▸ Hospital · PR · CCN 400132

Doctor Center Hospital San Fernando De La Carolina

EDIF. JESUS T PINERO AVE. FERNANDEZ, MANATI, PR, 00674

109 bedsAcute Care Hospitals4

Compliance grade

97/100

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Rates published

1,147

last crawl 2026-05-23

▸ Compare with other hospitals All PR hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://secure.claraprice.net/price-transparency/OEUQ-1699383060274/machine-readable/660782101_doctors-center-hospital---san-fernando-de-carolina_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	1	$250	$250	$82	$82	$82
ED visit level 2	CPT	99282	1	$250	$250	$152	$152	$152
ED visit level 3	CPT	99283	1	$250	$250	$264	$264	$264
ED visit level 4	CPT	99284	1	$250	$250	$410	$410	$410
ED visit level 5	CPT	99285	1	$250	$250	$595	$595	$595
imaging
CT head without contrast	CPT	70450	7	$250	$250	$102	$275	$300
CT head with contrast	CPT	70460	7	$250	$250	$170	$280	$325
CT head with and without contrast	CPT	70470	7	$250	$250	$170	$280	$325
CT neck with contrast	CPT	70491	7	$250	$250	$138	$280	$325
MRI brain without contrast	CPT	70551	7	$400	$400	$227	$625	$650
MRI brain with contrast	CPT	70552	7	$425	$425	$356	$647	$730
MRI brain with and without contrast	CPT	70553	7	$425	$425	$356	$650	$750
Chest X-ray single view	CPT	71045	7	$83	$83	$10	$20	$84
Chest X-ray 2 views	CPT	71046	6	$45	$45	$16	$28.5	$84
Chest X-ray 3 views	CPT	71047	7	$37	$37	$19	$30	$84
CT chest without contrast	CPT	71250	7	$250	$250	$102	$275	$300
CT chest with contrast	CPT	71260	7	$250	$250	$170	$285	$325
CT chest with and without contrast	CPT	71270	7	$250	$250	$170	$292	$325
MRI chest without contrast	CPT	71550	7	$400	$400	$227	$625	$650
MRI chest with contrast	CPT	71551	7	$425	$425	$439	$650	$742
MRI chest with and without contrast	CPT	71552	7	$425	$425	$356	$625	$650
Lumbosacral spine X-ray	CPT	72100	7	$32	$32	$32	$44	$102
CT cervical spine without contrast	CPT	72125	7	$250	$250	$102	$275	$300
CT thoracic spine without contrast	CPT	72128	7	$250	$250	$102	$285	$300
CT lumbar spine without contrast	CPT	72131	7	$250	$250	$102	$275	$300
MRI cervical spine without contrast	CPT	72141	7	$400	$400	$227	$635	$650
MRI thoracic spine without contrast	CPT	72146	7	$400	$400	$227	$635	$650
MRI lumbar spine without contrast	CPT	72148	7	$400	$400	$227	$625	$650
MRI lumbar spine with and without contrast	CPT	72149	7	$425	$425	$356	$650	$730
MRI cervical spine with and without contrast	CPT	72156	7	$425	$425	$356	$647	$730
MRI lumbar spine with contrast	CPT	72158	7	$425	$425	$356	$647	$730
CT pelvis without contrast	CPT	72192	7	$150	$150	$102	$275	$325
CT pelvis with contrast	CPT	72193	7	$250	$250	$170	$300	$428
Shoulder X-ray	CPT	73030	7	$24	$24	$24	$39	$84
Humerus X-ray	CPT	73060	7	$32	$32	$24	$36	$84
Hand X-ray 3 views	CPT	73130	7	$25	$25	$28	$41	$84
MRI upper extremity joint without contrast	CPT	73221	7	$400	$400	$227	$625	$650
MRI upper extremity joint with and without contrast	CPT	73223	7	$425	$425	$356	$625	$710
Knee X-ray 1-2 views	CPT	73560	7	$27	$27	$24	$36	$84
Ankle X-ray 3 views	CPT	73610	7	$27	$27	$28	$42	$84
MRI lower extremity joint without contrast	CPT	73721	7	$400	$400	$227	$625	$650
MRI lower extremity joint with and without contrast	CPT	73723	7	$425	$425	$330	$620	$650
CT abdomen without contrast	CPT	74150	7	$250	$250	$102	$275	$300
CT abdomen with contrast	CPT	74160	7	$250	$250	$170	$285	$325
CT abdomen with and without contrast	CPT	74170	7	$250	$250	$170	$285	$325
CT abdomen and pelvis without contrast	CPT	74176	7	$275	$275	$227	$300	$450
CT abdomen and pelvis with contrast	CPT	74177	7	$275	$275	$275	$383	$450
CT abdomen and pelvis with and without contrast	CPT	74178	7	$275	$275	$275	$378	$450
MRI abdomen without contrast	CPT	74181	7	$400	$400	$227	$625	$650
MRI abdomen with and without contrast	CPT	74183	7	$425	$425	$356	$625	$650
Abdominal ultrasound complete	CPT	76700	7	$93	$93	$70	$100	$102
Abdominal ultrasound limited	CPT	76705	7	$58	$58	$35	$80	$102
Retroperitoneal ultrasound complete	CPT	76770	7	$79	$79	$70	$100	$102
Obstetric ultrasound first trimester	CPT	76801	3	$113	$113	$75	$75	$102
Obstetric ultrasound after first trimester	CPT	76805	7	$68	$68	$75	$75	$106
Obstetric ultrasound with fetal anatomy	CPT	76811	5	$188	$188	$75	$75	$227
Transvaginal ultrasound	CPT	76830	7	$50	$50	$40	$100	$125
Pelvic ultrasound complete	CPT	76856	7	$66	$66	$40	$75	$113
Scrotal ultrasound	CPT	76870	7	$63	$63	$70	$75	$102
Diagnostic mammography unilateral	CPT	77065	2	$54	$54	$33	$60	$87
Diagnostic mammography bilateral	CPT	77066	6	$63	$63	$41	$80	$108
Screening mammography bilateral	CPT	77067	4	$63	$63	$59	$72.5	$101
EKG complete	CPT	93000	4	$63	$63	$15	$30	$30
EKG tracing only	CPT	93005	1	$63	$63	$57	$57	$57
EKG interpretation only	CPT	93010	3	$20	$20	$15	$15	$15
Transthoracic echocardiogram	CPT	93307	7	$430	$430	$135	$160	$227
Stress echocardiogram	CPT	93350	7	$125	$125	$150	$233	$511
lab
Basic metabolic panel (BMP)	CPT	80048	6	$50	$50	$12	$13.5	$40
Electrolyte panel	CPT	80051	6	$30	$30	$10	$12.5	$18
Comprehensive metabolic panel	CPT	80053	6	$50	$50	$18	$20	$55
Lipid panel	CPT	80061	6	$76	$76	$22	$27	$40
Renal function panel	CPT	80069	6	$45	$45	$12	$18	$53
Hepatic function panel	CPT	80076	6	$42	$42	$11	$15	$35
Urinalysis non-automated	CPT	81002	2	$12	$12	$3	$5	$7
Urinalysis automated	CPT	81003	2	$24	$24	$6	$7	$8
Glucose quantitative	CPT	82947	6	$15	$15	$6	$6	$8
Hemoglobin A1c	CPT	83036	6	$66	$66	$14	$16	$25
Thyroid stimulating hormone (TSH)	CPT	84443	6	$54	$54	$20	$28.5	$40
Complete blood count with automated differential	CPT	85025	6	$17	$17	$8	$9	$11
Complete blood count without differential	CPT	85027	6	$20	$20	$6	$7	$10
Urine culture bacterial	CPT	87086	6	$20	$20	$3	$7	$30
Urine culture identification	CPT	87088	6	$69	$69	$20	$23	$30
maternity
Fetal non-stress test	CPT	59025	1	$50	$50	$185	$185	$185
office
Office visit, new patient, 15-29 min	CPT	99202	0	$125	$125	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$125	$125	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	1	$200	$200	$30	$30	$30
Office visit, new patient, 60-74 min	CPT	99205	1	$200	$200	$30	$30	$30
Office visit, established patient, 20-29 minutes	CPT	99213	1	$200	$200	$40	$40	$40
Office visit, established patient, 30-39 minutes	CPT	99214	5	$110	$110	$22	$100	$100
Office visit, established patient, 40-54 min	CPT	99215	1	$380	$380	$25	$25	$25
preventive
Upper GI endoscopy diagnostic	CPT	43235	7	$125	$125	$85	$135	$840
Upper GI endoscopy with biopsy	CPT	43239	7	$150	$150	$85	$135	$840
Sigmoidoscopy diagnostic	CPT	45330	1	$500	$500	$847	$847	$847
Colonoscopy diagnostic	CPT	45378	5	$75	$75	$85	$135	$847
Colonoscopy with biopsy	CPT	45380	7	$700	$700	$85	$135	$1,094
Colonoscopy with polyp removal	CPT	45385	1	$700	$700	$1,094	$1,094	$1,094
surgery
Left heart catheterization	CPT	93452	6	$2,200	$2,200	$1,680	$2,035	$3,020
Coronary angiography with bypass cath	CPT	93458	6	$2,200	$2,200	$1,680	$2,035	$3,020

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 7)

Payer	Codes covered	Median rate
mcs life insurance	82	$144
mapfre	81	$164
Humana	78	$215.5
international medical card	77	$150
triple-s	77	$233
plan de salud menonita	76	$149
Medicare Advantage	71	$185