Hospital

Culberson Hospital

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

Culberson Hospital in Van Horn, TX publishes cash prices for 105 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 80 of 105 procedures and above it for 25. By typical cash price it ranks #76 of 305 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

800 Eisenhower Road, Van Horn, TX 79855 Collected Sep 27, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs TexasOff list
Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Comp Min 3V LT $243.75 $325.00 $214.00–$264.35 35% below 25%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle Comp Min 3V LT $243.75 $325.00 $214.00–$264.35 — 25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upr Ext W/O LT $1,170.00 $1,560.00 $131.99 37% below 25%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upr Ext W/O RT $1,170.00 $1,560.00 $131.99 37% below 25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upr Ext W/O LT $1,170.00 $1,560.00 $131.99 — 25%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upr Ext W/O RT $1,170.00 $1,560.00 $131.99 — 25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd/Pel W/O Contrast $1,181.25 $1,575.00 $1,179.36–$1,286.10 65% below 25%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd/Pel W/O Contrast $1,181.25 $1,575.00 $1,179.36–$1,286.10 — 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd/Pel W/ Contrast $1,101.00 $1,468.00 $270.01–$1,194.07 72% below 25%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd/Pel W/ Contrast $1,101.00 $1,468.00 $270.01–$1,194.07 — 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd/Pel W & W/O $2,062.50 $2,750.00 $2,024.00 51% below 25%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd/Pel W & W/O $2,062.50 $2,750.00 $2,024.00 — 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus W/O $1,125.00 $1,500.00 $1,123.20–$1,225.08 33% below 25%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Sinus W/O $1,125.00 $1,500.00 $1,123.20–$1,225.08 — 25%
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O $1,125.00 $1,500.00 $94.25–$1,123.20 41% below 25%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O $1,125.00 $1,500.00 $94.25–$1,123.20 — 25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-Spine W/O $1,200.00 $1,600.00 $1,193.88 42% below 25%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct L-Spine W/O $1,200.00 $1,600.00 $1,193.88 — 25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-Spine W/O $1,162.50 $1,550.00 $1,140.80–$1,160.64 45% below 25%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct C-Spine W/O $1,162.50 $1,550.00 $1,140.80–$1,160.64 — 25%
Chest X-ray, 2 views CPT 71046 Xr Chest Ap/Lat $225.00 $300.00 $220.80–$249.00 43% below 25%
Chest X-ray, 2 views inpatient CPT 71046 Xr Chest Ap/Lat $225.00 $300.00 $220.80–$249.00 — 25%
Chest X-ray, single view CPT 71045 Xr Chest 1V $168.75 $225.00 $109.09–$176.40 48% below 25%
Chest X-ray, single view inpatient CPT 71045 Xr Chest 1V $168.75 $225.00 $109.09–$176.40 — 25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/O $1,162.50 $1,550.00 $1,159.44 31% below 25%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Chest W/O $1,162.50 $1,550.00 $1,159.44 — 25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W $1,387.50 $1,850.00 $1,361.60–$1,509.79 36% below 25%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Chest W $1,387.50 $1,850.00 $1,361.60–$1,509.79 — 25%
Elbow X-ray, 2 views one side CPT 73070 Xr Elbow 2V LT $170.25 $227.00 $109.09 47% below 25%
Elbow X-ray, 2 views inpatient one side CPT 73070 Xr Elbow 2V LT $170.25 $227.00 $109.09 — 25%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3 Views RT $191.25 $255.00 $27.79–$190.94 50% below 25%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow 3 Views RT $191.25 $255.00 $27.79–$190.94 — 25%
Knee X-ray, 3 views one side CPT 73562 Xr Knee 3V LT $243.75 $325.00 $109.09–$242.06 40% below 25%
Knee X-ray, 3 views one side CPT 73562 Xr Knee 3V RT $243.75 $325.00 $109.09–$242.06 40% below 25%
Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee 3V LT $243.75 $325.00 $109.09–$242.06 — 25%
Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee 3V RT $243.75 $325.00 $109.09–$242.06 — 25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lwr Ext W/O LT $1,162.50 $1,550.00 $1,140.80–$1,326.92 34% below 25%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lwr Ext W/O RT $1,162.50 $1,550.00 $1,140.80–$1,326.92 34% below 25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lwr Ext W/O RT $1,162.50 $1,550.00 $1,140.80–$1,326.92 — 25%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lwr Ext W/O LT $1,162.50 $1,550.00 $1,140.80–$1,326.92 — 25%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Leg 2V LT $214.50 $286.00 $208.00 38% below 25%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr Leg 2V LT $214.50 $286.00 $208.00 — 25%
Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O $1,181.25 $1,575.00 $1,283.30 29% below 25%
Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O $1,181.25 $1,575.00 $1,283.30 — 25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic, Non-Ob $512.25 $683.00 $68.65 41% below 25%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvic, Non-Ob $512.25 $683.00 $68.65 — 25%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs W/ Pa Chest LT $354.00 $472.00 $383.92 10% below 25%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs W/ Pa Chest LT $354.00 $472.00 $383.92 — 25%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder 2V $225.00 $300.00 $109.09–$248.02 35% below 25%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2V RT $225.00 $300.00 $109.09–$248.02 35% below 25%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xr Shoulder 2V $225.00 $300.00 $109.09–$248.02 — 25%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr Shoulder 2V RT $225.00 $300.00 $109.09–$248.02 — 25%
Toe X-ray, 2 or more views one side CPT 73660 Xr Toes 2V LT $181.50 $242.00 $92.87–$197.54 38% below 25%
Toe X-ray, 2 or more views inpatient one side CPT 73660 Xr Toes 2V LT $181.50 $242.00 $92.87–$197.54 — 25%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr Humerus 2V LT $204.00 $272.00 $221.24 42% below 25%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Xr Humerus 2V LT $204.00 $272.00 $221.24 — 25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3V RT $225.00 $300.00 $35.84–$224.64 42% below 25%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3V LT $225.00 $300.00 $35.84–$224.64 42% below 25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist 3V RT $225.00 $300.00 $35.84–$224.64 — 25%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist 3V LT $225.00 $300.00 $35.84–$224.64 — 25%
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2V RT $170.25 $227.00 $32.28–$188.41 36% below 25%
X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger 2V LT $170.25 $227.00 $32.28–$188.41 36% below 25%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger 2V RT $170.25 $227.00 $32.28–$188.41 — 25%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger 2V LT $170.25 $227.00 $32.28–$188.41 — 25%
X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2V RT $165.00 $220.00 $24.14–$127.30 50% below 25%
X-ray of the foot, 2 views inpatient one side CPT 73620 Xr Foot 2V RT $165.00 $220.00 $24.14–$127.30 — 25%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Comp Min 3V RT $225.00 $300.00 $29.78–$244.02 39% below 25%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot Comp Min 3V RT $225.00 $300.00 $29.78–$244.02 — 25%
X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3V RT $225.00 $300.00 $220.80–$224.64 42% below 25%
X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Min 3V LT $225.00 $300.00 $220.80–$224.64 42% below 25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Min 3V LT $225.00 $300.00 $220.80–$224.64 — 25%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand Min 3V RT $225.00 $300.00 $220.80–$224.64 — 25%
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1/2V LT $165.75 $221.00 $29.78–$179.76 44% below 25%
X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1/2V RT $165.75 $221.00 $29.78–$179.76 44% below 25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee 1/2V RT $165.75 $221.00 $29.78–$179.76 — 25%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee 1/2V LT $165.75 $221.00 $29.78–$179.76 — 25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L-Spine 2-3V $262.50 $350.00 $257.60–$285.39 44% below 25%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr L-Spine 2-3V $262.50 $350.00 $257.60–$285.39 — 25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C-Spine 2-3V $204.00 $272.00 $221.47–$221.94 45% below 25%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr C-Spine 2-3V $204.00 $272.00 $221.47–$221.94 — 25%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1V $225.00 $300.00 $137.03–$244.02 39% below 25%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis 1V $225.00 $300.00 $137.03–$244.02 — 25%

Lab tests

ProcedureCash price List priceInsurers payvs TexasOff list
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Profile $333.00 $444.00 $330.69 14% below 25%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Profile $333.00 $444.00 $330.69 — 25%
Ammonia blood test CPT 82140 Ammonia Level $136.50 $182.00 $135.55 6% below 25%
Ammonia blood test inpatient CPT 82140 Ammonia Level $136.50 $182.00 $135.55 — 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp Triage $187.50 $250.00 $53.79–$196.00 1% above 25%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp Triage $187.50 $250.00 $53.79–$196.00 — 25%
Basic metabolic panel (blood test) CPT 80048 Bmp $168.75 $225.00 $167.58 30% below 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Bmp $168.75 $225.00 $167.58 — 25%
Blood culture for bacteria CPT 87040 Culture Blood $150.00 $200.00 $121.40–$154.86 37% below 25%
Blood culture for bacteria inpatient CPT 87040 Culture Blood $150.00 $200.00 $121.40–$154.86 — 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture $10.50 $14.00 $10.43–$14.00 47% below 25%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture $10.50 $14.00 $10.43–$14.00 — 25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qualitative Serum $126.75 $169.00 $124.38 8% below 25%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Qualitative Serum $126.75 $169.00 $124.38 — 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein Lab $75.00 $100.00 $7.10–$77.43 29% above 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein Lab $75.00 $100.00 $7.10–$77.43 — 25%
Calcium blood test, total CPT 82310 Calcium Total $41.25 $55.00 $44.74 34% below 25%
Calcium blood test, total inpatient CPT 82310 Calcium Total $41.25 $55.00 $44.74 — 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach Amp Probe $287.25 $383.00 $49.51 128% above 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trach Amp Probe $287.25 $383.00 $49.51 — 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile $112.50 $150.00 $11.25–$122.01 42% below 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile $112.50 $150.00 $11.25–$122.01 — 25%
Complete blood count (CBC) with differential CPT 85025 Cbc $53.25 $71.00 $6.53–$583.30 42% below 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc $53.25 $71.00 $6.53–$583.30 — 25%
Comprehensive metabolic panel (blood test) CPT 80053 Cmp Lab $194.25 $259.00 $8.87–$259.00 35% below 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Cmp Lab $194.25 $259.00 $8.87–$259.00 — 25%
Cortisol blood test, total CPT 82533 Cortisol, Random $150.00 $200.00 $104.93 63% above 25%
Cortisol blood test, total inpatient CPT 82533 Cortisol, Random $150.00 $200.00 $104.93 — 25%
Creatine kinase (CK) blood test, total CPT 82550 Cpk Lab $75.00 $100.00 $39.86–$81.34 5% above 25%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk Lab $75.00 $100.00 $39.86–$81.34 — 25%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-S Lab $71.25 $95.00 $99.23 54% below 25%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-S Lab $71.25 $95.00 $99.23 — 25%
Ferritin blood test (iron stores) CPT 82728 Ferritin $129.00 $172.00 $18.67–$139.90 25% above 25%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin $129.00 $172.00 $18.67–$139.90 — 25%
Folate (folic acid) blood test CPT 82746 Folic Acid Level $114.00 $152.00 $123.64 21% above 25%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Level $114.00 $152.00 $123.64 — 25%
Free T3 thyroid hormone test CPT 84481 Ft3 (Free T3) Lab $183.75 $245.00 $14.66–$182.48 30% above 25%
Free T3 thyroid hormone test inpatient CPT 84481 Ft3 (Free T3) Lab $183.75 $245.00 $14.66–$182.48 — 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Ft4 (Free Thyroxine) $93.75 $125.00 $7.81–$93.10 6% above 25%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Ft4 (Free Thyroxine) $93.75 $125.00 $7.81–$93.10 — 25%
H. pylori antibody blood test CPT 86677 H. Pylori Antibodies Igg $112.50 $150.00 $110.40–$111.72 14% below 25%
H. pylori antibody blood test inpatient CPT 86677 H. Pylori Antibodies Igg $112.50 $150.00 $110.40–$111.72 — 25%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv Ab Screen $135.00 $180.00 $18.78–$134.06 29% above 25%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv Ab Screen $135.00 $180.00 $18.78–$134.06 — 25%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv P24 Antigen/Ab W/ Reflex $75.00 $100.00 $33.98 47% below 25%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv P24 Antigen/Ab W/ Reflex $75.00 $100.00 $33.98 — 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C $75.00 $100.00 $8.16–$81.34 19% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C $75.00 $100.00 $8.16–$81.34 — 25%
Iron blood test (serum iron) CPT 83540 Iron Serum $60.00 $80.00 $59.58–$65.07 31% below 25%
Iron blood test (serum iron) inpatient CPT 83540 Iron Serum $60.00 $80.00 $59.58–$65.07 — 25%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity $84.75 $113.00 $11.97–$91.91 14% below 25%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity $84.75 $113.00 $11.97–$91.91 — 25%
Lactate (lactic acid) blood test CPT 83605 Lactate/Lactic Acid $60.00 $80.00 $23.83–$61.95 39% below 25%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate/Lactic Acid $60.00 $80.00 $23.83–$61.95 — 25%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Lab $75.00 $100.00 $74.48 60% above 25%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Lab $75.00 $100.00 $74.48 — 25%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Lab $56.25 $75.00 $9.72–$61.00 41% below 25%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Lab $56.25 $75.00 $9.72–$61.00 — 25%
Liver function blood test panel CPT 80076 Liver Panel $69.75 $93.00 $69.27–$69.55 68% below 25%
Liver function blood test panel inpatient CPT 80076 Liver Panel $69.75 $93.00 $69.27–$69.55 — 25%
Magnesium blood test CPT 83735 Magnesium Serum $86.25 $115.00 $36.06–$85.65 74% above 25%
Magnesium blood test inpatient CPT 83735 Magnesium Serum $86.25 $115.00 $36.06–$85.65 — 25%
Mono test (heterophile antibody, Monospot) CPT 86308 Monospot Lab $39.75 $53.00 $7.31–$39.47 53% below 25%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot Lab $39.75 $53.00 $7.31–$39.47 — 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total w Reflex to PSA Fre $112.50 $150.00 $110.40–$122.01 26% above 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total w Reflex to PSA Fre $112.50 $150.00 $110.40–$122.01 — 25%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact $225.00 $300.00 $223.44 4% above 25%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact $225.00 $300.00 $223.44 — 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Lab $75.00 $100.00 $73.21–$78.40 39% above 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Lab $75.00 $100.00 $73.21–$78.40 — 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr Lab $67.50 $90.00 $3.71–$70.56 43% above 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr Lab $67.50 $90.00 $3.71–$70.56 — 25%
Rh blood typing CPT 86901 Rh Typing Chrg $90.00 $120.00 $2.51–$88.32 40% above 25%
Rh blood typing inpatient CPT 86901 Rh Typing Chrg $90.00 $120.00 $2.51–$88.32 — 25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Stool Series $49.50 $66.00 $49.16–$53.68 28% below 25%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Stool Series $49.50 $66.00 $49.16–$53.68 — 25%
Syphilis antibody test (Treponema pallidum) CPT 86780 Rpr Lab $120.75 $161.00 $18.68 161% above 25%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Rpr Lab $120.75 $161.00 $18.68 — 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Microsomal Ab $90.75 $121.00 $82.67 1% above 25%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Anti-Microsomal Ab $90.75 $121.00 $82.67 — 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh Level $131.25 $175.00 $14.11–$142.34 7% above 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh Level $131.25 $175.00 $14.11–$142.34 — 25%
Total thyroxine (T4) blood test CPT 84436 T4 (Thyroxine) $80.25 $107.00 $9.41–$91.23 1% below 25%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (Thyroxine) $80.25 $107.00 $9.41–$91.23 — 25%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total Lab $122.25 $163.00 $19.43–$121.40 3% below 25%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total Lab $122.25 $163.00 $19.43–$121.40 — 25%
Troponin test, quantitative CPT 84484 Troponin Lab $150.00 $200.00 $147.20–$156.80 11% above 25%
Troponin test, quantitative inpatient CPT 84484 Troponin Lab $150.00 $200.00 $147.20–$156.80 — 25%
Uric acid blood test CPT 84550 Uric Acid Blood $65.25 $87.00 $64.03–$70.77 28% below 25%
Uric acid blood test inpatient CPT 84550 Uric Acid Blood $65.25 $87.00 $64.03–$70.77 — 25%
Urinalysis with microscope exam, automated CPT 81001 Ua W/Micro $56.25 $75.00 $4.34–$784.78 48% below 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Ua W/Micro $56.25 $75.00 $4.34–$784.78 — 25%
Urine culture for bacteria, with colony count CPT 87086 Culture Ua $75.00 $100.00 $73.60–$74.48 46% below 25%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Ua $75.00 $100.00 $73.60–$74.48 — 25%
Urine microalbumin (albumin) test CPT 82043 Microalbumin, Random Urin $72.75 $97.00 $4.86–$80.51 43% above 25%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Random Urin $72.75 $97.00 $4.86–$80.51 — 25%
Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative Urine $26.25 $35.00 $25.76–$27.56 69% below 25%
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative Urine $26.25 $35.00 $25.76–$27.56 — 25%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level $112.50 $150.00 $37.24–$122.01 24% above 25%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level $112.50 $150.00 $37.24–$122.01 — 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydr Lab $168.75 $225.00 $25.61–$183.01 37% above 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydr Lab $168.75 $225.00 $25.61–$183.01 — 25%

Surgery and procedures

ProcedureCash price List priceInsurers payvs TexasOff list
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Smple/Single $256.50 $342.00 $278.18 45% below 25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Smple/Single $256.50 $342.00 $278.18 — 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Smple Sclp Nck Trnk E $168.75 $225.00 $183.01 53% below 25%
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 $168.75 $225.00 $183.01 — 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smple Fce Ear Elid No $199.50 $266.00 $108.60 49% below 25%
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 $199.50 $266.00 $108.60 — 25%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs TexasOff list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hhn Tx Per Tx $236.25 $315.00 $234.61–$315.00 16% above 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hhn Tx Per Tx $236.25 $315.00 $234.61–$315.00 — 25%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care 1St 30-74 M $1,500.00 $2,000.00 $1,568.00–$1,615.20 42% below 25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care 1St 30-74 M $1,500.00 $2,000.00 $1,568.00–$1,615.20 — 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Lead Tracing Only $123.75 $165.00 $121.44–$1,350.30 56% below 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Lead Tracing Only $123.75 $165.00 $121.44–$1,350.30 — 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level I $187.50 $250.00 $154.50 28% below 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Level I $187.50 $250.00 $154.50 — 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E&M Level 2 W/Modifier $300.00 $400.00 $50.00–$299.52 36% below 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 $300.00 $400.00 $50.00–$299.52 36% below 25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 E&M Level 2 W/Modifier $300.00 $400.00 $50.00–$299.52 — 25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Level 2 $300.00 $400.00 $50.00–$299.52 — 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 $450.00 $600.00 $51.50–$528.00 45% below 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E&M Level 3 W/Modifier $525.00 $700.00 $51.50–$528.00 36% below 25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Level 3 $450.00 $600.00 $51.50–$528.00 — 25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E&M Level 3 W/Modifier $525.00 $700.00 $51.50–$528.00 — 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 $675.00 $900.00 $50.00–$1,009.79 48% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E&M Level 4W/Modiifer $862.50 $1,150.00 $50.00–$1,009.79 34% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Level 4 $675.00 $900.00 $50.00–$1,009.79 — 25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E&M Level 4W/Modiifer $862.50 $1,150.00 $50.00–$1,009.79 — 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 $975.00 $1,300.00 $50.00–$1,300.00 51% below 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E&M Level 5 W/Modifier $975.00 $1,300.00 $50.00–$1,300.00 51% below 25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E&M Level 5 W/Modifier $975.00 $1,300.00 $50.00–$1,300.00 — 25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Level 5 $975.00 $1,300.00 $50.00–$1,300.00 — 25%
IV infusion of a medicine, first hour CPT 96365 Iv Inf Initial Hour $112.50 $150.00 $111.72–$123.25 76% below 25%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Initial Hour $112.50 $150.00 $111.72–$123.25 — 25%
IV push of a medicine, first drug CPT 96374 Ivp Singl Or Initl Drug $93.75 $125.00 $91.10–$112.00 60% below 25%
IV push of a medicine, first drug inpatient CPT 96374 Ivp Singl Or Initl Drug $93.75 $125.00 $91.10–$112.00 — 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Subq Injection $75.00 $100.00 $74.48–$88.00 51% below 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Dx/Therapeutic Subq/I $75.00 $100.00 $74.48–$88.00 51% below 25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Subq Injection $75.00 $100.00 $74.48–$88.00 — 25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Dx/Therapeutic Subq/I $75.00 $100.00 $74.48–$88.00 — 25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity $213.00 $284.00 $212.66 30% below 25%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complexity $213.00 $284.00 $212.66 — 25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity $168.75 $225.00 $134.11–$225.00 16% below 25%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complexity $168.75 $225.00 $134.11–$225.00 — 25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity $168.75 $225.00 $130.20–$168.58 33% below 25%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complexity $168.75 $225.00 $130.20–$168.58 — 25%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt-Manual Therapy $75.00 $100.00 $74.48–$81.56 33% below 25%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt-Manual Therapy $75.00 $100.00 $74.48–$81.56 — 25%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt -Therapeutic Exercise $57.75 $77.00 $57.66–$77.00 48% below 25%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt -Therapeutic Exercise $57.75 $77.00 $57.66–$77.00 — 25%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt -Therapeutic Activities $78.75 $105.00 $78.63–$105.00 30% below 25%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt -Therapeutic Activities $78.75 $105.00 $78.63–$105.00 — 25%

Vaccines

ProcedureCash price List priceInsurers payvs TexasOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Single $23.25 $31.00 $37.45–$50.00 69% below 25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin Single $23.25 $31.00 $37.45–$50.00 — 25%

Source file: https://hospitalpricetransparencyfiles.com/preferred-hospital-leasing-van-horn-inc/201355256_Preferred-Hospital-Leasing-Van-Horn-Inc_standardcharges.csv