Memorial Medical Center
Port Lavaca, TX · Critical Access Hospital
Posts prices for 58 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) range across 2 matching MRF lines |
$202.30–$284.20 | $289–$406 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$698.60–$5,678.40 | $998–$8,112 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) | $486.50 | $695 | 0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $509.60 | $728 | 0.6× |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$226.10–$605.50 | $323–$865 | varies |
| Colonoscopy with biopsy (45380) | $700.70 | $1,001 | 0.6× |
| Colonoscopy with lesion removal (45385) | $830.90 | $1,187 | 0.7× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,628.20 | $2,326 | 0.3× |
| Inguinal hernia repair (age 5+) (49505) | $1,071.06 | $1,530.09 | 0.3× |
| Obstetric care, vaginal delivery (global) (59400) range across 3 matching MRF lines |
$2,284.10–$3,028.20 | $3,263–$4,326 | varies |
| Obstetric care, cesarean delivery (global) (59510) range across 3 matching MRF lines |
$2,459.80–$3,356.50 | $3,514–$4,795 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $2,711.80 | $3,874 | 3.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$136.50–$2,279.20 | $195–$3,256 | varies |
| Cataract removal with lens insertion (66984) | $3,061.10 | $4,373 | 1.3× |
| CT head/brain without contrast (70450) | $1,399.30 | $1,999 | 13.3× |
| MRI brain without contrast (70551) | $1,978.20 | $2,826 | 8.3× |
| MRI brain with contrast (70552) | $2,855.30 | $4,079 | 8.1× |
| MRI brain without and with contrast (70553) | $2,998.10 | $4,283 | 8.6× |
| X-ray lower spine, 4+ views (72110) | $450.10 | $643 | 4.3× |
| MRI lumbar spine without contrast (72148) | $2,093 | $2,990 | 8.7× |
| CT pelvis with contrast (72193) | $1,971.20 | $2,816 | 11.2× |
| MRI lower-extremity joint without contrast (73721) | $1,966.30 | $2,809 | 8.2× |
| CT abdomen and pelvis with contrast (74177) | $3,495.10 | $4,993 | 10.0× |
| Ultrasound, abdomen complete (76700) | $681.10 | $973 | 6.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $515.20 | $736 | 4.9× |
| Ultrasound, transvaginal (76830) | $602 | $860 | 5.7× |
| Mammography, one breast (diagnostic) (77065) | $334.60 | $478 | 3.9× |
| Mammography, both breasts (diagnostic) (77066) | $420 | $600 | 3.8× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$246.40–$328.30 | $352–$469 | varies |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$128.10–$161 | $183–$230 | varies |
| Comprehensive metabolic panel (80053) | $187.60 | $268 | 17.8× |
| Lipid panel (80061) range across 2 matching MRF lines |
$67.90–$68.60 | $97–$98 | varies |
| Renal function panel (80069) | $107.10 | $153 | 12.3× |
| Hepatic function panel (80076) | $135.80 | $194 | 16.6× |
| Urinalysis, non-automated, with microscopy (81000) range across 2 matching MRF lines |
$27.30–$39.90 | $39–$57 | varies |
| Urinalysis, non-automated, without microscopy (81002) range across 4 matching MRF lines |
$12.60–$34.30 | $18–$49 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$112.70–$180.60 | $161–$258 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $121.10 | $173 | 7.2× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$59.50–$68.60 | $85–$98 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$60.90–$200.20 | $87–$286 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$37.80–$72.10 | $54–$103 | varies |
| Partial thromboplastin time (PTT) (85730) | $72.80 | $104 | 12.1× |
| Psychotherapy, 30 minutes (90832) | $170.80 | $244 | 1.0× |
| Psychotherapy, 45 minutes (90834) | $261.80 | $374 | 1.5× |
| Psychotherapy, 60 minutes (90837) | $264.60 | $378 | 1.5× |
| Family psychotherapy, without patient (50 min) (90846) range across 2 matching MRF lines |
$108.50–$128.80 | $155–$184 | varies |
| Family psychotherapy, with patient (50 min) (90847) | $239.40 | $342 | 1.3× |
| Group psychotherapy (90853) | $229.60 | $328 | 2.2× |
| Electrocardiogram (ECG), complete (93000) | $67.90 | $97 | 1.1× |
| Sleep study (attended polysomnography) (95810) | $2,585.80 | $3,694 | 3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $109.20 | $156 | 3.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 4 matching MRF lines |
$70–$399.70 | $100–$571 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 4 matching MRF lines |
$122.50–$581.70 | $175–$831 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 5 matching MRF lines |
$140–$595 | $200–$850 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 3 matching MRF lines |
$14–$188.30 | $20–$269 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 3 matching MRF lines |
$14–$246.40 | $20–$352 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 3 matching MRF lines |
$14–$182.70 | $20–$261 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 3 matching MRF lines |
$14–$199.50 | $20–$285 | 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.
More prices at this hospital
- Imaging: 261 codes with posted prices and Medicare benchmarks
- Lab & pathology: 619 codes with posted prices and Medicare benchmarks
- Visits & medical services: 146 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 688 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 20 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (UNKNOWN, 96.0 MB) ↓ — captured 2026-09-11
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.