Mayaguez Medical Center
Mayaguez Medical Center in Mayaguez, PR publishes cash prices for 271 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Puerto Rico median for 51 of 112 procedures and below it for 46. Click a procedure to compare it with other hospitals nearby.
Avenida Hostos 410, Mayaguez, PR 00682 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 457 of the 457 prices listed here, the cash price in Mayaguez Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | 38% below | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Tcom Le Single Level | $71.25 | $71.25 | $13.00–$210.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Tcom Le Single Level | $71.25 | $71.25 | $13.00–$210.00 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Abscess Local Complete | $225.00 | $225.00 | $42.95–$644.62 | 38% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Abscess Local Complete | $225.00 | $225.00 | $42.95–$644.62 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Breast Asp | $90.00 | $90.00 | $37.53–$221.32 | 10% below | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Breast Asp | $90.00 | $90.00 | $37.53–$221.32 | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Breast Bi Limited | $90.00 | $90.00 | $26.00–$181.48 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Breast Bi Limited | $90.00 | $90.00 | $26.00–$181.48 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs both sides CPT 71275 Angio Pulm No Select Bi | $412.50 | $412.50 | $93.47–$614.22 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient both sides CPT 71275 Angio Pulm No Select Bi | $412.50 | $412.50 | $93.47–$614.22 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Angio Coronary Art Elect Bm | $175.00 | $175.00 | $121.26–$869.02 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Angio Coronary Art Elect Bm | $175.00 | $175.00 | $121.26–$869.02 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Heart W Calcium Score | $175.00 | $175.00 | $29.59–$400.00 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Heart W Calcium Score | $175.00 | $175.00 | $29.59–$400.00 | — | — |
| CT scan of the abdomen with contrast CPT 74160 Abdomen W Con Ct | $175.00 | $175.00 | $65.32–$472.52 | 55% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Abdomen W Con Ct | $175.00 | $175.00 | $65.32–$472.52 | — | — |
| CT scan of the abdomen without contrast CPT 74150 Abdomen Wo Con Ct | $175.00 | $175.00 | $61.35–$412.50 | 46% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Abdomen Wo Con Ct | $175.00 | $175.00 | $61.35–$412.50 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Facial Bones Wo Con | $175.00 | $175.00 | $44.03–$412.50 | 48% below | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Facial Bones Wo Con | $175.00 | $175.00 | $44.03–$412.50 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Head/Brain Wo Con Ct | $175.00 | $175.00 | $41.94–$412.50 | 35% below | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Head/Brain Wo Con Ct | $175.00 | $175.00 | $41.94–$412.50 | — | — |
| CT scan of the head with contrast CPT 70460 Head/Brain W Con Ct | $175.00 | $175.00 | $58.46–$420.00 | 42% below | — |
| CT scan of the head with contrast inpatient CPT 70460 Head/Brain W Con Ct | $175.00 | $175.00 | $58.46–$420.00 | — | — |
| CT scan of the head without and with contrast CPT 70470 Head/Brain Wo/W Con Ct | $175.00 | $175.00 | $65.32–$450.00 | 47% below | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Head/Brain Wo/W Con Ct | $175.00 | $175.00 | $65.32–$450.00 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Coccyx | $175.00 | $175.00 | $51.61–$412.50 | 35% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Coccyx | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Cervical Spine Wo Con Ct | $175.00 | $175.00 | $49.28–$412.50 | 35% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Cervical Spine Wo Con Ct | $175.00 | $175.00 | $49.28–$412.50 | — | — |
| CT scan of the pelvis, with contrast dye one side CPT 72193 Hip Lt W Con Ct | $175.00 | $175.00 | $59.91–$462.44 | 42% below | — |
| CT scan of the pelvis, with contrast dye inpatient one side CPT 72193 Hip Lt W Con Ct | $175.00 | $175.00 | $59.91–$462.44 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Duplex Bi | $211.30 | $211.30 | $41.13–$251.60 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Duplex Bi | $211.30 | $211.30 | $41.13–$251.60 | — | — |
| Chest X-ray, 2 views CPT 71046 Chest 2v | $45.00 | $45.00 | $10.83–$46.64 | at median | — |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2v | $45.00 | $45.00 | $10.83–$46.64 | — | — |
| Chest X-ray, single view CPT 71045 Chest 1v | $90.00 | $90.00 | $9.09–$34.75 | 125% above | — |
| Chest X-ray, single view inpatient CPT 71045 Chest 1v | $90.00 | $90.00 | $9.09–$34.75 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 Renal Bi | $125.00 | $125.00 | $56.00–$233.64 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 Renal Bi | $125.00 | $125.00 | $56.00–$233.64 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Axial Skeleton | $125.00 | $125.00 | $10.11–$135.00 | 11% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Axial Skeleton | $125.00 | $125.00 | $10.11–$135.00 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Appendicular Skeleton | $125.00 | $125.00 | $10.47–$119.94 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Appendicular Skeleton | $125.00 | $125.00 | $10.47–$119.94 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Fetal/Maternal Detail | $250.00 | $250.00 | $39.00–$377.02 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Fetal/Maternal Detail | $250.00 | $250.00 | $39.00–$377.02 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Chest Wo Con Ct | $175.00 | $175.00 | $50.47–$412.50 | 35% below | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Chest Wo Con Ct | $175.00 | $175.00 | $50.47–$412.50 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Chest W Con Ct | $175.00 | $175.00 | $63.88–$427.50 | 55% below | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Chest W Con Ct | $175.00 | $175.00 | $63.88–$427.50 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammo Bi | $125.00 | $125.00 | $50.53–$350.18 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammo Bi | $125.00 | $125.00 | $50.53–$350.18 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic Mammo Unilat Lt | $92.50 | $92.50 | $46.00–$138.61 | 6% below | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnostic Mammo Unilat Lt | $92.50 | $92.50 | $46.00–$138.61 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial Duplex Le Bi | $231.59 | $231.59 | $40.40–$277.89 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Arterial Duplex Le Bi | $231.59 | $231.59 | $40.40–$277.89 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Arterial Venous Comp | $200.88 | $200.88 | $35.35–$216.75 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Arterial Venous Comp | $200.88 | $200.88 | $35.35–$216.75 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transthoracic Complete | $230.97 | $230.97 | $75.20–$597.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthoracic Complete | $230.97 | $230.97 | $75.20–$597.00 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Wo Pharm | $200.00 | $200.00 | $37.53–$703.42 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Wo Pharm | $200.00 | $200.00 | $37.53–$703.42 | — | — |
| Knee X-ray, 3 views one side CPT 73562 Knee Lt 3v | $45.00 | $45.00 | $9.75–$77.16 | at median | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Knee Lt 3v | $45.00 | $45.00 | $9.75–$77.16 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdomen Limited | $125.00 | $125.00 | $29.95–$188.80 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Abdomen Limited | $125.00 | $125.00 | $29.95–$188.80 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Breast Bi Wo/W Con | $325.00 | $325.00 | $115.85–$1,188.12 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Breast Bi Wo/W Con | $325.00 | $325.00 | $115.85–$1,188.12 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Ankle Lt Wo Con Mri | $325.00 | $325.00 | $70.02–$975.00 | 47% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Ankle Lt Wo Con Mri | $325.00 | $325.00 | $70.02–$975.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Ankle Lt Wo/W Con Mri | $325.00 | $325.00 | $110.07–$963.46 | 57% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Ankle Lt Wo/W Con Mri | $325.00 | $325.00 | $110.07–$963.46 | — | — |
| MRI of the abdomen without contrast CPT 74181 Abdomen Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Abdomen Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Abdomen Wo/W Con Mri | $325.00 | $325.00 | $112.96–$975.00 | 59% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Abdomen Wo/W Con Mri | $325.00 | $325.00 | $112.96–$975.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 Head Wo Con | $325.00 | $325.00 | $76.15–$975.00 | 54% below | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Head Wo Con | $325.00 | $325.00 | $76.15–$975.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Head Wo/W Con | $325.00 | $325.00 | $117.29–$1,087.50 | 61% below | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Head Wo/W Con | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Lumbar Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 51% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Lumbar Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Lumbar Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | 61% below | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Lumbar Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Thoracic Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 51% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Thoracic Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Cervical Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | 61% below | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Cervical Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Cervical Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 50% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Cervical Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Pelvis Wo/W Con Mri | $325.00 | $325.00 | $112.96–$873.50 | 59% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Pelvis Wo/W Con Mri | $325.00 | $325.00 | $112.96–$873.50 | — | — |
| MRI of the pelvis, no contrast dye one side CPT 72195 Hip Lt Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | 48% below | — |
| MRI of the pelvis, no contrast dye inpatient one side CPT 72195 Hip Lt Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Shoulder Lt Wo Con Mri | $325.00 | $325.00 | $136.29–$975.00 | 54% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Shoulder Lt Wo Con Mri | $325.00 | $325.00 | $136.29–$975.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myo Perf Spect Rest & Str | $840.00 | $840.00 | $161.98–$1,006.58 | 11% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myo Perf Spect Rest & Str | $840.00 | $840.00 | $161.98–$1,006.58 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 T Ct Fusion Skull To Thigh | $3,750.00 | $3,750.00 | $101.49–$4,500.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 T Ct Fusion Skull To Thigh | $3,750.00 | $3,750.00 | $101.49–$4,500.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Limited | $90.00 | $90.00 | $20.00–$99.68 | 10% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Limited | $90.00 | $90.00 | $20.00–$99.68 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Complete | $125.00 | $125.00 | $35.37–$227.16 | at median | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Complete | $125.00 | $125.00 | $35.37–$227.16 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob >= 14 Weeks Fetus | $150.00 | $150.00 | $35.00–$293.62 | 20% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob >= 14 Weeks Fetus | $150.00 | $150.00 | $35.00–$293.62 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob <= 14 Weeks Fetus | $125.00 | $125.00 | $39.00–$254.48 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob <= 14 Weeks Fetus | $125.00 | $125.00 | $39.00–$254.48 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Limited | $125.00 | $125.00 | $33.56–$174.26 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Limited | $125.00 | $125.00 | $33.56–$174.26 | — | — |
| Screening mammogram, both breasts CPT 77067 Cad Screening | $103.75 | $103.75 | $46.00–$197.64 | at median | — |
| Screening mammogram, both breasts inpatient CPT 77067 Cad Screening | $103.75 | $103.75 | $46.00–$197.64 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt Min 2v | $92.00 | $92.00 | $9.75–$45.03 | 64% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Lt Min 2v | $92.00 | $92.00 | $9.75–$45.03 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Barium Swallow | $90.00 | $90.00 | $27.43–$198.18 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Barium Swallow | $90.00 | $90.00 | $27.43–$198.18 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal | $150.00 | $150.00 | $35.73–$251.80 | 20% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal | $150.00 | $150.00 | $35.73–$251.80 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ob Transvaginal | $150.00 | $150.00 | $38.97–$200.28 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ob Transvaginal | $150.00 | $150.00 | $38.97–$200.28 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Abdomen | $145.00 | $145.00 | $41.51–$252.46 | at median | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Abdomen | $145.00 | $145.00 | $41.51–$252.46 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Scrotum | $125.00 | $125.00 | $32.84–$139.46 | at median | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Scrotum | $125.00 | $125.00 | $32.84–$139.46 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Soft Tissue Head And Neck | $125.00 | $125.00 | $28.87–$240.30 | at median | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Soft Tissue Head And Neck | $125.00 | $125.00 | $28.87–$240.30 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Series | $125.00 | $125.00 | $35.73–$173.09 | 20% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper Gi Series | $125.00 | $125.00 | $35.73–$173.09 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Duplex Le Lt | $97.00 | $97.00 | $23.09–$146.40 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Duplex Le Lt | $97.00 | $97.00 | $23.09–$146.40 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Lt Min 3v | $30.00 | $30.00 | $9.02–$53.73 | 36% below | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Lt Min 3v | $30.00 | $30.00 | $9.02–$53.73 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Lt Min 2v | $25.00 | $25.00 | $11.55–$63.50 | 37% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip Lt Min 2v | $25.00 | $25.00 | $11.55–$63.50 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1v | $55.00 | $55.00 | $9.40–$41.76 | 16% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1v | $55.00 | $55.00 | $9.40–$41.76 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Lt 2v | $25.00 | $25.00 | $8.66–$45.59 | 31% below | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Lt 2v | $25.00 | $25.00 | $8.66–$45.59 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger Lt Min 2v | $25.00 | $25.00 | $7.22–$49.40 | 37% below | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger Lt Min 2v | $25.00 | $25.00 | $7.22–$49.40 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 Foot Lt 2v | $45.00 | $45.00 | $7.94–$40.14 | 30% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Lt 2v | $45.00 | $45.00 | $7.94–$40.14 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Lt Min 3v | $90.00 | $90.00 | $8.66–$60.00 | 81% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Lt Min 3v | $90.00 | $90.00 | $8.66–$60.00 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Lt 2v | $92.00 | $92.00 | $8.66–$47.76 | 83% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee Lt 2v | $92.00 | $92.00 | $8.66–$47.76 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine 2-3v | $100.00 | $100.00 | $11.55–$53.72 | 80% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar Spine 2-3v | $100.00 | $100.00 | $11.55–$53.72 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2v | $30.00 | $30.00 | $11.55–$52.08 | 43% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2v | $30.00 | $30.00 | $11.55–$52.08 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3v | $30.00 | $30.00 | $9.02–$50.48 | 33% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Min 3v | $30.00 | $30.00 | $9.02–$50.48 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2v | $92.00 | $92.00 | $11.55–$87.38 | 57% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2v | $92.00 | $92.00 | $11.55–$87.38 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2v | $25.00 | $25.00 | $9.02–$48.84 | 33% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1-2v | $25.00 | $25.00 | $9.02–$48.84 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Coccyx 2v | $25.00 | $25.00 | $9.02–$45.00 | 43% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Coccyx 2v | $25.00 | $25.00 | $9.02–$45.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $21.81 | $21.81 | $5.05–$10.00 | 28% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $21.81 | $21.81 | $5.05–$10.00 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $21.30 | $21.30 | $4.94–$10.00 | 25% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $21.30 | $21.30 | $4.94–$10.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel | $100.00 | $100.00 | $45.42–$90.00 | at median | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel | $100.00 | $100.00 | $45.42–$90.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmonella Species By Pcr | $21.48 | $21.48 | $5.69–$75.00 | 56% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmonella Species By Pcr | $21.48 | $21.48 | $5.69–$75.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $53.28 | $53.28 | $12.34–$100.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide | $53.28 | $53.28 | $12.34–$100.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Lupus Panel | $49.74 | $49.74 | $11.53–$90.00 | at median | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lupus Panel | $49.74 | $49.74 | $11.53–$90.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $139.68 | $139.68 | $30.61–$90.00 | 55% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide | $139.68 | $139.68 | $30.61–$90.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $34.80 | $34.80 | $8.06–$40.00 | 27% below | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $34.80 | $34.80 | $8.06–$40.00 | — | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $42.48 | $42.48 | $9.85–$35.00 | 6% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $42.48 | $42.48 | $9.85–$35.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipucture | $10.00 | $10.00 | $3.00–$15.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipucture | $10.00 | $10.00 | $3.00–$15.00 | — | — |
| Blood glucose (sugar) test CPT 82947 Glucose Pericardial Fluid | $16.17 | $16.17 | $3.57–$8.00 | 8% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Pericardial Fluid | $16.17 | $16.17 | $3.57–$8.00 | — | — |
| Blood lead test CPT 83655 Lead | $49.83 | $49.83 | $13.19–$38.00 | — | — |
| Blood lead test inpatient CPT 83655 Lead | $49.83 | $49.83 | $13.19–$38.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Beta Hcg | $30.96 | $30.96 | $7.17–$25.00 | 55% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Serum Beta Hcg | $30.96 | $30.96 | $7.17–$25.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Type And Screening | $43.00 | $43.00 | $2.58–$15.00 | 43% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Type And Screening | $43.00 | $43.00 | $2.58–$15.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $21.30 | $21.30 | $3.90–$15.00 | 78% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $21.30 | $21.30 | $3.90–$15.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen 19-9 | $82.83 | $82.83 | $21.94–$60.00 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen 19-9 | $82.83 | $82.83 | $21.94–$60.00 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $82.83 | $82.83 | $19.19–$65.00 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $82.83 | $82.83 | $19.19–$65.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 | $76.50 | $76.50 | $10.00–$100.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19 | $76.50 | $76.50 | $10.00–$100.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Pcr | $100.00 | $100.00 | $27.32–$85.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Pcr | $100.00 | $100.00 | $27.32–$85.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $55.11 | $55.11 | $11.57–$45.00 | 7% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $55.11 | $55.11 | $11.57–$45.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count W/O Diff | $31.98 | $31.98 | $7.40–$11.57 | 60% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count W/O Diff | $31.98 | $31.98 | $7.40–$11.57 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $43.47 | $43.47 | $10.07–$55.00 | 33% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $43.47 | $43.47 | $10.07–$55.00 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $41.88 | $41.88 | $9.17–$20.00 | 68% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $41.88 | $41.88 | $9.17–$20.00 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate | $91.50 | $91.50 | $21.20–$178.00 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate | $91.50 | $91.50 | $21.20–$178.00 | — | — |
| Estradiol blood test CPT 82670 Estradiol | $114.96 | $114.96 | $25.35–$76.00 | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol | $114.96 | $114.96 | $25.35–$76.00 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone | $76.47 | $76.47 | $16.86–$60.00 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone | $76.47 | $76.47 | $16.86–$60.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $80.79 | $80.79 | $19.63–$27.00 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal | $80.79 | $80.79 | $19.63–$27.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $56.10 | $56.10 | $13.00–$40.00 | 35% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $56.10 | $56.10 | $13.00–$40.00 | — | — |
| Folate (folic acid) blood test CPT 82746 Folate | $60.51 | $60.51 | $9.75–$40.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate | $60.51 | $60.51 | $9.75–$40.00 | — | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3) Free | $69.72 | $69.72 | $15.28–$115.00 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3) Free | $69.72 | $69.72 | $15.28–$115.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $26.61 | $26.61 | $7.00–$30.00 | at median | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free | $26.61 | $26.61 | $7.00–$30.00 | — | — |
| Free testosterone test CPT 84402 Testosterone Free | $104.82 | $104.82 | $24.28–$170.00 | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone Free | $104.82 | $104.82 | $24.28–$170.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Bedside | $19.53 | $19.53 | $4.53–$10.00 | 22% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Bedside | $19.53 | $19.53 | $4.53–$10.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hour | $19.53 | $19.53 | $4.53–$25.00 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Hour | $19.53 | $19.53 | $4.53–$25.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia Gonorrhea Pcr | $165.09 | $165.09 | $18.00–$60.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia Gonorrhea Pcr | $165.09 | $165.09 | $18.00–$60.00 | — | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Igg | $59.70 | $59.70 | $12.54–$103.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Igg | $59.70 | $59.70 | $12.54–$103.00 | — | — |
| H. pylori stool antigen test CPT 87338 H.Pylori Stool Antigen | $59.19 | $59.19 | $13.71–$71.00 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 H.Pylori Stool Antigen | $59.19 | $59.19 | $13.71–$71.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna (Pcr) | $350.19 | $350.19 | $55.00–$200.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna (Pcr) | $350.19 | $350.19 | $55.00–$200.00 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1&2 Antibody | $99.09 | $99.09 | $16.69–$40.00 | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv 1&2 Antibody | $99.09 | $99.09 | $16.69–$40.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1&2 Antibody | $99.09 | $99.09 | $26.24–$40.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1&2 Antibody | $99.09 | $99.09 | $26.24–$40.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Igg Antibody | $144.42 | $144.42 | $33.70–$120.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Igg Antibody | $144.42 | $144.42 | $33.70–$120.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycated Hemoglobin | $39.96 | $39.96 | $8.81–$30.00 | 25% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycated Hemoglobin | $39.96 | $39.96 | $8.81–$30.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $44.19 | $44.19 | $10.24–$46.00 | at median | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $44.19 | $44.19 | $10.24–$46.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis A Antibody Total | $42.51 | $42.51 | $9.85–$33.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis A Antibody Total | $42.51 | $42.51 | $9.85–$33.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $58.59 | $58.59 | $13.61–$65.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $58.59 | $58.59 | $13.61–$65.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT (PCR) | $144.42 | $144.42 | $33.46–$200.00 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Igg | $54.27 | $54.27 | $12.58–$95.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Igg | $54.27 | $54.27 | $12.58–$95.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex 2 Igg | $79.65 | $79.65 | $18.00–$57.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex 2 Igg | $79.65 | $79.65 | $18.00–$57.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens | $53.28 | $53.28 | $14.39–$110.00 | 1% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sens | $53.28 | $53.28 | $14.39–$110.00 | — | — |
| Homocysteine blood test CPT 83090 Homocystein | $69.42 | $69.42 | $15.21–$50.00 | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocystein | $69.42 | $69.42 | $15.21–$50.00 | — | — |
| Insulin blood test CPT 83525 Insulin Level Total | $47.04 | $47.04 | $10.31–$35.00 | — | — |
| Insulin blood test inpatient CPT 83525 Insulin Level Total | $47.04 | $47.04 | $10.31–$35.00 | — | — |
| Iron blood test (serum iron) CPT 83540 Iron | $26.64 | $26.64 | $6.17–$14.00 | 48% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $26.64 | $26.64 | $6.17–$14.00 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $35.97 | $35.97 | $8.34–$17.00 | 50% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $35.97 | $35.97 | $8.34–$17.00 | — | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $35.73 | $35.73 | $7.88–$70.00 | 42% below | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $35.73 | $35.73 | $7.88–$70.00 | — | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $76.20 | $76.20 | $16.80–$40.00 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $76.20 | $76.20 | $16.80–$40.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $28.35 | $28.35 | $6.57–$15.00 | 58% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid | $28.35 | $28.35 | $6.57–$15.00 | — | — |
| Liver function blood test panel CPT 80076 Liver Panel | $33.63 | $33.63 | $7.06–$35.00 | 3% below | — |
| Liver function blood test panel inpatient CPT 80076 Liver Panel | $33.63 | $33.63 | $7.06–$35.00 | — | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibodies | $70.08 | $70.08 | $18.56–$70.00 | at median | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibodies | $70.08 | $70.08 | $18.56–$70.00 | — | — |
| Magnesium blood test CPT 83735 Magnesium | $27.57 | $27.57 | $6.38–$15.00 | 62% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $27.57 | $27.57 | $6.38–$15.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 Rubella Igm Antibody | $53.01 | $53.01 | $14.04–$55.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubella Igm Antibody | $53.01 | $53.01 | $14.04–$55.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononuclear Wbc Body Fluid | $21.30 | $21.30 | $4.94–$15.00 | 78% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononuclear Wbc Body Fluid | $21.30 | $21.30 | $4.94–$15.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free Prostate Spec Ag | $75.69 | $75.69 | $17.54–$145.00 | 8% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Prostate Spec Ag | $75.69 | $75.69 | $17.54–$145.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Scrn | $75.69 | $75.69 | $17.53–$58.00 | 196% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Scrn | $75.69 | $75.69 | $17.53–$58.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $169.86 | $169.86 | $39.36–$130.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $169.86 | $169.86 | $39.36–$130.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $24.72 | $24.72 | $4.37–$14.00 | 77% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $24.72 | $24.72 | $4.37–$14.00 | — | — |
| Progesterone blood test CPT 84144 Progesterone | $85.86 | $85.86 | $19.89–$65.00 | — | — |
| Progesterone blood test inpatient CPT 84144 Progesterone | $85.86 | $85.86 | $19.89–$65.00 | — | — |
| Prolactin blood test CPT 84146 Prolactin | $79.74 | $79.74 | $18.48–$40.00 | — | — |
| Prolactin blood test inpatient CPT 84146 Prolactin | $79.74 | $79.74 | $18.48–$40.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Inr | $16.17 | $16.17 | $3.75–$12.00 | 15% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Inr | $16.17 | $16.17 | $3.75–$12.00 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A By Binax | $44.79 | $44.79 | $10.38–$52.00 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A By Binax | $44.79 | $44.79 | $10.38–$52.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus, Group A | $37.50 | $37.50 | $25.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus, Group A | $37.50 | $37.50 | $25.00 | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Screen | $23.34 | $23.34 | $5.12–$14.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Screen | $23.34 | $23.34 | $5.12–$14.00 | — | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $59.22 | $59.22 | $13.73–$60.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody | $59.22 | $59.22 | $13.73–$60.00 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Liquification Semen | $49.59 | $49.59 | $9.10–$62.00 | — | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Liquification Semen | $49.59 | $49.59 | $9.10–$62.00 | — | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasites Stool | $18.60 | $18.60 | $4.93–$15.73 | at median | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Stool | $18.60 | $18.60 | $4.93–$15.73 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Body Fluid | $65.46 | $65.46 | $10.00–$48.00 | 227% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Body Fluid | $65.46 | $65.46 | $10.00–$48.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Qualitative | $17.58 | $17.58 | $3.87–$12.00 | 8% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Qualitative | $17.58 | $17.58 | $3.87–$12.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Interferon Gamma Ab | $255.06 | $255.06 | $50.00–$85.02 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Interferon Gamma Ab | $255.06 | $255.06 | $50.00–$85.02 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $106.23 | $106.23 | $24.62–$100.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $106.23 | $106.23 | $24.62–$100.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Lkm-1 Antibody | $59.88 | $59.88 | $13.87–$60.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Lkm-1 Antibody | $59.88 | $59.88 | $13.87–$60.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $69.15 | $69.15 | $15.26–$50.00 | 56% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $69.15 | $69.15 | $15.26–$50.00 | — | — |
| Uric acid blood test CPT 84550 Uric Acid | $18.60 | $18.60 | $4.31–$10.00 | 16% above | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $18.60 | $18.60 | $4.31–$10.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis And Microscopic | $13.05 | $13.05 | $3.00–$8.00 | 5% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis And Microscopic | $13.05 | $13.05 | $3.00–$8.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urobilinogen Urine | $8.00 | $8.00 | $1.95–$15.00 | 47% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urobilinogen Urine | $8.00 | $8.00 | $1.95–$15.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $33.30 | $33.30 | $3.00–$32.00 | 33% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture | $33.30 | $33.30 | $3.00–$32.00 | — | — |
| Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative | $26.01 | $26.01 | $6.03–$12.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative | $26.01 | $26.01 | $6.03–$12.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B 12 | $62.04 | $62.04 | $13.59–$58.50 | 75% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B 12 | $62.04 | $62.04 | $13.59–$58.50 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxy Vitamin D | $121.83 | $121.83 | $26.72–$120.00 | 86% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxy Vitamin D | $121.83 | $121.83 | $26.72–$120.00 | — | — |
| Zinc blood test CPT 84630 Zinc | $46.86 | $46.86 | $10.00–$60.00 | — | — |
| Zinc blood test inpatient CPT 84630 Zinc | $46.86 | $46.86 | $10.00–$60.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative | $61.95 | $61.95 | $13.01–$60.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta Hcg Quantitative | $61.95 | $61.95 | $13.01–$60.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy Rupt App W Absc | $1,359.03 | $1,359.03 | $633.60–$742.69 | — | — |
| Appendectomy, open surgery CPT 44950 Excision Proc On The Appendix | $2,500.00 | $2,500.00 | $360.00–$671.56 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Cath W/Njx Angio Img Si | $2,500.00 | $2,500.00 | $311.82–$2,500.00 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Cath W/Njx Angio Img Si | $2,500.00 | $2,500.00 | $311.82–$2,500.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRHYT | $165.00 | $165.00 | $25.88–$429.98 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Older Than 28 Days Of Age | $2,500.00 | $2,500.00 | $90.00–$205.79 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Excision Procedures On Penis | $2,500.00 | $2,500.00 | $45.00–$150.00 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 Excision Proc On Penis | $2,500.00 | $2,500.00 | $110.00–$150.53 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Treat Dist Rad W/O Man | $230.00 | $230.00 | $180.00–$323.09 | — | — |
| Colonoscopy with tissue sample CPT 45380 Scope Of Colon With Biopsy | $398.06 | $398.06 | $93.00–$578.77 | at median | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Scope Of Colon With Biopsy | $398.06 | $398.06 | $93.00–$578.77 | — | — |
| Colonoscopy, diagnostic CPT 45378 Scope Of Colon For Diagnosis | $471.05 | $471.05 | $93.00–$438.82 | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Scope Of Colon For Diagnosis | $471.05 | $471.05 | $93.00–$438.82 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Benign Or Premalig Intergu Sys | $2,500.00 | $2,500.00 | $33.00–$55.32 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthes | $600.00 | $600.00 | $127.95–$300.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Impac Cerum Irrig/Lvg | $72.00 | $72.00 | $7.00–$14.51 | — | — |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen | $50.00 | $50.00 | $10.00–$65.00 | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Endoscopy W/Ethmo | $1,000.00 | $1,000.00 | $329.47–$668.00 | — | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Frontal | $500.00 | $500.00 | $215.48–$479.62 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/ | $800.00 | $800.00 | $260.92–$404.52 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rep Anterio Hernia 3cm To 10cm | $500.00 | $500.00 | $395.28–$579.13 | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rep Her Greater Than 10cm,Redu | $800.00 | $800.00 | $531.58–$1,033.56 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair Anterior Abd Hernia | $892.23 | $892.23 | $236.05–$500.00 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flex, Diagnos | $200.00 | $200.00 | $48.25–$285.00 | — | — |
| Gallbladder removal, laparoscopic CPT 47562 Laps Surg Cholecstc | $3,625.00 | $3,625.00 | $687.93–$2,656.96 | 212% above | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laps Surg Cholecstc | $3,625.00 | $3,625.00 | $687.93–$2,656.96 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lapsc Cholecystectomy/Cholang | $1,131.98 | $1,131.98 | $744.64–$960.00 | — | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy | $1,658.60 | $1,658.60 | $600.00 | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidec, Int/Exter Single | $350.00 | $350.00 | $351.25–$377.00 | — | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total Abd Hyste Corpus & Cervi | $1,560.20 | $1,560.20 | $872.37 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Inc Drain Absces Simple/Single | $125.00 | $125.00 | $42.00–$101.59 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Inc Drain Absces Simple/Single | $125.00 | $125.00 | $42.00–$101.59 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rep Init Inguinal Hernia Reduc | $2,500.00 | $2,500.00 | $370.00–$543.76 | — | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap Surg Gastric Rest Procedur | $1,702.74 | $1,702.74 | $500.00 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Lap Proc On The Appendix | $2,500.00 | $2,500.00 | $399.96–$628.45 | — | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Lapsc Surgical Esophagogastric | $1,100.00 | $1,100.00 | $1,089.81–$1,113.08 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lapsc Surg Rep Init Ing Hernia | $671.79 | $671.79 | $312.65–$560.00 | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Rep Recurrent Ingui Hernia | $600.00 | $600.00 | $470.52–$585.97 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Suture Intermediate 2.5 Or - | $125.00 | $125.00 | $85.00–$158.99 | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial | $1,025.82 | $1,025.82 | $234.00–$683.88 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc & Drain Nail | $175.00 | $175.00 | $40.00–$84.25 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal Nail | $120.00 | $120.00 | $43.89–$119.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail:Partial/Compl | $120.00 | $120.00 | $97.50–$140.12 | — | — |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst Brest/Niple M/F 1> | $513.00 | $513.00 | $303.68–$367.85 | 57% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Foregn Body Hand | $70.00 | $70.00 | $45.00–$107.03 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W | $1,000.00 | $1,000.00 | $487.50–$780.00 | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty Submucous Resecj | $1,000.00 | $1,000.00 | $390.00–$652.31 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsia Ipd | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsia Ipd | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast | $67.06 | $67.06 | $48.54–$63.96 | — | — |
| Short arm splint (forearm and hand) CPT 29125 Splint Arm Short | $80.00 | $80.00 | $24.00–$63.00 | — | — |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg | $150.00 | $150.00 | $56.70–$61.42 | — | — |
| Short leg splint (calf to foot) CPT 29515 Splint Lower Leg | $56.83 | $56.83 | $20.00–$51.29 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repa Suture 2.5or Less | $125.00 | $125.00 | $20.00–$74.00 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excis Mal Lesion Trunk/Arm/Leg | $355.33 | $355.33 | $100.00–$124.65 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excis Mal Lesion Trunk/Arm/Leg | $355.33 | $355.33 | $100.00–$124.65 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags Procedure | $2,500.00 | $2,500.00 | $33.30–$76.22 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $100.00 | $100.00 | $63.87–$144.00 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.6 - 7.5 Cm | $131.34 | $131.34 | $20.00–$117.07 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Suture 2.5 Cm Lip Face | $150.00 | $150.00 | $20.00–$87.00 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangenital Biopsy Skin, Single | $154.61 | $154.61 | $37.63–$41.16 | — | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Ple | $500.00 | $500.00 | $95.65–$520.00 | — | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy Adenoidectomy | $400.00 | $400.00 | $146.25–$299.79 | — | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal Of Tonsils | $220.00 | $220.00 | $195.00–$269.00 | — | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy, Total & Comple | $950.00 | $950.00 | $750.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Guided Breast Biopsy Rt Ult | $500.00 | $500.00 | $164.86–$1,420.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Guided Breast Biopsy Rt Ult | $500.00 | $500.00 | $164.86–$1,420.00 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper Stomach Intestine Scope | $428.62 | $428.62 | $93.00–$464.71 | 49% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Stomach Intestine Scope | $428.62 | $428.62 | $93.00–$464.71 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy | $193.83 | $193.83 | $260.00 | 13% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystourethroscopy | $1,100.00 | $1,100.00 | $1,800.00 | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystourethroscopy | $1,100.00 | $1,100.00 | $1,800.00 | — | — |
| Wart removal, up to 14 warts CPT 17110 Destr Benign Lesion, Up To 14 | $106.35 | $106.35 | $19.50–$60.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Excis Debridment Skin Supc | $120.00 | $120.00 | $27.91–$192.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Packed Cell Trans | $150.00 | $150.00 | $20.00–$35.92 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Croupete Subsequent | $211.10 | $211.10 | $9.75–$21.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Croupete Subsequent | $211.10 | $211.10 | $9.75–$21.00 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Evaluation | $300.00 | $300.00 | $30.00–$227.02 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Recording Awake/Drowsy | $266.05 | $266.05 | $35.00–$374.16 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Recording Awake/Drowsy | $266.05 | $266.05 | $35.00–$374.16 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg Complete | $23.00 | $23.00 | $13.62–$33.08 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg Complete | $23.00 | $23.00 | $13.62–$33.08 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Prod | $65.00 | $65.00 | $6.80–$43.44 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Prod | $65.00 | $65.00 | $6.80–$43.44 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Uso Sala De Emergencias | $100.00 | $100.00 | $20.00–$169.79 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Uso Sala De Emergencias | $125.00 | $125.00 | $1.00–$200.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Uso Sala Emergencia | $250.00 | $250.00 | $63.10–$248.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Uso Sala Emergencia - Trauma | $175.00 | $175.00 | $112.00–$241.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Uso Sala De Emergencias | $375.00 | $375.00 | $20.00–$200.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing Only | $107.25 | $107.25 | $33.00–$170.66 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test Tracing Only | $107.25 | $107.25 | $33.00–$170.66 | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Holter Recording 48 Hrs | $125.38 | $125.38 | $51.85–$253.38 | — | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion Iv | $165.00 | $165.00 | $50.00–$73.23 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Iv | $165.00 | $165.00 | $50.00–$73.23 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Im | $50.00 | $50.00 | $10.93–$18.87 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Postural Excercises | $25.00 | $25.00 | $10.73–$35.79 | — | — |
| New patient office visit, about 30 minutes CPT 99203 Visita Inicial 3 - 30min | $200.00 | $200.00 | $23.00–$200.00 | 68% above | — |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New 4 | $300.00 | $300.00 | $25.00–$193.26 | 18% above | — |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient Visit New 6 | $400.00 | $400.00 | $25.00–$176.11 | 20% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient New 20 Minu | $95.00 | $95.00 | $25.00–$99.88 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 High Complexity Evaluation | $45.00 | $45.00 | $21.88–$86.77 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Complexity Evaluation | $40.00 | $40.00 | $20.00–$86.77 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Complexity Evaluation | $43.00 | $43.00 | $21.88–$86.77 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Cervical Traction | $28.00 | $28.00 | $6.83–$40.00 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Active Excercises | $25.00 | $25.00 | $10.73–$31.45 | 17% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Visit Established Level 5 | $130.00 | $130.00 | $20.48–$122.81 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Visita Established Nivel 3 | $65.00 | $65.00 | $24.00–$125.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Visita Established Nivel 4 | $100.00 | $100.00 | $20.48–$135.09 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Visita Established Nivel 2 | $40.00 | $40.00 | $20.48–$67.76 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consulta Opd Nivel 3 | $75.00 | $75.00 | $25.00–$84.53 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consulta Opd Nivel 4 | $75.00 | $75.00 | $30.00–$134.90 | — | — |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test | $36.00 | $36.00 | $8.66–$68.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test | $36.00 | $36.00 | $8.66–$68.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Pre & Post Bronchodialtion | $165.00 | $165.00 | $11.70–$170.64 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Parallels Bars | $11.00 | $11.00 | $10.73–$40.89 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $110.00 | $110.00 | $9.00–$103.76 | — | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Adenosine Stress Test W Myo | $301.13 | $301.13 | $72.73–$307.12 | — | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Adenosine Stress Test W Myo | $301.13 | $301.13 | $72.73–$307.12 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Toxoide | $50.00 | $50.00 | $4.00–$38.82 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pharmacy Admin | $45.00 | $45.00 | $4.00–$40.00 | — | — |
Source file: https://hpt.inmediata.com/?handler=DF&d=8D33AC87-2897-49F0-B9D9-69B1E56A676E