Home › Hospitals › Throckmorton County Memorial Hospital Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $1,226
$1,226
11.7×
MRI brain without contrast (70551) $1,669
$1,669
7.0×
MRI brain with contrast (70552) $3,845
$3,845
11.0×
MRI brain without and with contrast (70553) $2,048
$2,048
5.8×
X-ray lower spine, 4+ views (72110) $259
$259
2.5×
MRI lumbar spine without contrast (72148) $1,678
$1,678
7.0×
CT pelvis with contrast (72193) $2,858
$2,858
16.2×
MRI lower-extremity joint without contrast (73721) $1,409
$1,409
5.9×
CT abdomen and pelvis with contrast (74177) $1,882
$1,882
5.4×
Ultrasound, abdomen complete (76700) $278.50
$278.50
2.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $986
$986
9.4×
Ultrasound, transvaginal (76830) $674
$674
6.4×
Basic metabolic panel (80048) $110
$110
13.0×
Comprehensive metabolic panel (80053) $155
$155
14.7×
Lipid panel (80061) $102.50
$102.50
7.7×
Renal function panel (80069) $123
$123
14.2×
Hepatic function panel (80076) $60
$60
7.3×
Urinalysis, non-automated, without microscopy (81002) $44
$44
12.6×
PSA, total (84153) $95.50
$95.50
5.2×
Thyroid stimulating hormone (TSH) (84443) $83
$83
4.9×
CBC with automated differential (85025) $36
$36
4.6×
CBC, automated (85027) $82
$82
12.7×
Prothrombin time (PT) (85610) $57
$57
13.3×
Partial thromboplastin time (PTT) (85730) $58
$58
9.7×
Psychotherapy, 45 minutes (90834) $80
$80
0.4×
Family psychotherapy, with patient (50 min) (90847) $381
$381
2.1×
Group psychotherapy (90853) $192
$192
1.9×
Electrocardiogram (ECG), complete (93000) $75
$75
1.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $141
$141
4.9×
Office visit, new patient (low complexity, ~30 min) (99203) $80
$80
0.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $135
$135
1.0×
Preventive visit, new patient (age 18–39) (99385) $190
$190
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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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