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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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$652.05–$1,262.52 $1,086.75–$2,104.20 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$839.16–$1,294.02 $1,398.60–$2,156.70 varies
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$743.40–$1,170.54 $1,239–$1,950.90 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$917.40–$1,470.60 $1,529–$2,451 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$989.10–$1,544.13 $1,648.50–$2,573.55 varies
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)
range across 9 matching MRF lines
$2,259.81–$4,515.84 $3,766.35–$7,526.40 varies
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)
range across 2 matching MRF lines
$34.02–$192.78 $56.70–$321.30 varies
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)
range across 3 matching MRF lines
$37.80–$64.89 $63–$108.15 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$25.83–$70.56 $43.05–$117.60 varies
Psychotherapy, 30 minutes (90832) $91.35 $152.25 0.5×
Psychotherapy, 45 minutes (90834)
range across 3 matching MRF lines
$91.35–$211.05 $152.25–$351.75 varies
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)
range across 2 matching MRF lines
$154.98–$464.94 $258.30–$774.90 varies
Sleep study (attended polysomnography) (95810)
range across 4 matching MRF lines
$468.72–$2,451.96 $781.20–$4,086.60 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 6 matching MRF lines
$60.48–$72.45 $100.80–$120.75 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines
$138.60–$304.29 $231–$507.15 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 4 matching MRF lines
$182.70–$351.54 $304.50–$585.90 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$342.09–$464.94 $570.15–$774.90 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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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Download the machine-readable file (CSV, 9.1 MB) ↓ — captured 2026-07-18

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