▸ Hospital · TX · CCN 450702

Longview Regional Medical Center

2901 NORTH FOURTH ST, LONGVIEW, TX, 450702

Compliance grade

86/100

Rates published

2,908

last crawl 2026-05-24

Procedures tracked

156

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TX hospitals JSON

Source MRF: https://www.longviewregional.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621762420_longview-regional-medical-center_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—
emergency
ED visit level 1	CPT	99281	0	$452.58	$122.2	—	—	—
ED visit level 2	CPT	99282	0	$1,071.9	$289.41	—	—	—
ED visit level 3	CPT	99283	0	$1,914.77	$516.99	—	—	—
ED visit level 4	CPT	99284	0	$3,431.25	$926.44	—	—	—
ED visit level 5	CPT	99285	0	$5,035.67	$1,359.63	—	—	—
Critical care, first hour	CPT	99291	0	$14,424	$3,894.48	—	—	—
imaging
CT head without contrast	CPT	70450	0	$5,099.34	$1,376.82	—	—	—
CT head with contrast	CPT	70460	0	$5,101.54	$1,377.42	—	—	—
CT head with and without contrast	CPT	70470	0	$5,817.06	$1,570.61	—	—	—
CT neck with contrast	CPT	70491	0	$6,272.12	$1,693.47	—	—	—
MRI brain without contrast	CPT	70551	0	$6,864.72	$1,853.47	—	—	—
MRI brain with contrast	CPT	70552	0	$7,480.46	$2,019.72	—	—	—
MRI brain with and without contrast	CPT	70553	0	$9,696.21	$2,617.98	—	—	—
Chest X-ray single view	CPT	71045	0	$825.5	$222.89	—	—	—
Chest X-ray 2 views	CPT	71046	0	$949.25	$256.3	—	—	—
Chest X-ray 3 views	CPT	71047	0	$1,071.9	$289.41	—	—	—
CT chest without contrast	CPT	71250	0	$5,629.64	$1,520	—	—	—
CT chest with contrast	CPT	71260	0	$6,455.97	$1,743.11	—	—	—
CT chest with and without contrast	CPT	71270	0	$8,007.18	$2,161.94	—	—	—
MRI chest without contrast	CPT	71550	0	$3,045.66	$822.33	—	—	—
MRI chest with contrast	CPT	71551	0	$3,940.61	$1,063.96	—	—	—
MRI chest with and without contrast	CPT	71552	0	$6,306.86	$1,702.85	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$1,203.93	$325.06	—	—	—
CT cervical spine without contrast	CPT	72125	0	$6,039.22	$1,630.59	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$2,744.68	$741.06	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$6,003.39	$1,620.92	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$7,056.83	$1,905.34	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$6,723.6	$1,815.37	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$6,812.62	$1,839.41	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$7,774.56	$2,099.13	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$11,141	$3,008.08	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$9,903.48	$2,673.94	—	—	—
CT pelvis without contrast	CPT	72192	0	$5,584.44	$1,507.8	—	—	—
CT pelvis with contrast	CPT	72193	0	$5,584.44	$1,507.8	—	—	—
Shoulder X-ray	CPT	73030	0	$1,709.7	$461.62	—	—	—
Humerus X-ray	CPT	73060	0	$1,520.07	$410.42	—	—	—
Hand X-ray 3 views	CPT	73130	0	$1,653.2	$446.36	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$11,552	$3,119.04	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$2,596.66	$701.1	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$1,479.56	$399.48	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$1,517.6	$409.75	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$9,702	$2,619.54	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$16,032	$4,328.64	—	—	—
CT abdomen without contrast	CPT	74150	0	$5,642.32	$1,523.43	—	—	—
CT abdomen with contrast	CPT	74160	0	$6,584.69	$1,777.87	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$6,993.16	$1,888.15	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$8,825.79	$2,382.96	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$12,227	$3,301.22	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$13,131	$3,545.38	—	—	—
MRI abdomen without contrast	CPT	74181	0	$5,532.35	$1,493.73	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$9,663.97	$2,609.27	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$2,899.85	$782.96	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$2,081.52	$562.01	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$1,628.67	$439.74	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$1,474.87	$398.21	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$2,033.84	$549.14	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$919.18	$248.18	—	—	—
Transvaginal ultrasound	CPT	76830	0	$1,512.9	$408.48	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$2,175.23	$587.31	—	—	—
Scrotal ultrasound	CPT	76870	0	$1,877.56	$506.94	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$769.82	$207.85	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$982.88	$265.38	—	—	—
Screening mammography bilateral	CPT	77067	0	$854.44	$230.7	—	—	—
EKG tracing only	CPT	93005	0	$758.25	$204.73	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$6,014.97	$1,624.04	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$2,453.06	$662.33	—	—	—
Stress echocardiogram	CPT	93350	0	$4,217.34	$1,138.68	—	—	—
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	0	—	—	—	—	—
COPD w MCC	MS-DRG	190	0	—	—	—	—	—
COPD w CC	MS-DRG	191	0	—	—	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	—	—	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	—	—	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	—	—	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	—	—	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	—	—	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	—	—	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	—	—	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	—	—	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	—	—	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	—	—	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	—	—	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	—	—	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	—	—	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	—	—	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	—	—	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	—	—	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	—	—	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	—	—	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	—	—	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	—	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$581.02	$156.88	—	—	—
Electrolyte panel	CPT	80051	0	$552.08	$149.06	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$972.41	$262.55	—	—	—
Lipid panel	CPT	80061	0	$671.42	$181.28	—	—	—
Renal function panel	CPT	80069	0	$724.62	$195.65	—	—	—
Hepatic function panel	CPT	80076	0	$508.25	$137.23	—	—	—
Urinalysis automated	CPT	81003	0	$144.7	$39.07	—	—	—
Glucose quantitative	CPT	82947	0	$200.38	$54.1	—	—	—
Hemoglobin A1c	CPT	83036	0	$379.82	$102.55	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$534.71	$144.37	—	—	—
Complete blood count with automated differential	CPT	85025	0	$337.92	$91.24	—	—	—
Complete blood count without differential	CPT	85027	0	$337.92	$91.24	—	—	—
Urine culture bacterial	CPT	87086	0	$314.77	$84.99	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$1,088.17	$293.81	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$5,852.97	$1,053.53	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$13,452	$2,421.28	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$19,071	$3,432.74	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$10,433	$1,877.9	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$20,951	$3,771.2	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$10,611	$1,909.95	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$15,647	$2,816.43	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$14,546	$2,618.22	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$292,405	$52,633	—	—	—
Total hip replacement	CPT	27130	0	$168,160	$30,269	—	—	—
Total knee replacement	CPT	27447	0	$182,497	$32,849	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	$228,381	$41,109	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	$267,258	$48,107	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$141,082	$25,395	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$156,886	$28,239	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$80,209	$14,438	—	—	—
ACL reconstruction	CPT	29888	0	$213,449	$38,421	—	—	—
Major small/large bowel procedures w MCC	MS-DRG	329	0	—	—	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	—	—	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	—	—	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$122,384	$22,029	—	—	—
Spinal fusion (non-cervical) w MCC	MS-DRG	459	0	—	—	—	—	—
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	0	—	—	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	—	—	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$105,512	$18,992	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	$86,311	$15,536	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	—	—	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	—	—	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	—	—	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$90,074	$16,213	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$119,266	$21,468	—	—	—
Vaginal hysterectomy	CPT	58260	0	$101,554	$18,280	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$141,369	$25,446	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$123,137	$22,165	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$90,156	$16,228	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	—	—	—	—	—
OR procedure for obesity w CC	MS-DRG	620	0	—	—	—	—	—
OR procedure for obesity w/o CC/MCC	MS-DRG	621	0	—	—	—	—	—
Complex cataract surgery	CPT	66982	0	$30,996	$5,579.26	—	—	—
Cataract surgery with lens implant	CPT	66984	0	$28,557	$5,140.26	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	—	—	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	—	—	—	—	—
PCI single major coronary artery	CPT	92920	0	$39,326	$10,618	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$210,802	$37,944	—	—	—
PCI bypass graft	CPT	92937	0	$41,647	$11,245	—	—	—
Coronary angiography with cath	CPT	93455	0	$44,753	$12,083	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$66,793	$18,034	—	—	—

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

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