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CCN 450451

Glen Rose Medical Center

GLEN ROSE, TX

A97/100117 codes · 8 payers

Negotiated median rates by procedure

Showing 117 procedures any of these hospitals has published. Best (lowest) negotiated median in each row is highlighted in green.

Procedure	Code	Glen Rose Medical Cent…
Psychiatric diagnostic evaluation	CPT 90791	$49
Psychotherapy 30 minutes	CPT 90832	$140
Psychotherapy 45 minutes	CPT 90834	$140
Psychotherapy 60 minutes	CPT 90837	$49
Crisis psychotherapy 60 minutes	CPT 90839	$49
ED visit level 1	CPT 99281	$504
ED visit level 2	CPT 99282	$906
ED visit level 3	CPT 99283	$573
ED visit level 4	CPT 99284	$872
ED visit level 5	CPT 99285	$1,380
Critical care, first hour	CPT 99291	$1,940
CT head without contrast	CPT 70450	$2,070
CT head with contrast	CPT 70460	$2,289
CT head with and without contrast	CPT 70470	$2,737
CT neck with contrast	CPT 70491	$2,409
MRI brain without contrast	CPT 70551	$818
MRI brain with contrast	CPT 70552	$1,341
MRI brain with and without contrast	CPT 70553	$1,341
Chest X-ray single view	CPT 71045	$211
Chest X-ray 2 views	CPT 71046	$211
Chest X-ray 3 views	CPT 71047	$211
CT chest without contrast	CPT 71250	$2,398
CT chest with contrast	CPT 71260	$2,672
CT chest with and without contrast	CPT 71270	$3,284
Lumbosacral spine X-ray	CPT 72100	$270
CT cervical spine without contrast	CPT 72125	$2,409
CT thoracic spine without contrast	CPT 72128	$2,409
CT lumbar spine without contrast	CPT 72131	$2,409
MRI cervical spine without contrast	CPT 72141	$818
MRI thoracic spine without contrast	CPT 72146	$818
MRI lumbar spine without contrast	CPT 72148	$818
MRI lumbar spine with and without contrast	CPT 72149	$2,204
MRI cervical spine with and without contrast	CPT 72156	$1,341
MRI lumbar spine with contrast	CPT 72158	$1,341
CT pelvis without contrast	CPT 72192	$2,094
CT pelvis with contrast	CPT 72193	$2,629
Shoulder X-ray	CPT 73030	$211
Humerus X-ray	CPT 73060	$211
Hand X-ray 3 views	CPT 73130	$211
MRI upper extremity joint without contrast	CPT 73221	$818
MRI upper extremity joint with and without contrast	CPT 73223	$1,341
Knee X-ray 1-2 views	CPT 73560	$211
Ankle X-ray 3 views	CPT 73610	$211
MRI lower extremity joint without contrast	CPT 73721	$818
MRI lower extremity joint with and without contrast	CPT 73723	$1,341
CT abdomen without contrast	CPT 74150	$2,409
CT abdomen with contrast	CPT 74160	$2,629
CT abdomen with and without contrast	CPT 74170	$3,284
CT abdomen and pelvis without contrast	CPT 74176	$3,376
CT abdomen and pelvis with contrast	CPT 74177	$3,944
CT abdomen and pelvis with and without contrast	CPT 74178	$3,944
MRI abdomen without contrast	CPT 74181	$818
MRI abdomen with and without contrast	CPT 74183	$1,341
Abdominal ultrasound complete	CPT 76700	$790
Abdominal ultrasound limited	CPT 76705	$549
Retroperitoneal ultrasound complete	CPT 76770	$747
Obstetric ultrasound first trimester	CPT 76801	$396
Obstetric ultrasound after first trimester	CPT 76805	$604
Transvaginal ultrasound	CPT 76830	$593
Pelvic ultrasound complete	CPT 76856	$867
Scrotal ultrasound	CPT 76870	$572
Diagnostic mammography unilateral	CPT 77065	$285
Diagnostic mammography bilateral	CPT 77066	$285
Screening mammography bilateral	CPT 77067	$315
EKG tracing only	CPT 93005	$212
Transthoracic echocardiogram complete	CPT 93306	$1,401
Transthoracic echocardiogram	CPT 93307	$1,373
Stress echocardiogram	CPT 93350	$2,087
Basic metabolic panel (BMP)	CPT 80048	$39
General health panel	CPT 80050	$320
Electrolyte panel	CPT 80051	$32
Comprehensive metabolic panel	CPT 80053	$48
Lipid panel	CPT 80061	$61
Renal function panel	CPT 80069	$39
Hepatic function panel	CPT 80076	$37
Urinalysis non-automated	CPT 81002	$16
Urinalysis automated	CPT 81003	$11
Glucose quantitative	CPT 82947	$18
Hemoglobin A1c	CPT 83036	$44
Thyroid stimulating hormone (TSH)	CPT 84443	$76
Complete blood count with automated differential	CPT 85025	$36
Complete blood count without differential	CPT 85027	$29
Urine culture bacterial	CPT 87086	$36
Tissue exam by pathologist level IV	CPT 88305	$139
Vaginal delivery only	CPT 59409	$6,490
Upper GI endoscopy diagnostic	CPT 43235	$2,001
Upper GI endoscopy with biopsy	CPT 43239	$2,015
Sigmoidoscopy diagnostic	CPT 45330	$1,963
Sigmoidoscopy with biopsy	CPT 45331	$1,963
Colonoscopy diagnostic	CPT 45378	$2,300
Colonoscopy with biopsy	CPT 45380	$2,565
Colonoscopy with polyp removal	CPT 45385	$2,565
Total shoulder arthroplasty	CPT 23472	$30,501
Hip hemiarthroplasty	CPT 27125	$8,187
Total hip replacement	CPT 27130	$30,501
Total knee replacement	CPT 27447	$30,501
Knee revision arthroplasty single component	CPT 27486	$10,552
Knee revision arthroplasty all components	CPT 27487	$4,850
Shoulder arthroscopy with decompression	CPT 29826	$11,507
Shoulder arthroscopy with rotator cuff repair	CPT 29827	$15,494
Knee arthroscopy with meniscectomy	CPT 29881	$7,005
ACL reconstruction	CPT 29888	$17,581
Open appendectomy	CPT 44950	$7,870
Laparoscopic appendectomy	CPT 44970	$12,439
Laparoscopic cholecystectomy	CPT 47562	$12,516
Lap cholecystectomy with cholangiography	CPT 47563	$12,516
Open umbilical hernia repair	CPT 49560	$217,988
Umbilical hernia repair age 5+	CPT 49585	$7,870
Lap inguinal hernia repair	CPT 49650	$12,516
Lap incisional hernia repair	CPT 49652	$12,516
Total abdominal hysterectomy	CPT 58150	$7,477
Vaginal hysterectomy	CPT 58260	$10,907
Lap-assisted vaginal hysterectomy	CPT 58550	$12,516
Lap-assisted vaginal hysterectomy >250g	CPT 58552	$22,032
Lap salpingo-oophorectomy	CPT 58661	$12,516
Complex cataract surgery	CPT 66982	$5,137
Cataract surgery with lens implant	CPT 66984	$5,137