▸ Hospital · TX · CCN 450451

Glen Rose Medical Center

1021 HOLDEN STREET, GLEN ROSE, TX, 450451

Compliance grade

97/100

Procedures tracked

117

of 209 target codes

Payers

with negotiated rates

Rates published

5,436

last crawl 2026-05-23

▸ Compare with other hospitals All TX hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://secure.claraprice.net/price-transparency/NUH2773072790/machine-readable/463085950_glen-rose-medical-center_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	8	$70	$70	$32	$49	$67
Psychotherapy 30 minutes	CPT	90832	8	$462	$462	$32	$140	$439
Psychotherapy 45 minutes	CPT	90834	8	$462	$462	$32	$140	$439
Psychotherapy 60 minutes	CPT	90837	8	$70	$70	$32	$49	$67
Crisis psychotherapy 60 minutes	CPT	90839	8	$462	$462	$32	$140	$439
emergency
ED visit level 1	CPT	99281	8	$720	$720	$118	$287	$684
ED visit level 2	CPT	99282	8	$1,295	$1,295	$194	$498	$1,230
ED visit level 3	CPT	99283	8	$1,365	$1,365	$376	$756.5	$1,297
ED visit level 4	CPT	99284	8	$1,465	$1,465	$573	$952	$1,392
ED visit level 5	CPT	99285	8	$2,307	$2,307	$907	$1,500	$2,192
Critical care, first hour	CPT	99291	8	$2,771	$2,771	$1,275	$1,940	$2,632
imaging
CT head without contrast	CPT	70450	8	$2,957	$2,957	$1,360	$2,070	$2,809
CT head with contrast	CPT	70460	8	$3,270	$3,270	$1,504	$2,289	$3,107
CT head with and without contrast	CPT	70470	8	$3,910	$3,910	$1,799	$2,737	$3,715
CT neck with contrast	CPT	70491	8	$3,441	$3,441	$1,583	$2,409	$3,269
MRI brain without contrast	CPT	70551	8	$1,169	$1,169	$538	$818	$1,111
MRI brain with contrast	CPT	70552	8	$1,915	$1,915	$881	$1,341	$1,819
MRI brain with and without contrast	CPT	70553	8	$1,915	$1,915	$881	$1,341	$1,819
Chest X-ray single view	CPT	71045	8	$301	$301	$138	$211	$286
Chest X-ray 2 views	CPT	71046	8	$301	$301	$138	$211	$286
Chest X-ray 3 views	CPT	71047	8	$301	$301	$138	$211	$286
CT chest without contrast	CPT	71250	8	$3,426	$3,426	$1,576	$2,398	$3,255
CT chest with contrast	CPT	71260	8	$3,817	$3,817	$1,756	$2,672	$3,626
CT chest with and without contrast	CPT	71270	8	$4,692	$4,692	$2,158	$3,284	$4,457
Lumbosacral spine X-ray	CPT	72100	8	$385	$385	$177	$270	$366
CT cervical spine without contrast	CPT	72125	8	$3,441	$3,441	$1,583	$2,409	$3,269
CT thoracic spine without contrast	CPT	72128	8	$3,441	$3,441	$1,583	$2,409	$3,269
CT lumbar spine without contrast	CPT	72131	8	$3,441	$3,441	$1,583	$2,409	$3,269
MRI cervical spine without contrast	CPT	72141	8	$1,169	$1,169	$538	$818	$1,111
MRI thoracic spine without contrast	CPT	72146	8	$1,169	$1,169	$538	$818	$1,111
MRI lumbar spine without contrast	CPT	72148	8	$1,169	$1,169	$538	$818	$1,111
MRI lumbar spine with and without contrast	CPT	72149	8	$3,148	$3,148	$1,448	$2,204	$2,991
MRI cervical spine with and without contrast	CPT	72156	8	$1,915	$1,915	$881	$1,341	$1,819
MRI lumbar spine with contrast	CPT	72158	8	$1,915	$1,915	$881	$1,341	$1,819
CT pelvis without contrast	CPT	72192	8	$2,991	$2,991	$1,376	$2,094	$2,841
CT pelvis with contrast	CPT	72193	8	$3,755	$3,755	$1,727	$2,629	$3,567
Shoulder X-ray	CPT	73030	8	$301	$301	$138	$211	$286
Humerus X-ray	CPT	73060	8	$301	$301	$138	$211	$286
Hand X-ray 3 views	CPT	73130	8	$301	$301	$138	$211	$286
MRI upper extremity joint without contrast	CPT	73221	8	$1,169	$1,169	$538	$818	$1,111
MRI upper extremity joint with and without contrast	CPT	73223	8	$1,915	$1,915	$881	$1,341	$1,819
Knee X-ray 1-2 views	CPT	73560	8	$301	$301	$138	$211	$286
Ankle X-ray 3 views	CPT	73610	8	$301	$301	$138	$211	$286
MRI lower extremity joint without contrast	CPT	73721	8	$1,169	$1,169	$538	$818	$1,111
MRI lower extremity joint with and without contrast	CPT	73723	8	$1,915	$1,915	$881	$1,341	$1,819
CT abdomen without contrast	CPT	74150	8	$3,441	$3,441	$1,583	$2,409	$3,269
CT abdomen with contrast	CPT	74160	8	$3,755	$3,755	$1,727	$2,629	$3,567
CT abdomen with and without contrast	CPT	74170	8	$4,692	$4,692	$2,158	$3,284	$4,457
CT abdomen and pelvis without contrast	CPT	74176	8	$4,823	$4,823	$2,219	$3,376	$4,582
CT abdomen and pelvis with contrast	CPT	74177	8	$5,634	$5,634	$2,592	$3,944	$5,352
CT abdomen and pelvis with and without contrast	CPT	74178	8	$5,634	$5,634	$2,592	$3,944	$5,352
MRI abdomen without contrast	CPT	74181	8	$1,169	$1,169	$538	$818	$1,111
MRI abdomen with and without contrast	CPT	74183	8	$1,915	$1,915	$881	$1,341	$1,819
Abdominal ultrasound complete	CPT	76700	8	$1,129	$1,129	$519	$790	$1,073
Abdominal ultrasound limited	CPT	76705	8	$784	$784	$361	$549	$745
Retroperitoneal ultrasound complete	CPT	76770	8	$1,067	$1,067	$430	$697.5	$1,014
Obstetric ultrasound first trimester	CPT	76801	8	$565	$565	$260	$396	$537
Obstetric ultrasound after first trimester	CPT	76805	8	$863	$863	$397	$604	$820
Transvaginal ultrasound	CPT	76830	8	$847	$847	$390	$593	$805
Pelvic ultrasound complete	CPT	76856	8	$1,238	$1,238	$569	$867	$1,176
Scrotal ultrasound	CPT	76870	8	$817	$817	$376	$572	$776
Diagnostic mammography unilateral	CPT	77065	8	$407	$407	$187	$285	$387
Diagnostic mammography bilateral	CPT	77066	8	$407	$407	$187	$285	$387
Screening mammography bilateral	CPT	77067	8	$450	$450	$207	$315	$428
EKG tracing only	CPT	93005	8	$303	$303	$101	$191	$288
Transthoracic echocardiogram complete	CPT	93306	8	$2,002	$2,002	$921	$1,401	$1,902
Transthoracic echocardiogram	CPT	93307	8	$1,961	$1,961	$379	$842	$1,863
Stress echocardiogram	CPT	93350	8	$2,982	$2,982	$1,372	$2,087	$2,833
lab
Basic metabolic panel (BMP)	CPT	80048	8	$55	$55	$25	$39	$52
General health panel	CPT	80050	8	$457	$457	$210	$320	$434
Electrolyte panel	CPT	80051	8	$46	$46	$21	$32	$44
Comprehensive metabolic panel	CPT	80053	8	$69	$69	$32	$48	$66
Lipid panel	CPT	80061	8	$87	$87	$40	$61	$83
Renal function panel	CPT	80069	8	$56	$56	$26	$39	$53
Hepatic function panel	CPT	80076	8	$53	$53	$24	$37	$50
Urinalysis non-automated	CPT	81002	8	$23	$23	$11	$16	$22
Urinalysis automated	CPT	81003	8	$15	$15	$7	$11	$14
Glucose quantitative	CPT	82947	8	$26	$26	$12	$18	$25
Hemoglobin A1c	CPT	83036	8	$63	$63	$29	$44	$60
Thyroid stimulating hormone (TSH)	CPT	84443	8	$109	$109	$50	$76	$104
Complete blood count with automated differential	CPT	85025	8	$51	$51	$23	$36	$48
Complete blood count without differential	CPT	85027	8	$42	$42	$19	$29	$40
Urine culture bacterial	CPT	87086	8	$52	$52	$24	$36	$49
Tissue exam by pathologist level IV	CPT	88305	8	$199	$199	$92	$139	$189
maternity
Vaginal delivery only	CPT	59409	8	$9,271	$9,271	$4,265	$6,490	$8,807
preventive
Upper GI endoscopy diagnostic	CPT	43235	8	$2,859	$2,859	$1,315	$2,001	$2,716
Upper GI endoscopy with biopsy	CPT	43239	8	$2,878	$2,878	$1,315	$2,015	$2,734
Sigmoidoscopy diagnostic	CPT	45330	8	$2,804	$2,804	$1,290	$1,963	$2,664
Sigmoidoscopy with biopsy	CPT	45331	8	$2,804	$2,804	$1,242	$1,963	$2,664
Colonoscopy diagnostic	CPT	45378	8	$3,539	$3,539	$1,403	$2,300	$3,362
Colonoscopy with biopsy	CPT	45380	8	$3,664	$3,664	$1,685	$2,565	$3,481
Colonoscopy with polyp removal	CPT	45385	8	$3,664	$3,664	$1,685	$2,565	$3,481
surgery
Total shoulder arthroplasty	CPT	23472	8	$43,573	$43,573	$20,044	$30,501	$41,394
Hip hemiarthroplasty	CPT	27125	8	$11,696	$11,696	$5,380	$8,187	$11,111
Total hip replacement	CPT	27130	8	$43,573	$43,573	$20,044	$30,501	$41,394
Total knee replacement	CPT	27447	8	$43,573	$43,573	$20,044	$30,501	$41,394
Knee revision arthroplasty single component	CPT	27486	8	$15,074	$15,074	$6,934	$10,552	$14,320
Knee revision arthroplasty all components	CPT	27487	8	$6,928	$6,928	$3,187	$4,850	$6,582
Shoulder arthroscopy with decompression	CPT	29826	8	$16,439	$16,439	$7,562	$11,507	$15,617
Shoulder arthroscopy with rotator cuff repair	CPT	29827	8	$22,134	$22,134	$10,182	$15,494	$21,027
Knee arthroscopy with meniscectomy	CPT	29881	8	$10,007	$10,007	$4,603	$7,005	$9,507
ACL reconstruction	CPT	29888	8	$25,116	$25,116	$10,182	$16,463	$23,860
Open appendectomy	CPT	44950	8	$11,243	$11,243	$5,172	$7,870	$10,681
Laparoscopic appendectomy	CPT	44970	8	$17,880	$17,880	$7,790	$12,439	$16,986
Laparoscopic cholecystectomy	CPT	47562	8	$17,880	$17,880	$8,225	$12,516	$16,986
Lap cholecystectomy with cholangiography	CPT	47563	8	$17,880	$17,880	$8,225	$12,516	$16,986
Open umbilical hernia repair	CPT	49560	8	$311,412	$311,412	$5,172	$76,966	$295,841
Umbilical hernia repair age 5+	CPT	49585	8	$11,243	$11,243	$5,172	$7,870	$10,681
Lap inguinal hernia repair	CPT	49650	8	$17,880	$17,880	$8,225	$12,516	$16,986
Lap incisional hernia repair	CPT	49652	8	$17,880	$17,880	$8,225	$12,516	$16,986
Total abdominal hysterectomy	CPT	58150	8	$10,681	$10,681	$4,913	$7,477	$10,147
Vaginal hysterectomy	CPT	58260	8	$15,582	$15,582	$7,168	$10,907	$14,803
Lap-assisted vaginal hysterectomy	CPT	58550	8	$17,880	$17,880	$8,225	$12,516	$16,986
Lap-assisted vaginal hysterectomy >250g	CPT	58552	8	$31,474	$31,474	$14,478	$22,032	$29,900
Lap salpingo-oophorectomy	CPT	58661	8	$17,880	$17,880	$8,225	$12,516	$16,986
Complex cataract surgery	CPT	66982	8	$7,338	$7,338	$3,375	$5,137	$6,971
Cataract surgery with lens implant	CPT	66984	8	$7,338	$7,338	$3,375	$5,137	$6,971

Payer mix (top 8)

Payer	Codes covered	Median rate
Aetna	117	$1,341
Anthem BCBS	117	$1,532
Blue Cross Blue Shield	117	$1,278
Cigna	117	$1,341
cook children's	117	$881
Humana	117	$1,765
rightcare scott and white	117	$1,245
scott and white	117	$1,436