▸ Hospital · PR · CCN 400137

DOCTORS CENTER HOSPITAL OH-DORADO

RD 696 INTERSEC EFRON AVE BO HIGUI, DORADO, PR, 400137

Compliance grade
A
97/100
Procedures tracked
82
of 209 target codes
Payers
7
with negotiated rates
Rates published
1,494
last crawl 2026-05-23

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
emergency
ED visit level 1CPT992817$200$200$82$215$300
ED visit level 2CPT992827$336$336$152$215$300
ED visit level 3CPT992837$101$101$182$250$300
ED visit level 4CPT992847$100$100$182$250$410
ED visit level 5CPT992857$109$109$182$250$595
imaging
CT head without contrastCPT704507$1,189$1,189$102$275$303
CT head with contrastCPT704607$728$728$170$285$325
CT head with and without contrastCPT704707$728$728$170$300$325
CT neck with contrastCPT704917$750$750$170$285$325
MRI brain without contrastCPT705517$300$300$227$625$715
MRI brain with contrastCPT705527$135$135$356$625$730
MRI brain with and without contrastCPT705537$930$930$356$625$750
Chest X-ray single viewCPT710456$160$160$20$31$84
Chest X-ray 2 viewsCPT710466$130$130$31$41$84
Chest X-ray 3 viewsCPT710475$440$440$40$42$84
CT chest without contrastCPT712507$534$534$102$275$330
CT chest with contrastCPT712607$112$112$170$285$330
CT chest with and without contrastCPT712707$150$150$170$292$330
MRI chest without contrastCPT715507$93$93$227$625$715
MRI chest with contrastCPT715517$117$117$439$650$742
MRI chest with and without contrastCPT715527$124$124$356$625$715
Lumbosacral spine X-rayCPT721007$175$175$32$44$102
CT cervical spine without contrastCPT721257$750$750$102$275$303
CT thoracic spine without contrastCPT721287$150$150$102$285$330
CT lumbar spine without contrastCPT721317$210$210$102$275$303
MRI cervical spine without contrastCPT721417$2,500$2,500$227$625$715
MRI thoracic spine without contrastCPT721467$2,100$2,100$227$625$715
MRI lumbar spine without contrastCPT721487$2,300$2,300$227$625$715
MRI lumbar spine with and without contrastCPT721497$4,050$4,050$356$625$730
MRI cervical spine with and without contrastCPT721567$4,600$4,600$356$625$730
MRI lumbar spine with contrastCPT721587$25$25$356$625$730
CT pelvis without contrastCPT721927$1,413$1,413$102$275$330
CT pelvis with contrastCPT721937$375$375$170$285$330
Shoulder X-rayCPT730307$175$175$24$39$84
Humerus X-rayCPT730607$125$125$24$36$84
Hand X-ray 3 viewsCPT731307$125$125$30$41$84
MRI upper extremity joint without contrastCPT732217$74$74$227$625$715
MRI upper extremity joint with and without contrastCPT732237$96$96$356$625$715
Knee X-ray 1-2 viewsCPT735607$74$74$24$36$84
Ankle X-ray 3 viewsCPT736107$100$100$31$42$84
MRI lower extremity joint without contrastCPT737217$300$300$227$625$715
MRI lower extremity joint with and without contrastCPT737237$300$300$330$620$715
CT abdomen without contrastCPT741507$4,200$4,200$102$275$330
CT abdomen with contrastCPT741607$3,200$3,200$170$285$330
CT abdomen with and without contrastCPT741707$390$390$170$285$330
CT abdomen and pelvis without contrastCPT741767$225$225$227$300$495
CT abdomen and pelvis with contrastCPT741777$150$150$275$381$495
CT abdomen and pelvis with and without contrastCPT741787$415$415$275$378$495
MRI abdomen without contrastCPT741817$300$300$227$625$715
MRI abdomen with and without contrastCPT741837$800$800$356$625$715
Abdominal ultrasound completeCPT767007$858$858$70$100$110
Abdominal ultrasound limitedCPT767057$400$400$35$80$110
Retroperitoneal ultrasound completeCPT767707$300$300$70$91$110
Obstetric ultrasound first trimesterCPT768017$300$300$40$77$102
Obstetric ultrasound after first trimesterCPT768057$300$300$40$80$106
Obstetric ultrasound with fetal anatomyCPT768117$650$650$75$138$227
Transvaginal ultrasoundCPT768307$900$900$40$100$125
Pelvic ultrasound completeCPT768567$600$600$40$75$102
Scrotal ultrasoundCPT768707$600$600$60$75$125
Diagnostic mammography unilateralCPT770654$600$600$45$80.5$99
Diagnostic mammography bilateralCPT770665$600$600$71$108$140
Screening mammography bilateralCPT770675$300$300$52$101$118
EKG completeCPT930003$650$650$30$30$30
EKG tracing onlyCPT930054$509$509$10$16$57
EKG interpretation onlyCPT930104$652$652$15$15.5$20
Transthoracic echocardiogram completeCPT933065$250$250$175$400$511
Transthoracic echocardiogramCPT933074$300$300$160$248.5$328
lab
Basic metabolic panel (BMP)CPT800486$22$22$12$13.5$40
Electrolyte panelCPT800516$120$120$10$12.5$18
Comprehensive metabolic panelCPT800536$120$120$18$20$55
Lipid panelCPT800616$132$132$22$27$40
Renal function panelCPT800696$383$383$12$18$53
Hepatic function panelCPT800766$168$168$11$15$35
Urinalysis non-automatedCPT810026$24$24$3$3.5$7
Urinalysis automatedCPT810036$24$24$2$3$8
Glucose quantitativeCPT829476$60$60$6$6$8
Hemoglobin A1cCPT830366$139$139$14$16$25
Thyroid stimulating hormone (TSH)CPT844436$187$187$20$28.5$40
Complete blood count with automated differentialCPT850256$29$29$8$9$11
Complete blood count without differentialCPT850276$22$22$6$7$10
Urine culture bacterialCPT870866$87$87$3$7$30
Urine culture identificationCPT870886$72$72$20$23$30

Payer mix (top 7)

PayerCodes coveredMedian rate
mapfre82$200
triple-s82$255
mcs life insurance81$192
international medical card77$215
Humana76$182
plan de salud menonita73$300
Medicare Advantage62$170