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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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $556.40 | $1,391 | 5.3× |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$677.20–$1,125.60 | $1,693–$2,814 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$1,316–$1,653.60 | $3,290–$4,134 | varies |
| 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) range across 2 matching MRF lines |
$239.60–$274 | $599–$685 | varies |
| Mammography, screening (bilateral) (77067) | $176.40 | $441 | 1.9× |
| Basic metabolic panel (80048) | $43.60 | $109 | 5.2× |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$3.60–$73.20 | $9–$183 | varies |
| 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) range across 2 matching MRF lines |
$13.20–$13.60 | $33–$34 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$32.80–$72.80 | $82–$182 | varies |
| 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) range across 4 matching MRF lines |
$11.60–$24.80 | $29–$62 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$24.80–$33.60 | $62–$84 | varies |
| Sleep study (attended polysomnography) (95810) | $1,330 | $3,325 | 1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 8 matching MRF lines |
$26.40–$31.20 | $66–$78 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $182.80 | $457 | 1.4× |
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.
More prices at this hospital
- Imaging: 113 codes with posted prices and Medicare benchmarks
- Lab & pathology: 239 codes with posted prices and Medicare benchmarks
- Visits & medical services: 50 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 36 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 5 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.7 MB) ↓ — captured 2026-07-18
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.