▸ Hospital · TX · CCN 450348
Falls Community Hospital And Clinic
322 COLEMAN, MARLIN, TX, 450348
36 beds2
Compliance grade
A
97/100
Procedures tracked
98
of 209 target codes
Payers
6
with negotiated rates
Rates published
5,715
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 4 | $400 | $320 | $80 | $290 | $320 |
| Psychotherapy 30 minutes | CPT | 90832 | 4 | $200 | $160 | $40 | $145 | $160 |
| Psychotherapy 45 minutes | CPT | 90834 | 4 | $306 | $244.8 | $61.2 | $221.85 | $244.8 |
| Psychotherapy 60 minutes | CPT | 90837 | 4 | $364 | $291.2 | $72.8 | $263.9 | $291.2 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $1,237 | $989.6 | $63 | $75.09 | $989.6 |
| ED visit level 2 | CPT | 99282 | 6 | $518 | $414.4 | $72.1 | $139.69 | $575.82 |
| ED visit level 3 | CPT | 99283 | 6 | $2,160 | $1,728 | $123.2 | $245.03 | $1,728 |
| ED visit level 4 | CPT | 99284 | 6 | $706 | $564.8 | $207.2 | $381.61 | $1,583.06 |
| ED visit level 5 | CPT | 99285 | 6 | $3,862 | $3,089.6 | $301 | $548.11 | $3,089.6 |
| Critical care, first hour | CPT | 99291 | 6 | $2,304 | $1,843.2 | $104.2 | $767.72 | $2,999.97 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 6 | $2,611 | $2,088.8 | $106.88 | $400 | $2,088.8 |
| CT head with contrast | CPT | 70460 | 6 | $3,133 | $2,506.4 | $180.34 | $400 | $2,506.4 |
| CT head with and without contrast | CPT | 70470 | 6 | $3,495 | $2,796 | $180.34 | $400 | $2,796 |
| CT neck with contrast | CPT | 70491 | 6 | $3,099 | $2,479.2 | $180.34 | $400 | $2,479.2 |
| MRI brain without contrast | CPT | 70551 | 6 | $4,050.22 | $3,240.18 | $233.52 | $800 | $3,240.18 |
| MRI brain with contrast | CPT | 70552 | 6 | $4,325 | $3,460 | $368.43 | $800 | $3,460 |
| MRI brain with and without contrast | CPT | 70553 | 6 | $5,796.84 | $4,637.47 | $368.43 | $800 | $4,637.47 |
| Chest X-ray single view | CPT | 71045 | 6 | $332 | $265.6 | $66.4 | $86.88 | $359.15 |
| Chest X-ray 2 views | CPT | 71046 | 6 | $260 | $208 | $5.2 | $86.88 | $359.15 |
| CT chest without contrast | CPT | 71250 | 6 | $4,055.63 | $3,244.5 | $106.88 | $532.38 | $3,244.5 |
| CT chest with contrast | CPT | 71260 | 6 | $3,283 | $2,626.4 | $180.34 | $400 | $2,626.4 |
| MRI chest without contrast | CPT | 71550 | 6 | $2,600 | $2,080 | $233.52 | $520 | $2,080 |
| MRI chest with and without contrast | CPT | 71552 | 6 | $4,347 | $3,477.6 | $368.43 | $800 | $3,477.6 |
| Lumbosacral spine X-ray | CPT | 72100 | 6 | $532 | $425.6 | $106.4 | $106.88 | $504.36 |
| CT cervical spine without contrast | CPT | 72125 | 6 | $3,133.11 | $2,506.49 | $106.88 | $400 | $2,506.49 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $3,029.28 | $2,423.42 | $106.88 | $400 | $2,423.42 |
| CT lumbar spine without contrast | CPT | 72131 | 6 | $3,215.3 | $2,572.24 | $106.88 | $400 | $2,572.24 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $4,228.67 | $3,382.94 | $233.52 | $800 | $3,382.94 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $4,329.24 | $3,463.39 | $233.52 | $800 | $3,463.39 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $4,135.66 | $3,308.53 | $233.52 | $800 | $3,308.53 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $5,547 | $4,437.6 | $368.43 | $800 | $4,437.6 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $5,494.02 | $4,395.22 | $368.43 | $800 | $4,395.22 |
| CT pelvis without contrast | CPT | 72192 | 6 | $2,836.77 | $2,269.42 | $106.88 | $400 | $2,269.42 |
| CT pelvis with contrast | CPT | 72193 | 6 | $3,029 | $2,423.2 | $180.34 | $400 | $2,423.2 |
| Shoulder X-ray | CPT | 73030 | 6 | $494 | $395.2 | $86.88 | $98.8 | $395.2 |
| Humerus X-ray | CPT | 73060 | 6 | $454 | $363.2 | $86.88 | $90.8 | $363.2 |
| Hand X-ray 3 views | CPT | 73130 | 6 | $414 | $331.2 | $82.8 | $86.88 | $359.15 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $3,811 | $3,048.8 | $233.52 | $800 | $3,048.8 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 6 | $4,862 | $3,889.6 | $368.43 | $800 | $3,889.6 |
| Knee X-ray 1-2 views | CPT | 73560 | 6 | $418 | $334.4 | $83.6 | $86.88 | $359.15 |
| Ankle X-ray 3 views | CPT | 73610 | 6 | $483 | $386.4 | $86.88 | $96.6 | $386.4 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $4,063 | $3,250.4 | $233.52 | $800 | $3,250.4 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $4,545 | $3,636 | $368.43 | $800 | $3,636 |
| CT abdomen without contrast | CPT | 74150 | 6 | $2,802 | $2,241.6 | $106.88 | $400 | $2,241.6 |
| CT abdomen with contrast | CPT | 74160 | 6 | $3,529 | $2,823.2 | $180.34 | $400 | $2,823.2 |
| CT abdomen with and without contrast | CPT | 74170 | 6 | $3,891 | $3,112.8 | $180.34 | $400 | $3,112.8 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 6 | $4,683 | $3,746.4 | $233.52 | $400 | $3,746.4 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 6 | $6,211 | $4,968.8 | $368.43 | $1,813.79 | $4,968.8 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $2,300 | $1,840 | $233.52 | $460 | $1,840 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $4,809 | $3,847.2 | $368.43 | $800 | $3,847.2 |
| Abdominal ultrasound complete | CPT | 76700 | 6 | $1,295.64 | $1,036.51 | $106.88 | $259.13 | $1,036.51 |
| Abdominal ultrasound limited | CPT | 76705 | 6 | $980 | $784 | $106.88 | $350.18 | $784 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 6 | $931 | $744.8 | $106.88 | $186.2 | $744.8 |
| Obstetric ultrasound first trimester | CPT | 76801 | 6 | $746 | $596.8 | $106.88 | $149.2 | $596.8 |
| Pelvic ultrasound complete | CPT | 76856 | 6 | $1,101 | $880.8 | $106.88 | $220.2 | $880.8 |
| Scrotal ultrasound | CPT | 76870 | 6 | $1,111.78 | $889.42 | $106.88 | $222.36 | $889.42 |
| EKG complete | CPT | 93000 | 6 | $209 | $167.2 | $13.89 | $41.8 | $167.2 |
| EKG tracing only | CPT | 93005 | 6 | $186 | $148.8 | $12.2 | $57.48 | $247.55 |
| EKG interpretation only | CPT | 93010 | 6 | $45.42 | $36.34 | $8.07 | $9.08 | $38.93 |
| Transthoracic echocardiogram complete | CPT | 93306 | 6 | $2,679.96 | $2,143.97 | $503.13 | $535.99 | $2,143.97 |
| Transthoracic echocardiogram | CPT | 93307 | 6 | $584 | $467.2 | $21 | $233.52 | $467.2 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 6 | $202 | $161.6 | $40.4 | $96.47 | $463.82 |
| Initial hospital care, moderate complexity | CPT | 99222 | 6 | $318 | $254.4 | $63.6 | $130.46 | $626 |
| Initial hospital care, high complexity | CPT | 99223 | 6 | $424 | $339.2 | $84.8 | $191.66 | $924.39 |
| Hospital discharge, <30 min | CPT | 99238 | 6 | $197 | $157.6 | $39.4 | $69.58 | $334.08 |
| Hospital discharge, >30 min | CPT | 99239 | 6 | $280 | $224 | $56 | $101.89 | $489.78 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 6 | $316.05 | $252.84 | $8.46 | $33.84 | $252.84 |
| General health panel | CPT | 80050 | 4 | $865.16 | $692.13 | $141.28 | $389.32 | $692.13 |
| Electrolyte panel | CPT | 80051 | 6 | $401.35 | $321.08 | $7.01 | $54.16 | $321.08 |
| Comprehensive metabolic panel | CPT | 80053 | 6 | $359.86 | $287.89 | $10.56 | $42.24 | $287.89 |
| Lipid panel | CPT | 80061 | 6 | $293.25 | $234.6 | $13.39 | $53.56 | $234.6 |
| Renal function panel | CPT | 80069 | 6 | $439.86 | $351.89 | $8.68 | $34.72 | $351.89 |
| Hepatic function panel | CPT | 80076 | 6 | $376.05 | $300.84 | $8.17 | $32.68 | $300.84 |
| Urinalysis non-automated | CPT | 81002 | 6 | $52.99 | $42.39 | $3.48 | $12.26 | $42.39 |
| Glucose quantitative | CPT | 82947 | 6 | $93.01 | $74.41 | $3.93 | $15.72 | $74.41 |
| Hemoglobin A1c | CPT | 83036 | 6 | $168 | $134.4 | $9.71 | $33.6 | $134.4 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 6 | $319 | $255.2 | $5 | $42.83 | $255.2 |
| Complete blood count with automated differential | CPT | 85025 | 6 | $186.3 | $149.04 | $7.77 | $31.08 | $149.04 |
| Urine culture bacterial | CPT | 87086 | 6 | $209 | $167.2 | $8.07 | $32.28 | $167.2 |
| Urine culture identification | CPT | 87088 | 6 | $179.53 | $143.62 | $8.09 | $32.36 | $143.62 |
| Tissue exam by pathologist level IV | CPT | 88305 | 6 | $670.53 | $536.42 | $50.14 | $236.6 | $536.42 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 6 | $3,904.22 | $3,123.38 | $50 | $2,827.44 | $11,241 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $273 | $218.4 | $23.4 | $87.75 | $231.93 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 6 | $303 | $242.4 | $40.4 | $151.5 | $348.66 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 6 | $405 | $324 | $65 | $214.55 | $590.31 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 6 | $535 | $428 | $88.2 | $227.85 | $770.36 |
| Office visit, established patient, 5 min | CPT | 99211 | 6 | $75 | $60 | $8.4 | $29.4 | $60 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 6 | $252 | $201.6 | $17.4 | $93.19 | $201.6 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 6 | $303 | $242.4 | $32.2 | $149.1 | $242.4 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 6 | $311 | $248.8 | $47.6 | $183.4 | $360.05 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 6 | $436 | $348.8 | $70 | $189 | $507.6 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $2,682 | $2,145.6 | $825.51 | $1,877.4 | $3,536.64 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 6 | $2,840 | $2,272 | $825.51 | $1,988 | $3,536.64 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 6 | $2,298.19 | $1,838.55 | $654.48 | $831.04 | $1,838.55 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 6 | $2,542.61 | $2,034.09 | $831.04 | $1,779.83 | $3,437.46 |
| Colonoscopy diagnostic | CPT | 45378 | 6 | $3,279.11 | $2,623.29 | $831.04 | $2,295.38 | $3,437.46 |
| Colonoscopy with biopsy | CPT | 45380 | 6 | $3,437 | $2,749.6 | $1,082.91 | $2,405.9 | $4,518.99 |
| Colonoscopy with polyp removal | CPT | 45385 | 6 | $3,506 | $2,804.8 | $1,082.91 | $2,454.2 | $4,518.99 |
Payer mix (top 6)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 98 | $346.4 |
| Blue Cross Blue Shield | 98 | $505.98 |
| Cigna | 98 | $102.53 |
| UnitedHealthcare | 98 | $232.4 |
| Humana | 93 | $106.88 |
| scott and white | 93 | $106.88 |