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PricedCare

Hospital Pavia Hato Rey, INC

Ave Ponce De Leon 435, Hato Rey, PR 00919 · (787) 754-0909

Acute Care HospitalsProprietaryWebsite ↗

Price file

Prices published

File dated 2025-04-10 (older than a year)

721 price rows for 27 procedures

Published prices

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

CPT 80048

$77
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177

$955
cash
CT scan of the head, no contrast

CPT 70450

$703
cash
CT scan of the pelvis, with contrast

CPT 72193

$786
cash
Colonoscopy with biopsy

CPT 45380

$316
cash
Complete blood count (CBC) with differential

CPT 85025

$15
cash
Comprehensive metabolic panel (blood test)

CPT 80053

$95
cash
Diagnostic mammogram (both breasts)

CPT 77066

$290
cash
Group psychotherapy

CPT 90853

$100
cash
Lipid panel (cholesterol test)

CPT 80061

$96
cash
Liver function panel

CPT 80076

$70
cash
MRI of the brain, with and without contrast

CPT 70553

$1,788
cash
MRI of the knee or other lower joint, no contrast

CPT 73721

$1,224
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148

$1,457
cash
MRI of the neck (cervical spine), no contrast

CPT 72141

$1,457
cash
PSA test (prostate)

CPT 84153

$30
cash
Partial thromboplastin time (blood clotting test)

CPT 85730

$15
cash
Pregnancy ultrasound (after first trimester)

CPT 76805

$199
cash
Prothrombin time (blood clotting test)

CPT 85610

$15
cash
Psychotherapy, 60 minutes

CPT 90837

$100
cash
Screening mammogram (both breasts)

CPT 77067

$245
cash
TSH test (thyroid)

CPT 84443

$35
cash
Transvaginal ultrasound

CPT 76830

$169
cash
Ultrasound of the abdomen (complete)

CPT 76700

$265
cash
Upper endoscopy with biopsy

CPT 43239

$316
cash
Urinalysis with microscope

CPT 81001

$15
cash
X-ray of the lower spine (4 or more views)

CPT 72110

$148
cash

Source files

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