Hospital Episcopal San Lucas Ponce
Hospital Episcopal San Lucas Ponce in Ponce, PR publishes cash prices for 47 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
917 Ave. Tito Castro, Ponce, PR 00717 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan, head or brain, without contrast | $210.00 | $300.00 | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan, pelvis, with contrast | $210.00 | $300.00 | 30% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $100.00 | $121.21 | 17% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $105.00 | $150.00 | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $525.00 | $750.00 | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $980.00 | $1,400.00 | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $630.00 | $900.00 | 30% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $80.50 | $115.00 | 30% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $49.00 | $70.00 | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray, lower back, minimum four views | $87.50 | $125.00 | 30% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $60.00 | $75.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $48.00 | $60.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count, with differential white blood cells, automated | $20.00 | $25.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $120.00 | $150.00 | 20% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $96.00 | $120.00 | 20% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $56.00 | $70.00 | 20% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $136.00 | $170.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) | $31.20 | $39.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $16.00 | $20.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $24.00 | $30.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $48.00 | $60.00 | 20% |
| Urinalysis with microscope exam, manual CPT 81000 Manual urinalysis test with examination using microscope | $31.20 | $39.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $62.40 | $78.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $1,000.00 | $1,500.00 | 33% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Ultrasound examination of lower large bowel using an endoscope | $378.00 | $540.00 | 30% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $378.00 | $540.00 | 30% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using an endoscope | $378.00 | $540.00 | 30% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic examination of large bowel using an endoscope | $378.00 | $540.00 | 30% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $1,000.00 | $1,693.00 | 41% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $1,000.00 | $1,089.00 | 8% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $1,000.00 | $1,200.00 | 17% |
| Left heart catheterization, diagnostic one side CPT 93452 Insertion of catheter into left heart for diagnosis | $1,225.00 | $1,750.00 | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into spinal canal of lower back or sacrum using imaging guidance | $245.00 | $350.00 | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | $650.00 | $800.00 | 19% |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $1,000.00 | $1,117.42 | 11% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope | $1,000.00 | $2,948.14 | 66% |
| Removal of a breast lump, open surgery CPT 19120 Removal of 1 or more breast growth, open procedure | $1,200.00 | $1,750.00 | 31% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using an endoscope | $1,000.00 | $1,200.00 | 17% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands patient younger than age 12 | $1,500.00 | $1,800.00 | 17% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | $357.00 | $510.00 | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | $357.00 | $510.00 | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, typically 30 min | $103.50 | $115.00 | 10% |
| New patient office visit, about 45 minutes CPT 99204 New patient office of other outpatient visit, typically 45 min | $157.50 | $175.00 | 10% |
| New patient office visit, about 60 minutes CPT 99205 New patient office of other outpatient visit, typically 60 min | $193.50 | $215.00 | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $16.10 | $23.00 | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, typically 40 min | $112.50 | $125.00 | 10% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, typically 60 min | $166.50 | $185.00 | 10% |