Palo Pinto General Hospital

Mineral Wells, TX

Posts prices for 29 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) $544.65 $1,089.30 5.2×
MRI brain without contrast (70551) $687.95 $1,375.90 2.9×
MRI brain with contrast (70552) $802.60 $1,605.20 2.3×
MRI brain without and with contrast (70553) $917.30 $1,834.60 2.6×
X-ray lower spine, 4+ views (72110) $258 $516 2.5×
MRI lumbar spine without contrast (72148) $687.95 $1,375.90 2.9×
CT pelvis with contrast (72193) $573.30 $1,146.60 3.3×
MRI lower-extremity joint without contrast (73721) $687.95 $1,375.90 2.9×
CT abdomen and pelvis with contrast (74177) $802.60 $1,605.20 2.3×
Ultrasound, abdomen complete (76700) $436.60 $873.20 4.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $328.55 $657.10 3.1×
Ultrasound, transvaginal (76830) $296.60 $593.20 2.8×
Mammography, one breast (diagnostic) (77065) $86 $172 1.0×
Mammography, both breasts (diagnostic) (77066) $142.25 $284.50 1.3×
Mammography, screening (bilateral) (77067) $92.10 $184.20 1.0×
Basic metabolic panel (80048) $73.50 $147 8.7×
Comprehensive metabolic panel (80053) $97.65 $195.30 9.2×
Lipid panel (80061) $65.10 $130.20 4.9×
Renal function panel (80069) $81.40 $162.80 9.4×
Hepatic function panel (80076) $61.95 $123.90 7.6×
Urinalysis, non-automated, without microscopy (81002) $10.70 $21.40 3.1×
PSA, total (84153) $68.25 $136.50 3.7×
Thyroid stimulating hormone (TSH) (84443) $70.90 $141.80 4.2×
CBC with automated differential (85025) $46.75 $93.50 6.0×
CBC, automated (85027) $35.20 $70.40 5.4×
Prothrombin time (PT) (85610) $26.80 $53.60 6.2×
Partial thromboplastin time (PTT) (85730) $40.45 $80.90 6.7×
Sleep study (attended polysomnography) (95810) $1,490.60 $2,981.20 1.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $39.70 $79.40 1.4×

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