▸ Hospital · TX · CCN 451341

Haskell Memorial Hospital

#1 NORTH AVENUE N, HASKELL, TX, 451341

Compliance grade

81/100

Rates published

304

last crawl 2026-05-24

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TX hospitals JSON

Source MRF: https://app.box.com/shared/static/8snmebm9qbv4ut7o1a4qqmf7j82pcv84.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	0	$297.95	$297.95	—	—	—
ED visit level 2	CPT	99282	0	$297.95	$297.95	—	—	—
ED visit level 3	CPT	99283	0	$468.83	$468.83	—	—	—
ED visit level 4	CPT	99284	0	$753.81	$753.81	—	—	—
ED visit level 5	CPT	99285	0	$1,113.95	$1,113.95	—	—	—
Critical care, first hour	CPT	99291	0	$1,844.5	$1,844.5	—	—	—
imaging
CT head without contrast	CPT	70450	0	$980.38	$980.38	—	—	—
CT head with contrast	CPT	70460	0	$1,119.35	$1,119.35	—	—	—
CT head with and without contrast	CPT	70470	0	$1,670.92	$1,670.92	—	—	—
CT neck with contrast	CPT	70491	0	$1,119.35	$1,119.35	—	—	—
MRI brain without contrast	CPT	70551	0	$1,303.21	$1,303.21	—	—	—
MRI brain with and without contrast	CPT	70553	0	$1,786.1	$1,786.1	—	—	—
Chest X-ray single view	CPT	71045	0	$149.79	$149.79	—	—	—
Chest X-ray 2 views	CPT	71046	0	$149.79	$149.79	—	—	—
Chest X-ray 3 views	CPT	71047	0	$149.79	$149.79	—	—	—
CT chest without contrast	CPT	71250	0	$980.38	$980.38	—	—	—
CT chest with contrast	CPT	71260	0	$1,119.35	$1,119.35	—	—	—
CT chest with and without contrast	CPT	71270	0	$1,670.92	$1,670.92	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$149.79	$149.79	—	—	—
CT cervical spine without contrast	CPT	72125	0	$980.38	$980.38	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$980.38	$980.38	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$980.38	$980.38	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$1,303.21	$1,303.21	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$1,409.19	$1,409.19	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$1,303.21	$1,303.21	—	—	—
CT pelvis without contrast	CPT	72192	0	$980.38	$980.38	—	—	—
CT pelvis with contrast	CPT	72193	0	$1,119.35	$1,119.35	—	—	—
Shoulder X-ray	CPT	73030	0	$149.79	$149.79	—	—	—
Humerus X-ray	CPT	73060	0	$149.79	$149.79	—	—	—
Hand X-ray 3 views	CPT	73130	0	$149.79	$149.79	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$1,303.21	$1,303.21	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$149.79	$149.79	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$149.79	$149.79	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$1,303.21	$1,303.21	—	—	—
CT abdomen without contrast	CPT	74150	0	$980.38	$980.38	—	—	—
CT abdomen with contrast	CPT	74160	0	$1,119.35	$1,119.35	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$1,670.92	$1,670.92	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$1,336.73	$1,336.73	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$1,782.31	$1,782.31	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$1,977.52	$1,977.52	—	—	—
MRI abdomen without contrast	CPT	74181	0	$1,303.21	$1,303.21	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$334.18	$334.18	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$334.18	$334.18	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$334.18	$334.18	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$334.18	$334.18	—	—	—
Transvaginal ultrasound	CPT	76830	0	$312.74	$312.74	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$334.18	$334.18	—	—	—
Scrotal ultrasound	CPT	76870	0	$334.18	$334.18	—	—	—
EKG tracing only	CPT	93005	0	$89.76	$89.76	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$1,313.48	$1,313.48	—	—	—
inpatient
Initial hospital care, low complexity	CPT	99221	0	$326.61	$326.61	—	—	—
Initial hospital care, moderate complexity	CPT	99222	0	$441.79	$441.79	—	—	—
Initial hospital care, high complexity	CPT	99223	0	$649.44	$649.44	—	—	—
Hospital discharge, <30 min	CPT	99238	0	$231.44	$231.44	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$56.51	$56.51	—	—	—
General health panel	CPT	80050	0	$223.33	$223.33	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$113.61	$113.61	—	—	—
Lipid panel	CPT	80061	0	$71.97	$71.97	—	—	—
Renal function panel	CPT	80069	0	$56.51	$56.51	—	—	—
Hepatic function panel	CPT	80076	0	$41.04	$41.04	—	—	—
Hemoglobin A1c	CPT	83036	0	$52.34	$52.34	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$90.41	$90.41	—	—	—
Complete blood count with automated differential	CPT	85025	0	$41.64	$41.64	—	—	—
Complete blood count without differential	CPT	85027	0	$36.77	$36.77	—	—	—
maternity
Vaginal delivery only	CPT	59409	0	$1,090.15	$1,090.15	—	—	—

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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