▸ Hospital · · CCN 043027

HOT SPRINGS REHABILITATION CENTER

Compliance grade

100/100

Rates published

18,885

last crawl 2026-05-22

Procedures tracked

138

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

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Source MRF: https://sthpiprd.blob.core.windows.net/machine-readable-files/10988/383743549_post-acute-medical-at-luling-llc_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
imaging
CT head without contrast	CPT	70450	15	$4,490.3	$4,490.3	$106.88	$3,367.73	$4,041.27
CT head with contrast	CPT	70460	15	$6,937.85	$6,937.85	$153.36	$5,203.39	$6,244.07
CT head with and without contrast	CPT	70470	15	$7,728	$7,728	$180.34	$5,796	$6,955.2
CT neck with contrast	CPT	70491	15	$6,937.85	$6,937.85	$180.34	$5,203.39	$6,244.07
MRI brain without contrast	CPT	70551	15	$7,939.85	$7,939.85	$204.15	$5,954.89	$7,145.87
MRI brain with contrast	CPT	70552	15	$5,066.3	$5,066.3	$282.68	$3,799.73	$4,559.67
MRI brain with and without contrast	CPT	70553	15	$12,334	$12,334	$332.8	$9,250.39	$11,100
Chest X-ray single view	CPT	71045	14	$388.5	$388.5	$26.06	$291.38	$349.65
Chest X-ray 2 views	CPT	71046	14	$692.35	$692.35	$33.75	$519.26	$623.12
Chest X-ray 3 views	CPT	71047	3	—	—	$42.44	$42.44	$42.44
CT chest without contrast	CPT	71250	15	$4,490.3	$4,490.3	$106.88	$3,367.73	$4,041.27
CT chest with contrast	CPT	71260	15	$6,937.85	$6,937.85	$173.08	$5,203.39	$6,244.07
CT chest with and without contrast	CPT	71270	15	$7,728	$7,728	$180.34	$5,796	$6,955.2
MRI chest without contrast	CPT	71550	3	—	—	$233.52	$233.52	$233.52
MRI chest with contrast	CPT	71551	3	—	—	$392.6	$392.6	$392.6
MRI chest with and without contrast	CPT	71552	3	—	—	$368.43	$368.43	$368.43
Lumbosacral spine X-ray	CPT	72100	14	$626.55	$626.55	$40.1	$469.91	$563.9
CT cervical spine without contrast	CPT	72125	15	$4,490.3	$4,490.3	$106.88	$3,367.73	$4,041.27
CT thoracic spine without contrast	CPT	72128	15	$4,490.3	$4,490.3	$106.88	$3,367.73	$4,041.27
CT lumbar spine without contrast	CPT	72131	15	$4,490.3	$4,490.3	$106.88	$3,367.73	$4,041.27
MRI cervical spine without contrast	CPT	72141	15	$7,939.85	$7,939.85	$198.48	$5,954.89	$7,145.87
MRI thoracic spine without contrast	CPT	72146	15	$7,939.85	$7,939.85	$198.48	$5,954.89	$7,145.87
MRI lumbar spine without contrast	CPT	72148	15	$7,939.85	$7,939.85	$199.14	$5,954.89	$7,145.87
MRI lumbar spine with and without contrast	CPT	72149	15	$7,939.85	$7,939.85	$282.68	$5,954.89	$7,145.87
MRI cervical spine with and without contrast	CPT	72156	15	$12,334	$12,334	$334.46	$9,250.39	$11,100
MRI lumbar spine with contrast	CPT	72158	15	$12,334	$12,334	$333.8	$9,250.39	$11,100
CT pelvis without contrast	CPT	72192	15	$4,490.3	$4,490.3	$106.88	$3,367.73	$4,041.27
CT pelvis with contrast	CPT	72193	15	$6,937.85	$6,937.85	$180.34	$5,203.39	$6,244.07
Shoulder X-ray	CPT	73030	14	$1,434.24	$1,434.24	$34.75	$692.66	$1,290.82
Humerus X-ray	CPT	73060	3	—	—	$32.41	$32.41	$32.41
Hand X-ray 3 views	CPT	73130	14	$404.1	$404.1	$37.09	$303.08	$363.69
MRI upper extremity joint without contrast	CPT	73221	3	—	—	$211.18	$211.18	$211.18
MRI upper extremity joint with and without contrast	CPT	73223	3	—	—	$368.43	$368.43	$368.43
Knee X-ray 1-2 views	CPT	73560	14	$496.75	$496.75	$34.41	$300.99	$447.08
Ankle X-ray 3 views	CPT	73610	14	$236.4	$236.4	$37.09	$177.3	$212.76
MRI lower extremity joint without contrast	CPT	73721	3	—	—	$210.84	$210.84	$210.84
MRI lower extremity joint with and without contrast	CPT	73723	15	$7,939.85	$7,939.85	$368.43	$5,954.89	$7,145.87
CT abdomen without contrast	CPT	74150	15	$4,490.3	$4,490.3	$106.88	$3,367.73	$4,041.27
CT abdomen with contrast	CPT	74160	15	$6,937.85	$6,937.85	$180.34	$5,203.39	$6,244.07
CT abdomen with and without contrast	CPT	74170	15	$7,728	$7,728	$180.34	$5,796	$6,955.2
CT abdomen and pelvis without contrast	CPT	74176	15	$6,735.5	$6,735.5	$189.79	$5,051.63	$6,061.95
CT abdomen and pelvis with contrast	CPT	74177	15	$10,407	$10,407	$300	$7,804.99	$9,365.99
CT abdomen and pelvis with and without contrast	CPT	74178	15	$11,592	$11,592	$300	$8,693.93	$10,433
MRI abdomen without contrast	CPT	74181	15	$7,939.85	$7,939.85	$204.83	$5,954.89	$7,145.87
MRI abdomen with and without contrast	CPT	74183	3	—	—	$354.51	$354.51	$354.51
Abdominal ultrasound complete	CPT	76700	14	$1,423.9	$1,423.9	$106.88	$1,067.93	$1,281.51
Abdominal ultrasound limited	CPT	76705	14	$1,232.65	$1,232.65	$88.55	$924.49	$1,109.39
Retroperitoneal ultrasound complete	CPT	76770	14	$1,415.51	$1,415.51	$106.88	$1,028.4	$1,273.96
Obstetric ultrasound first trimester	CPT	76801	3	—	—	$106.88	$106.88	$106.88
Obstetric ultrasound after first trimester	CPT	76805	3	—	—	$106.88	$106.88	$106.88
Obstetric ultrasound with fetal anatomy	CPT	76811	3	—	—	$176.09	$176.09	$176.09
Transvaginal ultrasound	CPT	76830	3	—	—	$106.88	$106.88	$106.88
Pelvic ultrasound complete	CPT	76856	14	$1,423.9	$1,423.9	$96.28	$1,067.93	$1,281.51
Scrotal ultrasound	CPT	76870	14	$562.65	$562.65	$101.58	$421.99	$506.39
EKG tracing only	CPT	93005	11	$439.5	$439.5	$307.65	$329.63	$395.55
Transthoracic echocardiogram complete	CPT	93306	11	$1,339.45	$1,339.45	$937.62	$1,004.59	$1,205.51
Transthoracic echocardiogram	CPT	93307	14	$1,339.45	$1,339.45	$136.66	$1,004.59	$1,205.51
Stress echocardiogram	CPT	93350	3	—	—	$185.11	$185.11	$185.11
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	20	—	—	$59,730	$59,730	$89,596
Intracranial hemorrhage/CVA w CC	MS-DRG	065	20	—	—	$31,293	$31,293	$46,940
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	20	—	—	$21,949	$21,949	$32,923
Respiratory infections & inflammations w MCC	MS-DRG	177	20	—	—	$37,221	$37,221	$55,832
COPD w MCC	MS-DRG	190	20	—	—	$30,008	$30,008	$45,011
COPD w CC	MS-DRG	191	20	—	—	$30,008	$30,008	$45,011
COPD w/o CC/MCC	MS-DRG	192	20	—	—	$30,008	$30,008	$45,011
Simple pneumonia & pleurisy w CC	MS-DRG	194	20	—	—	$24,493	$24,493	$36,739
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	20	—	—	$21,949	$21,949	$32,923
AMI discharged alive w MCC	MS-DRG	280	20	—	—	$37,648	$37,648	$56,473
AMI discharged alive w CC	MS-DRG	281	20	—	—	$29,328	$29,328	$43,992
AMI discharged alive w/o CC/MCC	MS-DRG	282	20	—	—	$21,949	$21,949	$32,923
Heart failure & shock w MCC	MS-DRG	291	20	—	—	$35,334	$35,334	$53,001
Heart failure & shock w CC	MS-DRG	292	20	—	—	$25,090	$25,090	$37,635
Heart failure & shock w/o CC/MCC	MS-DRG	293	20	—	—	$21,949	$21,949	$32,923
Cardiac arrhythmia w MCC	MS-DRG	308	20	—	—	$38,443	$38,443	$57,664
Cardiac arrhythmia w CC	MS-DRG	309	20	—	—	$21,949	$21,949	$32,923
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	20	—	—	$21,949	$21,949	$32,923
GI hemorrhage w CC	MS-DRG	378	20	—	—	$29,328	$29,328	$43,992
GI hemorrhage w/o CC/MCC	MS-DRG	379	20	—	—	$29,328	$29,328	$43,992
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	20	—	—	$28,763	$28,763	$43,145
Fractures of femur w/o MCC	MS-DRG	533	20	—	—	$33,309	$33,309	$49,964
Kidney/UTI w MCC	MS-DRG	689	20	—	—	$29,011	$29,011	$43,517
Kidney/UTI w/o MCC	MS-DRG	690	20	—	—	$21,582	$21,582	$32,372
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	20	—	—	$38,980	$38,980	$58,470
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	20	—	—	$26,118	$26,118	$39,177
lab
Basic metabolic panel (BMP)	CPT	80048	14	$565.7	$565.7	$7.11	$424.28	$509.13
Electrolyte panel	CPT	80051	3	—	—	$5.89	$5.89	$5.89
Comprehensive metabolic panel	CPT	80053	14	$737.8	$737.8	$8.87	$553.35	$664.02
Lipid panel	CPT	80061	14	$295.15	$295.15	$11.25	$221.36	$265.64
Renal function panel	CPT	80069	14	$720.85	$720.85	$7.29	$540.64	$648.77
Hepatic function panel	CPT	80076	14	$472.5	$472.5	$6.86	$354.38	$425.25
Urinalysis non-automated	CPT	81002	3	—	—	$2.92	$2.92	$2.92
Urinalysis automated	CPT	81003	14	$98.75	$98.75	$1.89	$74.06	$88.88
Glucose quantitative	CPT	82947	3	—	—	$3.3	$3.3	$3.3
Hemoglobin A1c	CPT	83036	14	$185.3	$185.3	$8.16	$138.98	$166.77
Thyroid stimulating hormone (TSH)	CPT	84443	14	$276.8	$276.8	$14.11	$207.6	$249.12
Complete blood count with automated differential	CPT	85025	14	$170.85	$170.85	$6.53	$128.14	$153.77
Complete blood count without differential	CPT	85027	14	$175.85	$175.85	$5.43	$131.89	$158.27
Urine culture bacterial	CPT	87086	14	$290.95	$290.95	$6.78	$218.21	$261.86
Urine culture identification	CPT	87088	3	—	—	$6.8	$6.8	$6.8
Tissue exam by pathologist level IV	CPT	88305	11	$618	$618	$432.6	$463.5	$556.2
maternity
Fetal non-stress test	CPT	59025	3	—	—	$15.78	$15.78	$15.78
preventive
Upper GI endoscopy diagnostic	CPT	43235	14	$5,191.15	$5,191.15	$334.95	$3,893.36	$4,672.04
Upper GI endoscopy with biopsy	CPT	43239	14	$2,503.44	$2,503.44	$334.95	$1,877.58	$2,253.1
Sigmoidoscopy diagnostic	CPT	45330	3	—	—	$130.67	$130.67	$130.67
Sigmoidoscopy with biopsy	CPT	45331	3	—	—	$328.5	$328.5	$328.5
Colonoscopy diagnostic	CPT	45378	3	—	—	$328.5	$328.5	$328.5
Colonoscopy with biopsy	CPT	45380	3	—	—	$429.26	$429.26	$429.26
Colonoscopy with polyp removal	CPT	45385	3	—	—	$429.26	$429.26	$429.26
surgery
Shoulder arthroscopy with rotator cuff repair	CPT	29827	3	—	—	$2,398.52	$2,398.52	$2,398.52
Knee arthroscopy with meniscectomy	CPT	29881	3	—	—	$1,088.27	$1,088.27	$1,088.27
ACL reconstruction	CPT	29888	3	—	—	$3,300.05	$3,300.05	$3,300.05
Major small/large bowel procedures w MCC	MS-DRG	329	20	—	—	$57,963	$57,963	$86,944
Major small/large bowel procedures w CC	MS-DRG	330	20	—	—	$29,328	$29,328	$43,992
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	20	—	—	$29,328	$29,328	$43,992
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	20	—	—	$33,309	$33,309	$49,964
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	20	—	—	$33,309	$33,309	$49,964
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	20	—	—	$33,020	$33,020	$49,530
Major joint replacement w MCC	MS-DRG	469	20	—	—	$57,963	$57,963	$86,944
Major joint replacement w/o MCC	MS-DRG	470	20	—	—	$31,293	$31,293	$46,940
Laparoscopic cholecystectomy	CPT	47562	3	—	—	$1,888.85	$1,888.85	$1,888.85
Lap cholecystectomy with cholangiography	CPT	47563	3	—	—	$1,888.85	$1,888.85	$1,888.85
Hip & femur procedures except major joint w MCC	MS-DRG	480	20	—	—	$31,293	$31,293	$46,940
Hip & femur procedures except major joint w CC	MS-DRG	481	20	—	—	$31,293	$31,293	$46,940
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	20	—	—	$31,293	$31,293	$46,940
Lap inguinal hernia repair	CPT	49650	3	—	—	$1,888.85	$1,888.85	$1,888.85
Vaginal hysterectomy	CPT	58260	3	—	—	$1,526.99	$1,526.99	$1,526.99
Lap-assisted vaginal hysterectomy	CPT	58550	3	—	—	$1,888.85	$1,888.85	$1,888.85
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	—	—	$3,110.01	$3,110.01	$3,110.01
Lap salpingo-oophorectomy	CPT	58661	3	—	—	$1,888.85	$1,888.85	$1,888.85
OR procedure for obesity w MCC	MS-DRG	619	20	—	—	$60,043	$60,043	$90,064
OR procedure for obesity w CC	MS-DRG	620	20	—	—	$43,563	$43,563	$65,344
OR procedure for obesity w/o CC/MCC	MS-DRG	621	20	—	—	$31,293	$31,293	$46,940
Complex cataract surgery	CPT	66982	3	—	—	$849.94	$849.94	$849.94
Cataract surgery with lens implant	CPT	66984	3	—	—	$849.94	$849.94	$849.94
Intravitreal injection	CPT	67028	3	—	—	$48.45	$48.45	$48.45
Vitrectomy mechanical	CPT	67042	3	—	—	$1,533.49	$1,533.49	$1,533.49
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	20	—	—	$57,963	$57,963	$86,944
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	20	—	—	$57,963	$57,963	$86,944

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 30)

Payer	Codes covered	Median rate
Molina	135	$332.8
Blue Cross Blue Shield	135	$332.8
velocity provider ppo network	100	$5,954.89
prime health services	100	$32,923
dell children's health plan	93	$180.34
medincrease	58	$1,290.82
three rivers health plan	58	$1,147.39
Multiplan	58	$1,147.39
usa mco	58	$1,075.68
national preferred	58	$1,003.97
america's choice	58	$1,003.97
provider network of america	58	$1,075.68
quik trip	58	$1,075.68
managed care strategies	58	$1,290.82
Ambetter	42	$31,293
amerigroup community care	42	$31,293
christus health plan	42	$31,293
Cigna	42	$31,293
ilumed aco reach	42	$31,293
imperial insurance of texas	42	$31,293
ninety degree benefits	42	$46,940
premier health	42	$31,293
sana benefits	42	$46,940
scott and white health plan	42	$31,293
seton health plan	42	$31,293
texas independence health plan	42	$32,858
UnitedHealthcare	42	$31,293
wellpoint	42	$31,293
WellCare	42	$31,293
wellmed	42	$31,293

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