Wilbarger General Hospital

Vernon, TX

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedureCash priceGross charge× Medicare
Shoulder arthroscopy with decompression (29826) $298.49 $497.49
Knee arthroscopy with meniscectomy (29881) $6,132.08 $10,220.14 1.9×
CT head/brain without contrast (70450) $767.40 $1,279 7.3×
MRI brain without contrast (70551) $1,049.40 $1,749 4.4×
MRI brain with contrast (70552) $1,217.98 $2,029.97 3.5×
MRI brain without and with contrast (70553) $1,854 $3,090 5.3×
X-ray lower spine, 4+ views (72110) $249.60 $416 2.4×
MRI lumbar spine without contrast (72148) $1,192.20 $1,987 5.0×
CT pelvis with contrast (72193) $1,228.10 $2,046.83 7.0×
MRI lower-extremity joint without contrast (73721) $1,129.20 $1,882 4.7×
CT abdomen and pelvis with contrast (74177) $1,602 $2,670 4.6×
Ultrasound, abdomen complete (76700) $450 $750 4.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $227.40 $379 2.2×
Ultrasound, transvaginal (76830) $297.90 $496.50 2.8×
Mammography, one breast (diagnostic) (77065) $232.69 $387.81 2.7×
Mammography, both breasts (diagnostic) (77066) $294.01 $490.02 2.7×
Mammography, screening (bilateral) (77067) $236.95 $394.92 2.6×
Basic metabolic panel (80048) $65.40 $109 7.7×
Comprehensive metabolic panel (80053) $88.20 $147 8.4×
Lipid panel (80061) $47.15 $78.58 3.5×
Renal function panel (80069) $150.60 $251 17.4×
Hepatic function panel (80076) $75.60 $126 9.3×
Urinalysis, non-automated, with microscopy (81000) $15.17 $25.28 3.8×
PSA, total (84153) $42 $70 2.3×
Thyroid stimulating hormone (TSH) (84443) $66 $110 3.9×
CBC with automated differential (85025) $48 $80 6.2×
CBC, automated (85027) $54 $90 8.3×
Prothrombin time (PT) (85610) $37.20 $62 8.7×
Partial thromboplastin time (PTT) (85730) $46.80 $78 7.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $70.80 $118 2.4×
Office visit, new patient (low complexity, ~30 min) (99203) $145.71 $242.85 1.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $223.20 $372 1.7×
Office visit, new patient (high complexity, ~60 min) (99205) $311.90 $519.84 2.3×

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