Faith Community Hospital

Jacksboro, TX

Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedureCash priceGross charge× Medicare
Breast lesion removal (open) (19120) $7,717.50 $11,025 2.0×
Knee arthroscopy with meniscectomy (29881) $11,873.52 $16,962.17 3.6×
Upper GI endoscopy (EGD), diagnostic (43235) $406.09 $580.12 0.4×
Upper GI endoscopy (EGD) with biopsy (43239) $1,703.37 $2,433.38 1.9×
Diagnostic colonoscopy (45378) $579.54 $827.91 0.6×
Colonoscopy with biopsy (45380) $1,745.38 $2,493.40 1.5×
Colonoscopy with lesion removal (45385) $1,173.06 $1,675.80 1.0×
Laparoscopic gallbladder removal (47562) $6,729.73 $9,613.90 1.1×
Inguinal hernia repair (age 5+) (49505) $2,784.86 $3,978.38 0.8×
Obstetric care, vaginal delivery (global) (59400) $24.37 $34.81
Obstetric care, cesarean delivery (global) (59510) $24.57 $35.10
Transforaminal epidural injection, lumbar/sacral (64483) $3,780 $2,725.90 4.3×
After-cataract laser surgery (YAG capsulotomy) (66821) $1,730.40 $2,472 3.1×
Cataract removal with lens insertion (66984) $2,271.15 $3,244.50 1.0×
CT head/brain without contrast (70450) $1,234 $1,762.85 11.8×
MRI brain without contrast (70551) $2,057.66 $2,939.52 8.6×
MRI brain with contrast (70552) $2,107.63 $3,010.90 6.0×
MRI brain without and with contrast (70553) $3,330.26 $4,757.52 9.5×
X-ray lower spine, 4+ views (72110) $204.41 $292.01 1.9×
MRI lumbar spine without contrast (72148) $2,057.66 $2,939.52 8.6×
CT pelvis with contrast (72193) $1,665.51 $2,379.30 9.5×
MRI lower-extremity joint without contrast (73721) $1,569.62 $2,242.31 6.5×
CT abdomen and pelvis with contrast (74177) $1,824.49 $2,606.42 5.2×
Ultrasound, abdomen complete (76700) $416.38 $594.83 4.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $454.23 $648.90 4.3×
Ultrasound, transvaginal (76830) $420.34 $600.49 4.0×
Basic metabolic panel (80048) $93.11 $133.02 11.0×
Comprehensive metabolic panel (80053) $61.64 $88.05 5.8×
Lipid panel (80061) $49.84 $71.20 3.7×
Renal function panel (80069) $98.42 $140.60 11.3×
Hepatic function panel (80076) $103.72 $148.17 12.7×
PSA, total (84153) $113.24 $161.76 6.2×
Thyroid stimulating hormone (TSH) (84443) $60.90 $87 3.6×
CBC with automated differential (85025) $38.24 $54.63 4.9×
CBC, automated (85027) $32.62 $46.60 5.0×
Prothrombin time (PT) (85610) $43.91 $62.73 10.2×
Partial thromboplastin time (PTT) (85730) $45.42 $64.89 7.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $62.36 $89.08 2.1×
Office visit, new patient (low complexity, ~30 min) (99203) $17.96 $25.66 0.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $18.10 $25.86 0.1×
Office visit, new patient (high complexity, ~60 min) (99205) $7.91 $11.30 0.1×

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