Memorial Hospital

Gonzales, TX

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) $556.40 $1,391 5.3×
MRI brain without contrast (70551) $901.40 $2,253.50 3.8×
MRI brain without and with contrast (70553) $1,484.80 $3,712 4.2×
X-ray lower spine, 4+ views (72110) $264.40 $661 2.5×
MRI lumbar spine without contrast (72148) $1,355.60 $3,389 5.7×
CT pelvis with contrast (72193) $695.60 $1,739 3.9×
MRI lower-extremity joint without contrast (73721) $974 $2,435 4.1×
CT abdomen and pelvis with contrast (74177) $834.80 $2,087 2.4×
Ultrasound, abdomen complete (76700) $513.20 $1,283 4.9×
Ultrasound, transvaginal (76830) $390 $975 3.7×
Mammography, one breast (diagnostic) (77065) $239.20 $598 2.8×
Mammography, both breasts (diagnostic) (77066) $256.80 $642 2.3×
Mammography, screening (bilateral) (77067) $176.40 $441 1.9×
Basic metabolic panel (80048) $43.60 $109 5.2×
Comprehensive metabolic panel (80053) $38.40 $96 3.6×
Lipid panel (80061) $74.80 $187 5.6×
Renal function panel (80069) $43.60 $109 5.0×
Hepatic function panel (80076) $46 $115 5.6×
Urinalysis, non-automated, without microscopy (81002) $13.40 $33.50 3.9×
PSA, total (84153) $52.80 $132 2.9×
Thyroid stimulating hormone (TSH) (84443) $63.20 $158 3.8×
CBC with automated differential (85025) $26.40 $66 3.4×
CBC, automated (85027) $22.80 $57 3.5×
Prothrombin time (PT) (85610) $22.80 $57 5.3×
Partial thromboplastin time (PTT) (85730) $29.20 $73 4.9×
Sleep study (attended polysomnography) (95810) $1,330 $3,325 1.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $29 $72.50 1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $182.80 $457 1.4×

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