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Puerto Rico hospital prices

What Puerto Rico hospitals charge across every procedure they publish in their federally-mandated machine-readable file.

Hospitals

Procedures

106

Payers

Rate rows

4,911

Top procedures in Puerto Rico

By number of Puerto Rico hospitals reporting (≥2). Click for the national distribution.

Procedure	Type	Code	Puerto Rico hospitals	Puerto Rico median
CT head without contrast	CPT	70450	5	$275
Complete blood count with automated differential	CPT	85025	5	$9
CT pelvis with contrast	CPT	72193	5	$285
Obstetric ultrasound after first trimester	CPT	76805	5	$75
CT abdomen and pelvis with contrast	CPT	74177	5	$381
EKG complete	CPT	93000	5	$30
Lipid panel	CPT	80061	5	$27
Screening mammography bilateral	CPT	77067	5	$70
Diagnostic mammography unilateral	CPT	77065	5	$74
Urinalysis non-automated	CPT	81002	5	$3
Abdominal ultrasound complete	CPT	76700	5	$100
MRI lower extremity joint without contrast	CPT	73721	5	$625
MRI brain with and without contrast	CPT	70553	5	$650
MRI lumbar spine without contrast	CPT	72148	5	$625
Basic metabolic panel (BMP)	CPT	80048	5	$13.5
Thyroid stimulating hormone (TSH)	CPT	84443	5	$28.5
Transvaginal ultrasound	CPT	76830	5	$100
Diagnostic mammography bilateral	CPT	77066	5	$80
Urinalysis automated	CPT	81003	5	$3
Comprehensive metabolic panel	CPT	80053	5	$20
Renal function panel	CPT	80069	5	$18
Hepatic function panel	CPT	80076	5	$15
Complete blood count without differential	CPT	85027	5	$7
Office visit, new patient, 60-74 min	CPT	99205	4	$30
Upper GI endoscopy diagnostic	CPT	43235	4	$124.5
Left heart catheterization	CPT	93452	4	$2,035
Office visit, established patient, 20-29 minutes	CPT	99213	4	$40
Stress echocardiogram	CPT	93350	4	$233
EKG tracing only	CPT	93005	4	$15
Office visit, new patient, 45-59 min	CPT	99204	4	$30
EKG tracing only	CPT	93005	4	—
Colonoscopy with biopsy	CPT	45380	4	$124.5
Transthoracic echocardiogram	CPT	93307	4	$155
Office visit, established patient, 30-39 minutes	CPT	99214	4	$100
Colonoscopy diagnostic	CPT	45378	4	$130
Electrolyte panel	CPT	80051	4	$12.5
Upper GI endoscopy with biopsy	CPT	43239	4	$124.5
Fetal non-stress test	CPT	59025	4	$185
Obstetric ultrasound first trimester	CPT	76801	4	$75
Office visit, established patient, 40-54 min	CPT	99215	4	$25

Top payers in Puerto Rico

Payer	Hospitals	Rates	Median rate
Humana	5	402	$182
international medical card	5	398	$144
mapfre	5	412	$164
mcs life insurance	5	415	$130
Medicare Advantage	5	352	$185
plan de salud menonita	5	388	$189.5
triple-s	5	404	$143.5

Puerto Rico hospitals (top 5 by compliance)

Hospital	City	Grade	Score	Procedures	Payers
Doctors' Center Hospital San Juan	SAN JUAN	A	97	103	7
Doctor Center Hospital San Fernando De La Carolina	MANATI	A	97	98	7
Doctors Center Hospital Bayamon	BAYAMON	A	97	97	7
Doctors' Center Hospital, Inc	MANATI	A	97	97	7
DOCTORS CENTER HOSPITAL OH-DORADO	DORADO	A	97	82	7