Limestone Medical Center
Groesbeck, TX · Critical Access Hospital
Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $957.28 | $1,595.48 | 1.1× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,066.59 | $1,777.65 | 1.2× |
| Diagnostic colonoscopy (45378) | $956.97 | $1,594.95 | 1.0× |
| Colonoscopy with biopsy (45380) | $1,194 | $1,990 | 1.0× |
| Colonoscopy with lesion removal (45385) | $1,266.62 | $2,111.02 | 1.1× |
| CT head/brain without contrast (70450) | $1,286.46 | $2,144.10 | 12.2× |
| MRI brain without contrast (70551) | $2,099.16 | $3,498.60 | 8.8× |
| MRI brain with contrast (70552) | $2,605.68 | $4,342.80 | 7.4× |
| MRI brain without and with contrast (70553) | $3,528 | $5,880 | 10.1× |
| X-ray lower spine, 4+ views (72110) | $325.08 | $541.80 | 3.1× |
| MRI lumbar spine without contrast (72148) | $2,369.43 | $3,949.05 | 9.9× |
| CT pelvis with contrast (72193) | $1,231.02 | $2,051.70 | 7.0× |
| MRI lower-extremity joint without contrast (73721) | $2,259.81 | $3,766.35 | 9.4× |
| CT abdomen and pelvis with contrast (74177) | $2,763.18 | $4,605.30 | 7.9× |
| Ultrasound, abdomen complete (76700) | $446.67 | $744.45 | 4.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $341.46 | $569.10 | 3.3× |
| Ultrasound, transvaginal (76830) | $432.81 | $721.35 | 4.1× |
| Basic metabolic panel (80048) | $87.57 | $145.95 | 10.4× |
| Comprehensive metabolic panel (80053) | $158.13 | $263.55 | 15.0× |
| Lipid panel (80061) | $122.85 | $204.75 | 9.2× |
| Renal function panel (80069) | $90.72 | $151.20 | 10.5× |
| Hepatic function panel (80076) | $85.05 | $141.75 | 10.4× |
| PSA, total (84153) | $113.40 | $189 | 6.2× |
| Thyroid stimulating hormone (TSH) (84443) | $154.35 | $257.25 | 9.2× |
| CBC with automated differential (85025) | $61.11 | $101.85 | 7.9× |
| Prothrombin time (PT) (85610) | $54.81 | $91.35 | 12.8× |
| Partial thromboplastin time (PTT) (85730) | $48.20 | $80.32 | 8.0× |
| Psychotherapy, 30 minutes (90832) | $91.35 | $152.25 | 0.5× |
| Psychotherapy, 45 minutes (90834) | $211.05 | $351.75 | 1.2× |
| Psychotherapy, 60 minutes (90837) | $91.35 | $152.25 | 0.5× |
| Family psychotherapy, without patient (50 min) (90846) | $254.52 | $424.20 | 1.4× |
| Family psychotherapy, with patient (50 min) (90847) | $254.52 | $424.20 | 1.4× |
| Group psychotherapy (90853) | $309.96 | $516.60 | 3.0× |
| Sleep study (attended polysomnography) (95810) | $2,245.38 | $3,742.30 | 2.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $72.45 | $120.75 | 2.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $236.25 | $393.75 | 1.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $283.18 | $471.98 | 2.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $366.66 | $611.10 | 2.7× |
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.
More prices at this hospital
- Imaging: 199 codes with posted prices and Medicare benchmarks
- Lab & pathology: 416 codes with posted prices and Medicare benchmarks
- Visits & medical services: 125 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 307 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 18 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 9.1 MB) ↓ — captured 2026-07-18
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