Hospital Episcopal San Lucas Metro

Carr 844 Km 0 5 Cupey, San Juan, PR 00928 · (787) 761-8383

Acute Care HospitalsVoluntary non-profit - Private

Price file

Prices published

File dated 2026-03-20

597 price rows for 19 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$8 to $40

17 negotiated rates

—

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$138 to $275

17 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450

—

cash

$61 to $150

17 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$89 to $180

17 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$34 to $85

64 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$8 to $12

34 negotiated rates

—

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$11 to $55

17 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$27 to $58

48 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$13 to $60

51 negotiated rates

—

list

Liver function panel

CPT 80076

—

cash

$8 to $35

17 negotiated rates

—

list

PSA test (prostate)

CPT 84153

—

cash

$18 to $58

34 negotiated rates

—

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$6 to $14

34 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$18 to $138

17 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$4 to $12

51 negotiated rates

—

list

TSH test (thyroid)

CPT 84443

—

cash

$17 to $40

32 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$20 to $122

17 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$35 to $102

17 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $8

17 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110

—

cash

$14 to $82

17 negotiated rates

—

list

Source files

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

https://hospitalsanlucastorage.blob.core.windows.net/images/price-transparency/66-1014091-San-Lucas-Metro-Inc-standardcharges.csv
San Lucas Metro Inc. · discovered · wide v2.0.0 · file dated 2026-03-20 · 0.5 MB · 597 price rows read · read Oct 2026