Hospital Pavia Santurce

Street Profesor Augusto Rodriguez #1462, San Juan, PR 00910 · (787) 641-1616

Acute Care HospitalsProprietaryCMS rating 1/5Website ↗

Price file

Prices published

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

902 price rows for 32 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

$77

cash

$8 to $40

32 negotiated rates

$77

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

$955

cash

$69 to $450

31 negotiated rates

$955

list

CT scan of the head, no contrast

CPT 70450

$703

cash

$37 to $450

33 negotiated rates

$703

list

CT scan of the pelvis, with contrast

CPT 72193

$786

cash

$60 to $450

31 negotiated rates

$786

list

Colonoscopy (diagnostic)

CPT 45378

$234

cash

$73 to $200

7 negotiated rates

$234

list

Colonoscopy with biopsy

CPT 45380

$316

cash

—

$316

list

Colonoscopy with polyp removal

CPT 45385

$316

cash

—

$316

list

Complete blood count (CBC) with differential

CPT 85025

$35

cash

$7 to $16

32 negotiated rates

$35

list

Comprehensive metabolic panel (blood test)

CPT 80053

$100

cash

$10 to $80

33 negotiated rates

$100

list

Diagnostic mammogram (both breasts)

CPT 77066

$290

cash

$25 to $151

28 negotiated rates

$290

list

Gallbladder removal (laparoscopic)

CPT 47562

$350

cash

$168 to $350

10 negotiated rates

$350

list

Left heart catheterization

CPT 93452

$1,125

cash

$2,100 to $2,698

3 negotiated rates

$1,125

list

Lipid panel (cholesterol test)

CPT 80061

$93

cash

$12 to $60

33 negotiated rates

$93

list

Liver function panel

CPT 80076

$70

cash

$7 to $80

32 negotiated rates

$70

list

MRI of the brain, with and without contrast

CPT 70553

$1,788

cash

$102 to $1,300

30 negotiated rates

$1,788

list

MRI of the knee or other lower joint, no contrast

CPT 73721

$1,457

cash

$70 to $800

32 negotiated rates

$1,457

list

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

CPT 72148

$1,457

cash

$69 to $800

33 negotiated rates

$1,457

list

MRI of the neck (cervical spine), no contrast

CPT 72141

$1,457

cash

$69 to $800

33 negotiated rates

$1,457

list

PSA test (prostate)

CPT 84153

$30

cash

$21 to $120

33 negotiated rates

$30

list

Partial thromboplastin time (blood clotting test)

CPT 85730

$35

cash

$5 to $20

33 negotiated rates

$35

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

$20

cash

$11 to $27

20 negotiated rates

$20

list

Pregnancy ultrasound (after first trimester)

CPT 76805

$199

cash

$18 to $150

33 negotiated rates

$199

list

Prostate biopsy

CPT 55700

$798

cash

$400 to $900

4 negotiated rates

$798

list

Prothrombin time (blood clotting test)

CPT 85610

$35

cash

$4 to $20

33 negotiated rates

$35

list

Screening mammogram (both breasts)

CPT 77067

$245

cash

$16 to $122

28 negotiated rates

$245

list

TSH test (thyroid)

CPT 84443

$117

cash

$15 to $43

33 negotiated rates

$117

list

Transvaginal ultrasound

CPT 76830

$169

cash

$25 to $150

33 negotiated rates

$169

list

Ultrasound of the abdomen (complete)

CPT 76700

$265

cash

$25 to $150

33 negotiated rates

$265

list

Upper endoscopy (EGD)

CPT 43235

$940

cash

—

$940

list

Upper endoscopy with biopsy

CPT 43239

$316

cash

—

$316

list

Urinalysis with microscope

CPT 81001

$23

cash

$3 to $8

33 negotiated rates

$23

list

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

CPT 72110

$148

cash

$12 to $44

33 negotiated rates

$148

list

Source files

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

https://hpt.inmediata.com/?handler=DF&d=0C7D0EB4-7AFE-4319-B440-FF3C21B8684D
Hospital Pavia Santurce · discovered · json v3.0.0 · file dated 2025-04-10 · 1.1 MB · 902 price rows read · read Sep 2026