HOSPITAL PAVIA HATO REY, INC (Hato Rey, PR) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
78452	Multiple SPECT Scans of Heart Muscle	$2,059	$2,059	$68.95	$500	22
70552	MRI of Brain With Contrast	$1,788	$1,788	$91.67	$650	28
70553	MRI of Brain With and Without Contrast	$1,788	$1,788	$116	$1,300	27
72147	MRI of Middle Spinal Canal With Contrast	$1,788	$1,788	$91.67	$650	28
72156	MRI of Upper Spinal Canal With and Without Contrast	$1,788	$1,788	$117	$1,300	27
72157	MRI of Middle Spinal Canal With and Without Contrast	$1,788	$1,788	$117	$1,300	27
72158	MRI of Lower Spinal Canal With and Without Contrast	$1,788	$1,788	$117	$1,300	27
74182	MRI of Abdomen With Contrast	$1,788	$1,788	$89.14	$650	27
74183	MRI of Abdomen With and Without Contrast	$1,788	$1,788	$113	$1,300	28
77049	MRI of Both Breasts With and Without Contrast	$1,788	$1,788	$118	$688	19
72197	MRI of Pelvis With and Without Contrast	$1,503	$1,503	$113	$1,300	27
70544	MRI of Blood Vessels of Head Without Contrast	$1,457	$1,457	$61.71	$650	21
70551	MRI of Brain Without Contrast	$1,457	$1,457	$71.02	$650	28
72141	MRI of Upper Spinal Canal Without Contrast	$1,457	$1,457	$69.12	$650	28
72146	MRI of Middle Spinal Canal Without Contrast	$1,457	$1,457	$69.12	$650	28
72148	MRI of Lower Spinal Canal Without Contrast	$1,457	$1,457	$69.05	$650	28
72149	MRI of Lower Spinal Canal With Contrast	$1,457	$1,457	$92.03	$650	28
72196	MRI of Pelvis With Contrast	$1,457	$1,457	$89.14	$650	28
73718	MRI of Leg Not Including Joint Without Contrast	$1,457	$1,457	$69.29	$650	27
73719	MRI of Leg Not Including Joint With Contrast	$1,457	$1,457	$83.37	$650	27
73722	MRI of Leg Joint With Contrast	$1,457	$1,457	$83.73	$650	28
73723	MRI of Leg Joint With and Without Contrast	$1,457	$1,457	$110	$1,300	28
74181	MRI of Abdomen Without Contrast	$1,457	$1,457	$75.07	$650	28
73218	MRI of Arm Without Contrast	$1,457	$1,457	$69.84	$650	28
73221	MRI of Arm Without Contrast	$1,457	$1,457	$69.84	$650	28
72195	MRI of Pelvis Without Contrast	$1,371	$1,371	$75.07	$650	27
73721	MRI of Leg Joint Without Contrast	$1,224	$1,224	$70.02	$650	28
85245	Lab Test - Measurement of Blood Clotting Factor von Willebrand	$1,196	$1,196	$19.82	$135	27
78803	SPECT Scan To Locate Tumor or Infection	$1,095	$1,095	$45.83	$317	23
78802	Nuclear Medicine Study To Locate Tumor or Infection With Whole Body Imaging Completed In a Single Da	$1,095	$1,095	$36.53	$375	26
71270	CAT Scan of Chest With and Without Contrast	$955	$955	$59.57	$650	29
74177	CAT Scan of Abdomen and Pelvis With Contrast	$955	$955	$128	$240	20
74178	CAT Scan of Abdomen and Pelvis With and Without Contrast	$955	$955	$143	$450	21
74170	CAT Scan of Abdomen With and Without Contrast	$937	$937	$60.56	$650	28
74176	CAT Scan of Abdomen and Pelvis Without Contrast	$937	$937	$68.02	$225	20
78707	Complete Nuclear Medicine Study of Kidney Without Drug Administration	$924	$924	$40.86	$465	25
72194	CAT Scan of Pelvis With and Without Contrast	$899	$899	$52.73	$650	28
78472	Single Nuclear Medicine Study To Evaluate Blood Ejection From The Heart During Specific Phases of He	$891	$891	$42.47	$690	24
78315	Nuclear Medicine Study of Bones And/or Joints With Delayed Images in 3 Phases	$834	$834	$43.68	$495	26
84145	Lab Test - Procalcitonin Hormone Level	$825	$825	$36.49	$36.49	1
70470	CAT Scan of Head or Brain With and Without Contrast	$825	$825	$54.9	$650	28
70492	CAT Scan of Soft Tissue of the Neck With and Without Contrast	$825	$825	$62.49	$325	28
71260	CAT Scan of Chest With Contrast	$805	$805	$53.65	$300	29
72128	CAT Scan of Mid Spine Without Contrast	$805	$805	$43.46	$275	29
74160	CAT Scan of Abdomen With Contrast	$805	$805	$54.9	$300	29
70545	MRI of Blood Vessels of Head With Contrast	$798	$798	$61.71	$650	21
78227	Nuclear Medicine Study of Liver and Bile Ducts	$795	$795	$95	$431	24
72193	CAT Scan of Pelvis With Contrast	$786	$786	$50.23	$300	29
78070	Nuclear Medicine Study of Parathyroid Gland	$774	$774	$34.94	$279	25
70543	MRI of Face or Neck With and Without Contrast	$770	$770	$110	$1,300	27

Showing top 50 of 265 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.