HOSPITAL PAVIA SANTURCE (San Juan, PR) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
70557	Mri Brain W/o Dye	$8,227	—	$436	$1,200	6
70558	Mri Brain W/dye	$8,227	—	$1,200	$1,200	1
74485	Dilation Urtr/urt Rsi	$4,706	—	$45.9	$137	15
78802	Rp Loclzj Tum Whbdy 1 D Img	$3,816	—	$61.25	$301	24
78803	Rp Loclzj Tum Spect 1 Area	$3,816	—	$110	$405	22
78804	Rp Loclzj Tum Whbdy 2d Img	$3,816	—	$76	$597	22
70542	Mri Orbit/face/neck W/dye	$3,576	—	$239	$1,200	23
70548	Mr Angiography Neck W/dye	$3,576	—	$237	$1,200	22
70552	Mri Brain Stem W/dye	$3,576	—	$229	$1,200	23
70553	Mri Brain Stem W/o W/dye	$3,576	—	$261	$1,300	23
70725	Mr Ang Lwr Ext W Or W/o Dye	$3,576	—	$310	$1,200	2
71551	Mri Chest W/dye	$3,576	—	$369	$1,200	23
71555	Mri Angio Chest W Or W/o Dye	$3,576	—	$308	$1,200	14
72142	Mri Neck Spine W/dye	$3,576	—	$235	$1,200	24
72147	Mri Chest Spine W/dye	$3,576	—	$234	$1,200	24
72149	Mri Lumbar Spine W/dye	$3,576	—	$231	$1,200	24
72156	Mri Neck Spine W/o W/dye	$3,576	—	$264	$1,300	23
72157	Mri Chest Spine W/o W/dye	$3,576	—	$265	$1,300	23
72158	Mri Lumbar Spine W/o W/dye	$3,576	—	$263	$1,300	23
72159	Mr Angio Spine W/ow/dye	$3,576	—	$281	$1,200	22
72198	Mr Angio Pelvis W/o W/dye	$3,576	—	$311	$1,200	22
73225	Mr Angio Upr Extr W/ow/dye	$3,576	—	$278	$1,200	22
73723	Mri Joint Lwr Extr W/ow/dye	$3,576	—	$360	$1,300	23
73725	Mr Ang Lwr Ext W Or W/o Dye	$3,576	—	$310	$1,200	20
74182	Mri Abdomen W/contrast	$3,576	—	$277	$1,200	23
75557	Cardiac Mri For Morph	$3,576	—	$273	$975	17
77049	Mri Breast C- W/cad Bi	$3,525	—	$288	$1,200	20
C8908	Mri Breast C- W/cad Bi	$3,525	—	$288	$1,200	2
70545	Mr Angiography Head W/dye	$3,456	—	$220	$1,200	22
70549	Mr Angiograph Neck W/ow/dye	$3,366	—	$343	$1,200	19
70543	Mri Orbt/fac/nck W/o W/dye	$3,005	—	$295	$1,300	23
72197	Mri Pelvis W/o W/dye	$3,005	—	$294	$1,300	23
73219	Mri Upper Extremity W/dye	$3,005	—	$319	$1,200	23
73222	Mri Joint Upr Extrem W/dye	$3,005	—	$296	$1,200	23
73722	Mri Joint Of Lwr Extr W/dye	$3,005	—	$298	$1,200	23
74183	Mri Abd W/o Cntr Flwd Cntr	$3,005	—	$295	$1,300	23
75552	Cardiac Mri For Morph W/dye	$2,995	—	$360	$774	2
75561	Cardiac Mri For Morph W/dye	$2,995	—	$360	$774	15
74185	Mra W/o Fol W/cont, Abd	$2,988	—	$312	$1,200	22
70336	Magnetic Image Jaw Joint	$2,914	—	$232	$1,200	23
70540	Mri Orbit/face/neck W/o Dye	$2,914	—	$202	$1,200	24
70544	Mr Angiography Head W/o Dye	$2,914	—	$222	$1,200	22
70547	Mr Angiography Neck W/o Dye	$2,914	—	$224	$1,200	22
70551	Mri Brain Stem W/o Dye	$2,914	—	$155	$1,200	24
71550	Mri Chest W/o Dye	$2,914	—	$232	$1,200	24
72141	Mri Neck Spine W/o Dye	$2,914	—	$149	$1,200	24
72146	Mri Chest Spine W/o Dye	$2,914	—	$149	$1,200	24
72148	Mri Lumbar Spine W/o Dye	$2,914	—	$149	$1,200	24
72196	Mri Pelvis W/dye	$2,914	—	$233	$1,200	24
73218	Mri Upper Extremity W/o Dye	$2,914	—	$232	$1,200	23

Showing top 50 of 1,119 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.