Plains Memorial Hospital

Dimmitt, 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
Transforaminal epidural injection, lumbar/sacral (64483) $2,101 $2,801 2.4×
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$189–$709 $252–$945 varies
MRI brain without contrast (70551) $1,316 $1,755 5.5×
MRI brain with contrast (70552) $1,463 $1,950 4.2×
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$564–$1,609 $752–$2,145 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$90–$197 $120–$262 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$338–$1,316 $451–$1,755 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$399–$957 $532–$1,276 varies
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$359–$1,316 $479–$1,755 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$533–$1,670 $710–$2,226 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$201–$371 $268–$495 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$234–$405 $312–$540 varies
Ultrasound, transvaginal (76830) $385 $513 3.7×
Basic metabolic panel (80048) $41 $55 4.8×
Lipid panel (80061) $68 $90 5.1×
Renal function panel (80069) $42 $56 4.8×
Hepatic function panel (80076) $40 $53 4.9×
Urinalysis, non-automated, with microscopy (81000) $16 $21 4.0×
Urinalysis, non-automated, without microscopy (81002) $13 $17 3.7×
PSA, total (84153) $88 $117 4.8×
Thyroid stimulating hormone (TSH) (84443) $80 $107 4.8×
CBC with automated differential (85025) $38 $51 4.9×
CBC, automated (85027) $32 $42 4.9×
Prothrombin time (PT) (85610) $20 $26 4.7×
Partial thromboplastin time (PTT) (85730) $29 $39 4.8×
Psychotherapy, 30 minutes (90832) $285 $380 1.6×
Psychotherapy, 45 minutes (90834) $285 $380 1.6×
Psychotherapy, 60 minutes (90837) $285 $380 1.6×
Family psychotherapy, without patient (50 min) (90846) $108 $144 0.6×
Family psychotherapy, with patient (50 min) (90847) $112 $149 0.6×
Group psychotherapy (90853) $26 $35 0.3×
Electrocardiogram (ECG), complete (93000) $75 $100 1.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $72 $96 2.5×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$130–$180 $173–$240 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$185–$225 $247–$300 varies
Office visit, new patient (high complexity, ~60 min) (99205) $222 $296 1.7×
Preventive visit, new patient (age 18–39) (99385) $147 $196 —
Preventive visit, new patient (age 40–64) (99386) $179 $239 —

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 (JSON, 2.2 MB) ↓ — captured 2026-07-18

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