Hospital

Collingsworth General Hospital

Listed in its price file as “Preferred Hospital Leasing Inc.”.

Collingsworth General Hospital in Wellington, TX publishes cash prices for 100 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 85 of 100 procedures and above it for 15. By typical cash price it ranks #62 of 306 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1013 15th Street, Wellington, TX 79095 Collected Sep 27, 2026 Source price file Check a bill from this hospital (806) 447-2521

Critical access hospital (rural, 25 beds or fewer) For-profit hospital Emergency department CCN 451355 · CMS hospital register NPI 1477594299

Scans and imaging

ProcedureCash priceList priceInsurers payvs TexasOff list
Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Comp Min 3V RT $227.50 $325.00 $109.47–$277.10 40% below 30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle Comp Min 3V RT $227.50 $325.00 $109.47–$277.10 — 30%
CT angiography (CTA) of the head CPT 70496 Cta Head W/Wo $1,067.50 $1,525.00 $1,018.70–$1,201.70 62% below 30%
CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/Wo $1,067.50 $1,525.00 $1,018.70–$1,201.70 — 30%
CT angiography (CTA) of the neck CPT 70498 Cta Neck Carotids $1,715.00 $2,450.00 $1,636.60–$1,930.60 34% below 30%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck Carotids $1,715.00 $2,450.00 $1,636.60–$1,930.60 — 30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/Wo $857.50 $1,225.00 $876.48–$1,109.36 70% below 30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/Wo $857.50 $1,225.00 $876.48–$1,109.36 — 30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd/Pel W/O Contrast $1,102.50 $1,575.00 $1,250.55–$1,426.32 67% below 30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd/Pel W/O Contrast $1,102.50 $1,575.00 $1,250.55–$1,426.32 — 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd/Pel W/ Contrast $1,540.00 $2,200.00 $1,469.60–$2,199.99 60% below 30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd/Pel W/ Contrast $1,540.00 $2,200.00 $1,469.60–$2,199.99 — 30%
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O $528.50 $755.00 $131.99–$739.90 72% below 30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O $528.50 $755.00 $131.99–$739.90 — 30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-Spine W/O $1,120.00 $1,600.00 $1,068.80–$1,448.96 45% below 30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct L-Spine W/O $1,120.00 $1,600.00 $1,068.80–$1,448.96 — 30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-Spine W/O $528.50 $755.00 $504.34–$680.71 74% below 30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct C-Spine W/O $528.50 $755.00 $504.34–$680.71 — 30%
Chest X-ray, 2 views CPT 71046 Xr Chest Ap/Lat $210.00 $300.00 $235.20–$270.48 47% below 30%
Chest X-ray, 2 views inpatient CPT 71046 Xr Chest Ap/Lat $210.00 $300.00 $235.20–$270.48 — 30%
Chest X-ray, single view CPT 71045 Xr Chest 1V $157.50 $225.00 $109.47–$225.00 51% below 30%
Chest X-ray, single view inpatient CPT 71045 Xr Chest 1V $157.50 $225.00 $109.47–$225.00 — 30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/O $822.50 $1,175.00 $925.90–$1,006.50 51% below 30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest W/O $822.50 $1,175.00 $925.90–$1,006.50 — 30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W $1,295.00 $1,850.00 $1,450.40 40% below 30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest W $1,295.00 $1,850.00 $1,450.40 — 30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2V RT $191.80 $274.00 $109.47–$238.98 49% below 30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2V LT $191.80 $274.00 $109.47–$238.98 49% below 30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr Forearm 2V RT $191.80 $274.00 $109.47–$238.98 — 30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr Forearm 2V LT $191.80 $274.00 $109.47–$238.98 — 30%
Knee X-ray, 3 views one side CPT 73562 Xr Knee 3V LT $227.50 $325.00 $282.51–$294.32 44% below 30%
Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee 3V LT $227.50 $325.00 $282.51–$294.32 — 30%
Knee X-ray, complete, 4 or more views one side CPT 73564 Xr Knee Comp 4V LT $292.60 $418.00 $327.72–$378.54 31% below 30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Xr Knee Comp 4V LT $292.60 $418.00 $327.72–$378.54 — 30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Ext Non-Vasc Lmtd LT $219.10 $313.00 $267.14–$283.45 53% below 30%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Ext Non-Vasc Lmtd LT $219.10 $313.00 $267.14–$283.45 — 30%
Rib X-ray, one side, 2 views CPT 71100 Xr Ribs 2V $195.30 $279.00 $219.85–$252.66 45% below 30%
Rib X-ray, one side, 2 views inpatient CPT 71100 Xr Ribs 2V $195.30 $279.00 $219.85–$252.66 — 30%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2V $210.00 $300.00 $112.36–$271.68 39% below 30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2V RT $210.00 $300.00 $112.36–$271.68 39% below 30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xr Shoulder 2V $210.00 $300.00 $112.36–$271.68 — 30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr Shoulder 2V RT $210.00 $300.00 $112.36–$271.68 — 30%
Ultrasound of the abdomen, complete CPT 76700 Us Abd Complete $525.00 $750.00 $556.79–$659.15 39% below 30%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abd Complete $525.00 $750.00 $556.79–$659.15 — 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3V RT $192.50 $275.00 $214.98–$249.04 52% below 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3V LT $192.50 $275.00 $214.98–$249.04 52% below 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip 2-3V RT $192.50 $275.00 $214.98–$249.04 — 30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip 2-3V LT $192.50 $275.00 $214.98–$249.04 — 30%
X-ray of the abdomen, 1 view one side CPT 74018 Xr Abd 1V LT $168.70 $241.00 $187.98 50% below 30%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 Xr Abd 1V LT $168.70 $241.00 $187.98 — 30%
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2V LT $158.90 $227.00 $205.57 40% below 30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger 2V LT $158.90 $227.00 $205.57 — 30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Comp Min 3V RT $210.00 $300.00 $109.47–$273.25 44% below 30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot Comp Min 3V RT $210.00 $300.00 $109.47–$273.25 — 30%
X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3V LT $210.00 $300.00 $146.96–$274.33 46% below 30%
X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3V RT $210.00 $300.00 $146.96–$274.33 46% below 30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Min 3V LT $210.00 $300.00 $146.96–$274.33 — 30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Min 3V RT $210.00 $300.00 $146.96–$274.33 — 30%
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1/2V LT $154.70 $221.00 $200.14 47% below 30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee 1/2V LT $154.70 $221.00 $200.14 — 30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L-Spine 2-3V $245.00 $350.00 $273.00–$346.50 48% below 30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr L-Spine 2-3V $245.00 $350.00 $273.00–$346.50 — 30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr T-Spine $187.60 $268.00 $209.04–$244.28 53% below 30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xr T-Spine $187.60 $268.00 $209.04–$244.28 — 30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C-Spine 2-3V $190.40 $272.00 $233.00–$246.32 49% below 30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr C-Spine 2-3V $190.40 $272.00 $233.00–$246.32 — 30%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1V $210.00 $300.00 $258.00–$270.48 43% below 30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis 1V $210.00 $300.00 $258.00–$270.48 — 30%

Lab tests

ProcedureCash priceList priceInsurers payvs TexasOff list
Ammonia blood test CPT 82140 Ammonia Level $127.40 $182.00 $93.79–$178.36 13% below 30%
Ammonia blood test inpatient CPT 82140 Ammonia Level $127.40 $182.00 $93.79–$178.36 — 30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrillinated Pept $97.30 $139.00 $121.24 58% above 30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrillinated Pept $97.30 $139.00 $121.24 — 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Probnp $175.00 $250.00 $38.47–$250.00 6% below 30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt-Probnp $175.00 $250.00 $38.47–$250.00 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Csf $78.40 $112.00 $74.82–$96.32 13% above 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Csf $78.40 $112.00 $74.82–$96.32 — 30%
Basic metabolic panel (blood test) CPT 80048 Bmp $42.00 $60.00 $3.51–$60.00 82% below 30%
Basic metabolic panel (blood test) inpatient CPT 80048 Bmp $42.00 $60.00 $3.51–$60.00 — 30%
Blood culture for bacteria CPT 87040 Culture Blood $52.50 $75.00 $58.80–$73.50 77% below 30%
Blood culture for bacteria inpatient CPT 87040 Culture Blood $52.50 $75.00 $58.80–$73.50 — 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture $9.80 $14.00 $9.35–$14.00 51% below 30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture $9.80 $14.00 $9.35–$14.00 — 30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qualitative Serum $118.30 $169.00 $47.97–$169.00 14% below 30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qualitative Serum $118.30 $169.00 $47.97–$169.00 — 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein Lab $43.40 $62.00 $41.42–$60.76 25% below 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein Lab $43.40 $62.00 $41.42–$60.76 — 30%
Calcium blood test, total CPT 82310 Calcium Total $38.50 $55.00 $4.33 39% below 30%
Calcium blood test, total inpatient CPT 82310 Calcium Total $38.50 $55.00 $4.33 — 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile $63.70 $91.00 $11.25–$90.09 67% below 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile $63.70 $91.00 $11.25–$90.09 — 30%
Complete blood count (CBC) with differential CPT 85025 Cbc $38.50 $55.00 $6.53–$55.00 58% below 30%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc $38.50 $55.00 $6.53–$55.00 — 30%
Comprehensive metabolic panel (blood test) CPT 80053 Cmp Lab $87.50 $125.00 $8.87–$125.00 70% below 30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cmp Lab $87.50 $125.00 $8.87–$125.00 — 30%
Cortisol blood test, total CPT 82533 Cortisol, Random $140.00 $200.00 $184.00 53% above 30%
Cortisol blood test, total inpatient CPT 82533 Cortisol, Random $140.00 $200.00 $184.00 — 30%
Creatine kinase (CK) blood test, total CPT 82550 Cpk Lab $31.50 $45.00 $30.06–$44.10 56% below 30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk Lab $31.50 $45.00 $30.06–$44.10 — 30%
Ferritin blood test (iron stores) CPT 82728 Ferritin $120.40 $172.00 $11.45–$147.92 16% above 30%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin $120.40 $172.00 $11.45–$147.92 — 30%
Folate (folic acid) blood test CPT 82746 Folic Acid Level $106.40 $152.00 $14.41–$130.72 13% above 30%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Level $106.40 $152.00 $14.41–$130.72 — 30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Ft4 (Free Thyroxine) $67.20 $96.00 $64.13–$86.55 24% below 30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Ft4 (Free Thyroxine) $67.20 $96.00 $64.13–$86.55 — 30%
Free testosterone test CPT 84402 Testerone Free, Female $194.60 $278.00 $242.47–$252.67 76% above 30%
Free testosterone test inpatient CPT 84402 Testerone Free, Female $194.60 $278.00 $242.47–$252.67 — 30%
H. pylori antibody blood test CPT 86677 H. Pylori Antibodies Igg $105.00 $150.00 $127.89–$135.24 20% below 30%
H. pylori antibody blood test inpatient CPT 86677 H. Pylori Antibodies Igg $105.00 $150.00 $127.89–$135.24 — 30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv P24 Antigen/Ab W/ Reflex $70.00 $100.00 $20.23–$66.80 50% below 30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv P24 Antigen/Ab W/ Reflex $70.00 $100.00 $20.23–$66.80 — 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C $70.00 $100.00 $8.16–$100.00 24% below 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C $70.00 $100.00 $8.16–$100.00 — 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Quantitative (Vir $205.10 $293.00 $255.55 30% below 30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna Quantitative (Vir $205.10 $293.00 $255.55 — 30%
Iron blood test (serum iron) CPT 83540 Iron Serum $56.00 $80.00 $5.43–$68.80 36% below 30%
Iron blood test (serum iron) inpatient CPT 83540 Iron Serum $56.00 $80.00 $5.43–$68.80 — 30%
Kidney function blood test panel CPT 80069 Renal Profile $125.30 $179.00 $161.39 29% below 30%
Kidney function blood test panel inpatient CPT 80069 Renal Profile $125.30 $179.00 $161.39 — 30%
Lactate (lactic acid) blood test CPT 83605 Lactate/Lactic Acid $56.00 $80.00 $53.44–$79.99 43% below 30%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate/Lactic Acid $56.00 $80.00 $53.44–$79.99 — 30%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Lab $70.00 $100.00 $86.00 49% above 30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Lab $70.00 $100.00 $86.00 — 30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Lab $35.00 $50.00 $5.79–$50.00 63% below 30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Lab $35.00 $50.00 $5.79–$50.00 — 30%
Liver function blood test panel CPT 80076 Liver Panel $65.10 $93.00 $66.05–$83.85 69% below 30%
Liver function blood test panel inpatient CPT 80076 Liver Panel $65.10 $93.00 $66.05–$83.85 — 30%
Magnesium blood test CPT 83735 Magnesium Serum $35.00 $50.00 $5.63–$50.00 29% below 30%
Magnesium blood test inpatient CPT 83735 Magnesium Serum $35.00 $50.00 $5.63–$50.00 — 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total w Reflex to PSA Fre $87.50 $125.00 $107.91–$180.32 2% below 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total w Reflex to PSA Fre $87.50 $125.00 $107.91–$180.32 — 30%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact $210.00 $300.00 $234.00–$261.66 3% below 30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact $210.00 $300.00 $234.00–$261.66 — 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Lab $70.00 $100.00 $5.05–$98.00 29% above 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Lab $70.00 $100.00 $5.05–$98.00 — 30%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic $54.60 $78.00 $3.98–$68.03 13% below 30%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Inorganic $54.60 $78.00 $3.98–$68.03 — 30%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr Lab $50.40 $72.00 $3.60–$70.56 7% above 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr Lab $50.40 $72.00 $3.60–$70.56 — 30%
Rh blood typing CPT 86901 Rh Typing Chrg $84.00 $120.00 $94.08–$104.66 30% above 30%
Rh blood typing inpatient CPT 86901 Rh Typing Chrg $84.00 $120.00 $94.08–$104.66 — 30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Stool Series $46.20 $66.00 $56.76–$57.57 33% below 30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Stool Series $46.20 $66.00 $56.76–$57.57 — 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold $180.60 $258.00 $225.03 12% below 30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon Tb Gold $180.60 $258.00 $225.03 — 30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total $122.50 $175.00 $149.36–$157.78 21% above 30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total $122.50 $175.00 $149.36–$157.78 — 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Level $80.50 $115.00 $14.11–$115.00 35% below 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh Level $80.50 $115.00 $14.11–$115.00 — 30%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total Lab $114.10 $163.00 $139.12–$146.96 9% below 30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total Lab $114.10 $163.00 $139.12–$146.96 — 30%
Troponin test, quantitative CPT 84484 Troponin Lab $59.50 $85.00 $10.78–$85.00 56% below 30%
Troponin test, quantitative inpatient CPT 84484 Troponin Lab $59.50 $85.00 $10.78–$85.00 — 30%
Uric acid blood test CPT 84550 Uric Acid Blood $60.90 $87.00 $67.86–$75.88 33% below 30%
Uric acid blood test inpatient CPT 84550 Uric Acid Blood $60.90 $87.00 $67.86–$75.88 — 30%
Urinalysis with microscope exam, automated CPT 81001 Ua W/Micro $52.50 $75.00 $3.17–$75.00 51% below 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 Ua W/Micro $52.50 $75.00 $3.17–$75.00 — 30%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis By Dip Stick $29.40 $42.00 $2.92–$147.92 18% below 30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis By Dip Stick $29.40 $42.00 $2.92–$147.92 — 30%
Urine culture for bacteria, with colony count CPT 87086 Culture Ua $38.50 $55.00 $6.78–$55.00 72% below 30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Ua $38.50 $55.00 $6.78–$55.00 — 30%
Urine microalbumin (albumin) test CPT 82043 Microalbumin, Random Urin $67.90 $97.00 $4.86–$135.28 33% above 30%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Random Urin $67.90 $97.00 $4.86–$135.28 — 30%
Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative Urine $24.50 $35.00 $7.23–$35.00 71% below 30%
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative Urine $24.50 $35.00 $7.23–$35.00 — 30%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level $73.50 $105.00 $14.78–$102.90 19% below 30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level $73.50 $105.00 $14.78–$102.90 — 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydr Lab $140.00 $200.00 $24.86–$174.44 14% above 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydr Lab $140.00 $200.00 $24.86–$174.44 — 30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg, Quan $201.60 $288.00 $12.64 79% above 30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg, Quan $201.60 $288.00 $12.64 — 30%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs TexasOff list
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smple Sclp Nck Trnk E $157.50 $225.00 $203.76 57% below 30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr Smple Sclp Nck Trnk E $157.50 $225.00 $203.76 — 30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Smple Sclp Nck Trnk E $287.70 $411.00 $372.20–$411.00 37% below 30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr Smple Sclp Nck Trnk E $287.70 $411.00 $372.20–$411.00 — 30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smple Fce Ear Elid No $186.20 $266.00 $240.89 52% below 30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr Smple Fce Ear Elid No $186.20 $266.00 $240.89 — 30%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs TexasOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Tx Per Tx $220.50 $315.00 $30.03–$1,060.00 8% above 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hhn Tx Per Tx $220.50 $315.00 $30.03–$1,060.00 — 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing Only $115.50 $165.00 $110.00–$239.85 59% below 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead Tracing Only $115.50 $165.00 $110.00–$239.85 — 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I $175.00 $250.00 $137.50 33% below 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Level I $175.00 $250.00 $137.50 — 30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 $280.00 $400.00 $52.00–$392.00 40% below 30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Level 2 $280.00 $400.00 $52.00–$392.00 — 30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 $455.00 $650.00 $357.50–$650.00 44% below 30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Level 3 $455.00 $650.00 $357.50–$650.00 — 30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 $805.00 $1,150.00 $768.20–$1,150.00 39% below 30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Level 4 $805.00 $1,150.00 $768.20–$1,150.00 — 30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 $997.50 $1,425.00 $951.90–$1,424.99 50% below 30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Level 5 $997.50 $1,425.00 $951.90–$1,424.99 — 30%
IV infusion of a medicine, first hour CPT 96365 Iv Inf Initial Hour $105.00 $150.00 $100.20–$381.19 78% below 30%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Initial Hour $105.00 $150.00 $100.20–$381.19 — 30%
IV push of a medicine, first drug CPT 96374 Ivp Singl Or Initl Drug $87.50 $125.00 $83.50–$196.00 62% below 30%
IV push of a medicine, first drug inpatient CPT 96374 Ivp Singl Or Initl Drug $87.50 $125.00 $83.50–$196.00 — 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Dx/Therapeutic Subq/I $70.00 $100.00 $49.92–$100.00 54% below 30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Dx/Therapeutic Subq/I $70.00 $100.00 $49.92–$100.00 — 30%
Neuromuscular re-education, 15 minutes CPT 97112 Pt-Neuromuscule Re-Educ $87.50 $125.00 $106.57–$113.20 22% below 30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt-Neuromuscule Re-Educ $87.50 $125.00 $106.57–$113.20 — 30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity $157.50 $225.00 $150.30–$284.16 21% below 30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity $157.50 $225.00 $150.30–$284.16 — 30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity $157.50 $225.00 $177.30–$306.52 38% below 30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complexity $157.50 $225.00 $177.30–$306.52 — 30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt-Manual Therapy $70.00 $100.00 $66.80–$90.56 38% below 30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt-Manual Therapy $70.00 $100.00 $66.80–$90.56 — 30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt -Therapeutic Exercise $70.00 $100.00 $66.80–$100.00 38% below 30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt -Therapeutic Exercise $70.00 $100.00 $66.80–$100.00 — 30%

Vaccines

ProcedureCash priceList priceInsurers payvs TexasOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Single $21.70 $31.00 $7.88–$28.07 71% below 30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin Single $21.70 $31.00 $7.88–$28.07 — 30%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://hospitalpricetransparencyfiles.com/preferred-hospital-leasing-inc/200929321_Preferred-Hospital-Leasing-Inc_standardcharges.csv