Fisher County Hospital District

Rotan, TX · Critical Access Hospital

Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $1,050 $1,235 10.0×
X-ray lower spine, 4+ views (72110) $276 $325 2.6×
CT pelvis with contrast (72193) $1,301 $1,530 7.4×
CT abdomen and pelvis with contrast (74177) $3,305 $3,888 9.4×
Ultrasound, abdomen complete (76700) $492 $579 4.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $345 $406 3.3×
Ultrasound, transvaginal (76830) $422 $497 4.0×
Basic metabolic panel (80048) $102 $120 12.1×
Comprehensive metabolic panel (80053) $157 $185 14.9×
Obstetric panel (80055) $342 $402 7.2×
Lipid panel (80061) $72 $84.50 5.4×
Renal function panel (80069) $116 $136 13.4×
Hepatic function panel (80076) $109 $128 13.3×
Urinalysis, non-automated, with microscopy (81000) $6 $7 1.5×
Urinalysis, non-automated, without microscopy (81002) $6 $7 1.7×
PSA, total (84153) $85 $100.50 4.6×
Thyroid stimulating hormone (TSH) (84443) $80 $94 4.8×
CBC with automated differential (85025) $48 $56 6.2×
Prothrombin time (PT) (85610) $26 $30 6.1×
Partial thromboplastin time (PTT) (85730) $61 $72 10.1×
Electrocardiogram (ECG), complete (93000) $133 $156 2.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $57 $67 2.0×
Office visit, new patient (low complexity, ~30 min) (99203) $143 $168 1.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $220 $259 1.6×
Office visit, new patient (high complexity, ~60 min) (99205) $293 $345 2.2×
Office consultation (low complexity, ~30 min) (99243) $166 $195 1.2×
Preventive visit, new patient (age 18–39) (99385) $139 $163 —
Preventive visit, new patient (age 40–64) (99386) $164 $193 —

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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