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SALUD

Al momento nuestra página está en proceso de actualización de precios.  De necesitar alguna información no contenida en esta página, favor de comunicarse con nosotros al 787-754-8500, exts. 1040 y 1041, en horario regular de Lunes a Viernes de 8:00 a.m. a 4:30 p.m. o al correo electrónico transparenciaenprecios@cardiovascular.pr.gov a su mejor conveniencia.  Lamentamos cualquier inconveniente que esto pueda causarle.

At the moment our website is in the process of updating prices.  If you need any information not contained on this page, please contact us at 787-754-8500, exts. 1040 and 1041, Monday through Friday from 8:00 a.m. to 4:00p.m. or by email  transparenciaenprecios@cardiovascular.pr.gov  at your convenience. We apologize for anyinconvenience this may cause you.

Transparencia de Precios

ESPAÑOL | ENGLISH

Descargo de responsabilidad

Disclaimer

Se incluye la lista de cargos por servicios médicos hospitalarios. Estos no varían por pacientes, sin embargo, pueden variar dependiendo de su plan médico, la cantidad de tiempo en cirugía o recuperación, la cantidad de días en el hospital, equipo específico, suministros y medicamentos requeridos, pruebas adicionales requeridas por su médico y / o cualquier cuidado especial inusual o condiciones o complicaciones inesperadas. Estos cargos no incluyen cargos médicos (por ejemplo, visita al consultorio, cirujano, anestesiólogo, radiólogo, patólogo, médicos consultores, etc.). Si tiene cubierta de plan médico, esta determinará finalmente su responsabilidad de pago: (incluidos los deducibles, copagos, coaseguros y gastos máximos de bolsillo). Si cree que necesita ayuda financiera o con la información ofrecida, favor comunicarse al Área de Admisiones, al teléfono 787-754-8500, extensiones. 1117, 1118, 1179, 1217 y 1318.

Fecha de Efectividad: Febrero 2023

Include, you will find the charges for hospital services. These don’t vary from patients, however, the actual charges will depend upon your health insurance coverage and a variety of factors such as: the length of time spent in surgery or recovery, the number of days spent in the hospital, specific equipment, supplies, and medications required, additional tests required by your physician, and/or any unusual special care or unexpected conditions or complications. These charges do not include any physician charges (e.g., office visit, surgeon, anesthesiologist, radiologist, pathologist, consulting physicians, etc.). If you have insurance, your benefits will ultimately determine the amount you owe (including deductibles, co-pay, co-insurance, and out-of-pocket maximums). If you feel you need assistance, please contact us at the Admissions Department: 787-754-8500, exts. 1117, 1118, 1179, 1217 and 1318.

Effective date: February 2023

Charge Category
2020 CPT/HCPCS  Primary Code
2020 CPT/HCPCS  Primary Code Description
Gross Charge
Discount Cash Price
VITAL Plan
Minimun Negociated Charge
Maximun Negocated Charge
Diagnostic Radiology (Diagnostic Imaging) Procedures
72114
Lumbosacral spine Complete, including bending views, minimum of 6 views
$64.44
$64.44
$32.98
$32.98
$32.98
Lumbosacral spine Complete, including bending views, minimum of 6 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72125
CT SCAN neck SPINE W/O dye
$385.00
$385.00
$89.71
$89.71
$89.71
CT SCAN neck SPINE W/O dye
Diagnostic Radiology (Diagnostic Imaging) Procedures
72120
Lumbosacral spine Bending views only 2 or 3 views
$68.57
$68.57
$21.39
$21.39
$21.39
Lumbosacral spine Bending views only 2 or 3 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72083
Scoliosis evaluation 4 or 5 views
$36.02
$36.02
$35.85
$26.89
$26.89
Scoliosis evaluation 4 or 5 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72082
Scoliosis evaluation 2 or 3 views
$31.96
$31.96
$32.91
$32.91
$32.91
Scoliosis evaluation 2 or 3 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72081
Scoliosis evaluation Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed; one view
$40.08
$40.08
$20.87
$20.87
$20.87
Scoliosis evaluation Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed; one view
Diagnostic Radiology (Diagnostic Imaging) Procedures
72080
Thoracolumbar junction Radiologic examination, minimum of 2 views
$49.28
$49.28
$16.62
$16.62
$16.62
Thoracolumbar junction Radiologic examination, minimum of 2 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72072
Thoracic spine Radiologic examination, 3 views
$32.47
$32.47
$18.56
$18.56
$18.56
Thoracic spine Radiologic examination, 3 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72070
Thoracic spine Radiologic examination, 2 views
$70.00
$70.00
$18.21
$18.21
$18.21
Thoracic spine Radiologic examination, 2 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72050
Cervical spine Radiologic examination, 4 or 5 views
$37.31
$37.31
$24.25
$24.25
$24.25
Cervical spine Radiologic examination, 4 or 5 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
72040
Cervical spine Radiologic examination, 2 or 3 views
$57.32
$57.32
$17.85
$17.85
$17.85
Cervical spine Radiologic examination, 2 or 3 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
71552
MRI OF CHEST WITHOUT WITH CONT
$792.46
$792.46
$295.64
$295.64
$295.64
MRI OF CHEST WITHOUT WITH CONT
Diagnostic Radiology (Diagnostic Imaging) Procedures
71555
MRA CHEST WITH OR WITHOUT CONT
$549.70
$549.70
$209.62
$209.62
$209.62
MRA CHEST WITH OR WITHOUT CONT
Diagnostic Radiology (Diagnostic Imaging) Procedures
71552
CARDIAC MRI
$792.46
$792.46
$295.64
$295.64
$295.64
CARDIAC MRI
Diagnostic Radiology (Diagnostic Imaging) Procedures
71551
MRI OF CHEST WITH CONTRAST
$626.14
$626.14
$239.14
$239.14
$239.14
MRI OF CHEST WITH CONTRAST
Diagnostic Radiology (Diagnostic Imaging) Procedures
71550
MRI OF CHEST WITHOUT CONTRAST
$567.69
$567.69
$181.16
$181.16
$181.16
MRI OF CHEST WITHOUT CONTRAST
Diagnostic Radiology (Diagnostic Imaging) Procedures
71275
CTA CHEST AORTOGRAM PROTOCOL
$385.00
$385.00
$161.17
$161.17
$161.17
CTA CHEST AORTOGRAM PROTOCOL
Diagnostic Radiology (Diagnostic Imaging) Procedures
71275
Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest
$385.00
$385.00
$221.28
$166.75
$166.75
Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest
Diagnostic Radiology (Diagnostic Imaging) Procedures
71275
CTA CHEST PE PROTOCOL
$385.00
$385.00
$161.17
$161.17
$161.17
CTA CHEST PE PROTOCOL
Diagnostic Radiology (Diagnostic Imaging) Procedures
71270
CT SCAN CHEST W/WO IV CONTRAST
$385.00
$385.00
$146.03
$146.03
$146.03
CT SCAN CHEST W/WO IV CONTRAST
Diagnostic Radiology (Diagnostic Imaging) Procedures
71250
CT HIGH RESOLUTION
$226.63
$226.63
$240.00
$88.10
$88.10
CT HIGH RESOLUTION
Diagnostic Radiology (Diagnostic Imaging) Procedures
71260
CT SCAN CHEST W IV CONTRAST
$385.00
$385.00
$122.31
$122.31
$122.31
CT SCAN CHEST W IV CONTRAST
Diagnostic Radiology (Diagnostic Imaging) Procedures
71250
CT SCAN CHEST WO CONTRAST
$385.00
$385.00
$240.00
$88.10
$88.10
CT SCAN CHEST WO CONTRAST
Diagnostic Radiology (Diagnostic Imaging) Procedures
71120
Sternum Radiologic examination, minimum of 2 views
$39.05
$39.05
$15.94
$15.94
$15.94
Sternum Radiologic examination, minimum of 2 views
Diagnostic Radiology (Diagnostic Imaging) Procedures
71130
Sternoclavicular joint or joints Radiologic examination, minimum of 3 views
$43.85
$43.85
$19.26
$19.26
$19.26
Sternoclavicular joint or joints Radiologic examination, minimum of 3 views