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PricedCare

Hospital Menonita Ponce

Carr Pr 506 Km 1 0 Bo Coto Laurel, Ponce, PR 00780 · (787) 290-3096

Acute Care HospitalsVoluntary non-profit - PrivateWebsite ↗

Price file

Prices published

File dated 2026-03-31

572 price rows for 33 procedures

Published prices

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

CPT 80048

$25
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177

$400
cash
CT scan of the head, no contrast

CPT 70450

$400
cash
CT scan of the pelvis, with contrast

CPT 72193

$400
cash
Colonoscopy (diagnostic)

CPT 45378

$253
cash
Complete blood count (CBC) with differential

CPT 85025

$12
cash
Comprehensive metabolic panel (blood test)

CPT 80053

$30
cash
Diagnostic mammogram (both breasts)

CPT 77066

$215
cash
Electrocardiogram (ECG) with interpretation

CPT 93000

$60
cash
Hip or knee replacement, no major complications

MS-DRG 470

$15,963
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

$12,231
cash
Lipid panel (cholesterol test)

CPT 80061

$23
cash
Liver function panel

CPT 80076

$35
cash
MRI of the brain, with and without contrast

CPT 70553

$925
cash
MRI of the knee or other lower joint, no contrast

CPT 73721

$750
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148

$750
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473

$18,742
cash
New patient office visit (about 30 minutes)

CPT 99203

$85
cash
New patient office visit (about 45 minutes)

CPT 99204

$110
cash
New patient office visit (about 60 minutes)

CPT 99205

$144
cash
PSA test (prostate)

CPT 84153

$34
cash
Partial thromboplastin time (blood clotting test)

CPT 85730

$15
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

$21
cash
Pregnancy ultrasound (after first trimester)

CPT 76805

$100
cash
Prothrombin time (blood clotting test)

CPT 85610

$11
cash
Psychotherapy, 30 minutes

CPT 90832

$83
cash
Psychotherapy, 45 minutes

CPT 90834

$104
cash
Psychotherapy, 60 minutes

CPT 90837

$165
cash
Screening mammogram (both breasts)

CPT 77067

$176
cash
TSH test (thyroid)

CPT 84443

$30
cash
Transvaginal ultrasound

CPT 76830

$90
cash
Ultrasound of the abdomen (complete)

CPT 76700

$100
cash
X-ray of the lower spine (4 or more views)

CPT 72110

$55
cash

Source files

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