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Hospital Pavia Santurce

San Juan, PR · 197 beds · 33 procedures priced

Sourced from this hospital's machine-readable file, posted Fri Jun 05 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 97/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Basic Metabolic Panel	$11$8$40	$77	$77
Chest X-ray (2 Views)	$16$7$57	$88	$88
Colonoscopy with Biopsy	—	$316	$316
Complete Abdominal Ultrasound	$50$25$150	$265	$265
Complete Blood Count (CBC) with Differential	$9$7$16	$35	$35
Comprehensive Metabolic Panel	$18$10$80	$100	$100
CT Abdomen and Pelvis with Contrast	$191$69$450	$955	$955
CT Cardiac Calcium Scoring	$45$26$400	$712	$712
CT Chest without Contrast	$108$44$450	$712	$712
CT Head without Contrast	$105$37$450	$703	$703
DEXA Bone Density Scan	$33$10$90	$125	$125
Diagnostic Colonoscopy	$200$73$200	$234	$234
Diagnostic Mammogram (Both Breasts)	$76$25$151	$290	$290
Hemoglobin A1c (Diabetes Test)	$15$9$30	$22	$22
Laparoscopic Gallbladder Removal	$308$168$350	$350	$350
Lipid Panel (Cholesterol Test)	$25$12$60	$93	$93
MRI Abdomen with and without Contrast	$316$113$1.3k	$1,503	$1,503
MRI Brain with and without Contrast	$306$102$1.3k	$1,788	$1,788
MRI Brain with Contrast	$256$92$800	$1,788	$1,788
MRI Brain without Contrast	$239$71$800	$1,457	$1,457
MRI Cervical Spine (Neck) without Contrast	$200$69$800	$1,457	$1,457
MRI Knee without Contrast	$218$70$800	$1,457	$1,457
MRI Lower Back (Lumbar Spine) without Contrast	$228$69$800	$1,457	$1,457
MRI Thoracic Spine (Mid-back) without Contrast	$200$69$800	$1,457	$1,457
Nuclear Cardiac Stress Test	$351$105$1.0k	$2,059	$2,059
Pregnancy Ultrasound (Second or Third Trimester)	$52$18$150	$199	$199
Prostate Biopsy	$500$400$900	$798	$798
PSA Prostate Cancer Screening	$30$21$120	$30	$30
Screening Mammogram	$59$16$122	$245	$245
TSH Thyroid Function Test	$25$15$43	$117	$117
Upper GI Endoscopy (EGD)	—	$940	$940
Urinalysis with Microscopy	$5$3$8	$23	$23
Vitamin D Blood Test	$57$27$120	$357	$357

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.