64
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.