PROFESSIONAL HOSPITAL GUAYNABO INC (Guaynabo, PR) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
43644	Bariatric surgery	$12,500	—	—	—	5
460	Spinal fusion except cervical without major comorbid conditions or complications (MCC)	$12,000	—	—	—	5
75605	Contrast exam thoracic aorta	$4,265	—	—	—	5
75600	Contrast exam thoracic aorta	$2,493	—	—	—	5
75625	Contrast exam abdominl aorta	$2,493	—	—	—	5
75630	X-ray aorta leg arteries	$2,493	—	—	—	5
0200	INTENSIVE CARE ROOM AND BOARD	$2,400	—	—	—	3
0206	INTERMEDIATE CARE ROOM AND BOARD	$2,216	—	—	—	3
74485	X-ray guide gu dilation	$1,696	—	—	—	5
72285	Discography cerv/thor spine	$1,611	—	—	—	5
72295	X-ray of lower spine disk	$1,611	—	—	—	5
0120	SEMI-PRIVATE ROOM AND BOARD	$1,216	—	—	—	3
84999	UNLISTED CHEMISTRY PROCEDURE	$1,000	—	—	—	5
88262	CHROMOSOME ANALYSIS 15-20	$960	—	—	—	5
87903	HIV 1 PHENOTYPE BY DNA 1 THROUGH 10 DRUGS	$816	—	—	—	5
70553	MRI scan of brain before and after contrast	$780	—	—	—	5
71270	Ct thorax w/o & w/dye	$780	—	—	—	5
71550	Mri chest w/o dye	$780	—	—	—	5
71551	Mri chest w/dye	$780	—	—	—	5
71552	Mri chest w/o & w/dye	$780	—	—	—	5
72141	Mri neck spine w/o dye	$780	—	—	—	5
72142	Mri neck spine w/dye	$780	—	—	—	5
72146	Mri chest spine w/o dye	$780	—	—	—	5
72147	Mri chest spine w/dye	$780	—	—	—	5
72148	Mri lumbar spine w/o dye	$780	—	—	—	5
72149	Mri lumbar spine w/dye	$780	—	—	—	5
72156	Mri neck spine w/o & w/dye	$780	—	—	—	5
72157	Mri chest spine w/o & w/dye	$780	—	—	—	5
72158	Mri lumbar spine w/o & w/dye	$780	—	—	—	5
73218	Mri upper extremity w/o dye	$780	—	—	—	5
73219	Mri upper extremity w/dye	$780	—	—	—	5
73220	Mri uppr extremity w/o&w/dye	$780	—	—	—	5
73221	Mri joint upr extrem w/o dye	$780	—	—	—	5
73222	Mri joint upr extrem w/dye	$780	—	—	—	5
73223	Mri joint upr extr w/o&w/dye	$780	—	—	—	5
84163	PAPP-A	$750	—	—	—	5
88230	LYMPHOCYTE NON-NEOPLASTIC DISORDER	$696	—	—	—	5
70015	Contrast x-ray of brain	$682	—	—	—	5
73722	Mri joint of lwr extr w/dye	$682	—	—	—	5
75563	Card mri w/stress img & dye	$682	—	—	—	5
88249	CHROMOSOME ANALYSIS SCORE 100 CELLS	$660	—	—	—	5
88269	CHROMOSONE ANALYSIS AMNIOTIC FLUID 6-12 COLONIES	$660	—	—	—	5
88264	CHROMOSONE ANALYSIS ANALYSE 20-25 CELLS	$660	—	—	—	5
88267	CHROMOSONE ANALYSIS AMNIOTIC FLUID COUNT 15 CELLS	$612	—	—	—	5
87269	GIARDIA AG BY IMMUNOFLUORESCENT	$600	—	—	—	5
86344	LEUKOCYTE PHAGOCYTOSIS	$600	—	—	—	5
88271	MOLECULAR CYTOGENICS DNA PROBE EA	$552	—	—	—	5
85305	PROTEIN S TOTAL	$504	—	—	—	5
87496	CYTOMEGALOVIRUS AMPLIFIED DIRECT PROBE BY DNA	$500	—	—	—	5
83864	MUCOPOLYSACCHARIDES ACID QUAN	$500	—	—	—	5

Showing top 50 of 1,250 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.