▸ Hospital · TX · CCN 451312
Rice Medical Center
1700 BRAZOS, EAGLE LAKE, TX, 76567
21 bedsCritical Access Hospitals11
Compliance grade
A
100/100
Procedures tracked
95
of 209 target codes
Payers
23
with negotiated rates
Rates published
26,910
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 | 23 | $549.96 | $384.97 | $1 | $439.97 | $549.96 |
| Psychiatric eval with medical services | CPT | 90792 | 23 | $510.4 | $357.28 | $1 | $408.32 | $510.4 |
| Psychotherapy 30 minutes | CPT | 90832 | 19 | $245.3 | $171.71 | $1 | $186.43 | $245.3 |
| Psychotherapy 45 minutes | CPT | 90834 | 19 | $440 | $308 | $1 | $334.4 | $440 |
| Psychotherapy 60 minutes | CPT | 90837 | 19 | $400.68 | $280.48 | $1 | $304.52 | $400.68 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 19 | $400.68 | $280.48 | $1 | $304.52 | $400.68 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 19 | $435.6 | $304.92 | $1 | $313.63 | $435.6 |
| ED visit level 2 | CPT | 99282 | 19 | $741.4 | $518.98 | $1 | $533.81 | $741.4 |
| ED visit level 3 | CPT | 99283 | 19 | $1,016.4 | $711.48 | $1 | $731.81 | $1,016.4 |
| ED visit level 4 | CPT | 99284 | 19 | $1,329.9 | $930.93 | $1 | $957.53 | $1,329.9 |
| ED visit level 5 | CPT | 99285 | 19 | $1,642.3 | $1,149.61 | $1 | $1,182.46 | $1,642.3 |
| Critical care, first hour | CPT | 99291 | 18 | $2,457.4 | $1,720.18 | $1 | $1,769.33 | $2,457.4 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 19 | $1,603.8 | $1,122.66 | $1 | $1,154.74 | $1,603.8 |
| CT head with contrast | CPT | 70460 | 19 | $2,038.3 | $1,426.81 | $1 | $1,467.58 | $2,038.3 |
| CT head with and without contrast | CPT | 70470 | 19 | $2,556.4 | $1,789.48 | $1 | $1,840.61 | $2,556.4 |
| CT neck with contrast | CPT | 70491 | 19 | $4,526.5 | $3,168.55 | $1 | $3,259.08 | $4,526.5 |
| MRI brain without contrast | CPT | 70551 | 19 | $2,315.5 | $1,620.85 | $1 | $1,667.16 | $2,315.5 |
| MRI brain with contrast | CPT | 70552 | 19 | $2,581.7 | $1,807.19 | $1 | $1,852.4 | $2,581.7 |
| MRI brain with and without contrast | CPT | 70553 | 19 | $3,642.1 | $2,549.47 | $1 | $2,622.31 | $3,642.1 |
| Chest X-ray single view | CPT | 71045 | 19 | $399.3 | $279.51 | $1 | $287.5 | $399.3 |
| Chest X-ray 2 views | CPT | 71046 | 19 | $437.8 | $306.46 | $1 | $315.22 | $437.8 |
| Chest X-ray 3 views | CPT | 71047 | 19 | $437.8 | $306.46 | $1 | $315.22 | $437.8 |
| CT chest without contrast | CPT | 71250 | 19 | $2,482.7 | $1,737.89 | $1 | $1,787.54 | $2,482.7 |
| CT chest with contrast | CPT | 71260 | 19 | $2,030.6 | $1,421.42 | $1 | $1,462.03 | $2,030.6 |
| CT chest with and without contrast | CPT | 71270 | 19 | $4,150.3 | $2,905.21 | $1 | $2,988.22 | $4,150.3 |
| MRI chest without contrast | CPT | 71550 | 19 | $772.2 | $540.54 | $1 | $617.76 | $929.83 |
| MRI chest with and without contrast | CPT | 71552 | 19 | $1,515.8 | $1,061.06 | $1 | $1,212.64 | $1,523.58 |
| Lumbosacral spine X-ray | CPT | 72100 | 19 | $518.1 | $362.67 | $1 | $373.03 | $518.1 |
| CT cervical spine without contrast | CPT | 72125 | 19 | $1,525.7 | $1,067.99 | $1 | $1,098.5 | $1,525.7 |
| CT thoracic spine without contrast | CPT | 72128 | 19 | $1,846.9 | $1,292.83 | $1 | $1,329.77 | $1,846.9 |
| CT lumbar spine without contrast | CPT | 72131 | 19 | $1,580.7 | $1,106.49 | $1 | $1,138.1 | $1,580.7 |
| MRI cervical spine without contrast | CPT | 72141 | 19 | $4,098.6 | $2,869.02 | $1 | $2,950.99 | $4,098.6 |
| MRI thoracic spine without contrast | CPT | 72146 | 19 | $2,047.1 | $1,432.97 | $1 | $1,473.91 | $2,047.1 |
| MRI lumbar spine without contrast | CPT | 72148 | 19 | $4,031.5 | $2,822.05 | $1 | $2,902.68 | $4,031.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 19 | $4,541.9 | $3,179.33 | $1 | $3,270.17 | $4,541.9 |
| MRI cervical spine with and without contrast | CPT | 72156 | 19 | $7,681.3 | $5,376.91 | $1 | $5,530.54 | $7,681.3 |
| MRI lumbar spine with contrast | CPT | 72158 | 19 | $6,567 | $4,596.9 | $1 | $4,728.24 | $6,567 |
| CT pelvis without contrast | CPT | 72192 | 19 | $1,846.9 | $1,292.83 | $1 | $1,329.77 | $1,846.9 |
| CT pelvis with contrast | CPT | 72193 | 19 | $2,648.8 | $1,854.16 | $1 | $1,907.14 | $2,648.8 |
| Shoulder X-ray | CPT | 73030 | 19 | $632.5 | $442.75 | $1 | $427.68 | $632.5 |
| Humerus X-ray | CPT | 73060 | 19 | $635.8 | $445.06 | $1 | $414.48 | $635.8 |
| Hand X-ray 3 views | CPT | 73130 | 19 | $601.7 | $421.19 | $1 | $414.48 | $601.7 |
| MRI upper extremity joint without contrast | CPT | 73221 | 19 | $2,168.1 | $1,517.67 | $1 | $1,561.03 | $2,168.1 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 19 | $4,098.6 | $2,869.02 | $1 | $2,950.99 | $4,098.6 |
| Knee X-ray 1-2 views | CPT | 73560 | 19 | $432.3 | $302.61 | $1 | $311.26 | $432.3 |
| Ankle X-ray 3 views | CPT | 73610 | 19 | $534.6 | $374.22 | $1 | $365.2 | $534.6 |
| MRI lower extremity joint without contrast | CPT | 73721 | 19 | $3,759.8 | $2,631.86 | $1 | $2,707.06 | $3,759.8 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 19 | $4,896.1 | $3,427.27 | $1 | $3,525.19 | $4,896.1 |
| CT abdomen without contrast | CPT | 74150 | 19 | $3,965.5 | $2,775.85 | $1 | $2,855.16 | $3,965.5 |
| CT abdomen with contrast | CPT | 74160 | 19 | $4,847.7 | $3,393.39 | $1 | $3,490.34 | $4,847.7 |
| CT abdomen with and without contrast | CPT | 74170 | 19 | $5,893.8 | $4,125.66 | $1 | $4,243.54 | $5,893.8 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 19 | $2,592.7 | $1,814.89 | $1 | $1,866.74 | $2,592.7 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 19 | $2,986.5 | $2,090.55 | $1 | $2,150.28 | $2,986.5 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 19 | $3,830.2 | $2,681.14 | $1 | $2,757.74 | $3,830.2 |
| MRI abdomen without contrast | CPT | 74181 | 19 | $4,821.3 | $3,374.91 | $1 | $3,471.34 | $4,821.3 |
| MRI abdomen with and without contrast | CPT | 74183 | 19 | $6,614.3 | $4,630.01 | $1 | $4,762.3 | $6,614.3 |
| Abdominal ultrasound complete | CPT | 76700 | 19 | $1,260.6 | $882.42 | $1 | $907.63 | $1,260.6 |
| Abdominal ultrasound limited | CPT | 76705 | 19 | $1,084.6 | $759.22 | $1 | $650.76 | $1,084.6 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 19 | $1,181.4 | $826.98 | $1 | $850.61 | $1,181.4 |
| Obstetric ultrasound first trimester | CPT | 76801 | 19 | $540.1 | $378.07 | $1 | $388.87 | $540.1 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 19 | $540.1 | $378.07 | $1 | $388.87 | $540.1 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 19 | $908.6 | $636.02 | $1 | $654.19 | $908.6 |
| Transvaginal ultrasound | CPT | 76830 | 19 | $1,181.4 | $826.98 | $1 | $850.61 | $1,181.4 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $1,181.4 | $826.98 | $1 | $850.61 | $1,181.4 |
| Scrotal ultrasound | CPT | 76870 | 19 | $1,631.3 | $1,141.91 | $1 | $1,174.54 | $1,631.3 |
| Diagnostic mammography unilateral | CPT | 77065 | 19 | $367.4 | $257.18 | $1 | $204.77 | $367.4 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $732.6 | $512.82 | $1 | $556.78 | $732.6 |
| Screening mammography bilateral | CPT | 77067 | 19 | $287.1 | $200.97 | $1 | $224.26 | $287.1 |
| EKG tracing only | CPT | 93005 | 19 | $434.5 | $304.15 | $1 | $330.22 | $434.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 19 | $2,027.3 | $1,419.11 | $1 | $1,540.75 | $2,027.3 |
| Transthoracic echocardiogram | CPT | 93307 | 19 | $1,232 | $862.4 | $1 | $887.04 | $1,232 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 19 | $233.2 | $163.24 | $1 | $168.75 | $233.2 |
| Electrolyte panel | CPT | 80051 | 19 | $119.9 | $83.93 | $1 | $86.33 | $119.9 |
| Comprehensive metabolic panel | CPT | 80053 | 19 | $311.3 | $217.91 | $1 | $225.27 | $311.3 |
| Lipid panel | CPT | 80061 | 19 | $226.6 | $158.62 | $1 | $163.98 | $226.6 |
| Renal function panel | CPT | 80069 | 19 | $202.4 | $141.68 | $1 | $145.73 | $202.4 |
| Hepatic function panel | CPT | 80076 | 19 | $233.2 | $163.24 | $1 | $167.9 | $233.2 |
| Urinalysis automated | CPT | 81003 | 19 | $36.3 | $25.41 | $1 | $25.52 | $36.3 |
| Glucose quantitative | CPT | 82947 | 19 | $68.2 | $47.74 | $1 | $49.1 | $68.2 |
| Hemoglobin A1c | CPT | 83036 | 19 | $157.3 | $110.11 | $1 | $113.26 | $157.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 19 | $237.6 | $166.32 | $1 | $171.07 | $237.6 |
| Complete blood count with automated differential | CPT | 85025 | 19 | $159.5 | $111.65 | $1 | $114.84 | $159.5 |
| Complete blood count without differential | CPT | 85027 | 19 | $101.2 | $70.84 | $1 | $72.86 | $101.2 |
| Urine culture bacterial | CPT | 87086 | 19 | $174.9 | $122.43 | $1 | $125.93 | $174.9 |
| Tissue exam by pathologist level IV | CPT | 88305 | 19 | $591 | $413.7 | $1 | $449.16 | $591 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 19 | $7,841.9 | $5,489.33 | $1 | $5,646.17 | $7,841.9 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 19 | $547.8 | $383.46 | $1 | $416.33 | $547.8 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 19 | $630.3 | $441.21 | $1 | $479.03 | $630.3 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 19 | $704 | $492.8 | $1 | $409.46 | $704 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 19 | $704 | $492.8 | $1 | $506.88 | $704 |
| Office visit, established patient, 5 min | CPT | 99211 | 19 | $547.8 | $383.46 | $1 | $416.33 | $547.8 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 19 | $547.8 | $383.46 | $1 | $92.4 | $547.8 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 19 | $630.3 | $441.21 | $1 | $182.6 | $630.3 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 23 | $704 | $492.8 | $1 | $153.58 | $704 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 23 | $704 | $492.8 | $1 | $215.62 | $704 |
Payer mix (top 23)
| Payer | Codes covered | Median rate |
|---|---|---|
| accountable health plans of america | 95 | $536.7 |
| Aetna | 95 | $415.51 |
| Blue Cross Blue Shield | 95 | $364 |
| choice one inc epo/pos | 95 | $454.61 |
| choice one inc ppo | 95 | $505.12 |
| choicecare network ppo, pos, med adv | 95 | $505.12 |
| Cigna | 95 | $358.4 |
| galaxy health network | 95 | $568.26 |
| great west healthcare of texas | 95 | $555.63 |
| health industry trust and welfare plan | 95 | $568.26 |
| Humana | 95 | $361.75 |
| medavant healthcare solutions | 95 | $505.12 |
| medcorp southwest | 95 | $536.7 |
| Medicaid | 95 | $6.53 |
| private healthcare systems | 95 | $505.12 |
| proamerica ppo | 95 | $536.7 |
| superior | 95 | $669.9 |
| UnitedHealthcare | 95 | $190.92 |
| tml intergovernmental employee benefits | 94 | $540.43 |
| wellpoint commercial | 4 | $191.37 |
| Medicare Advantage | 4 | $156.23 |
| point comfort underwriters | 4 | $164.9 |
| wellpoint mc advantage | 4 | $156.23 |