▸ Hospital · TX · CCN 451369

Golden Plains Community Hospital

100 MEDICAL DR, BORGER, TX, 79007

25 bedsCritical Access Hospitals2

Compliance grade

97/100

Rates published

14,285

last crawl 2026-05-24

Procedures tracked

128

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TX hospitals JSON

Source MRF: https://goldenplains.slicedhealth.io/pricer/26-0328929-1841497153_GoldenPlainsCommunityHospital_standardcharges.CSV · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychiatric diagnostic evaluation	CPT	90791	6	$582	$407.4	$88.34	$261.01	$395.76
Psychiatric eval with medical services	CPT	90792	6	$654	$457.8	$120.34	$307.38	$444.72
Psychotherapy 30 minutes	CPT	90832	6	$312	$218.4	$28.7	$99.84	$212.16
Psychotherapy 45 minutes	CPT	90834	6	$564	$394.8	$51.89	$183.3	$510
Psychotherapy 60 minutes	CPT	90837	6	$471.32	$329.92	$86.72	$248.48	$320.5
emergency
ED visit level 1	CPT	99281	6	$447	$312.9	$14.9	$102.81	$419
ED visit level 2	CPT	99282	6	$579	$405.3	$37.9	$133.54	$490
ED visit level 3	CPT	99283	6	$1,157	$809.9	$212.89	$360.7	$983
ED visit level 4	CPT	99284	6	$1,732	$1,212.4	$318.69	$568.14	$1,243
ED visit level 5	CPT	99285	6	$2,416	$1,691.2	$444.54	$814.79	$1,642.88
Critical care, first hour	CPT	99291	6	$3,311	$2,317.7	$176.46	$761.53	$2,852
imaging
CT head without contrast	CPT	70450	6	$2,445	$1,711.5	$218.56	$562.35	$1,662.6
CT head with contrast	CPT	70460	6	$2,052	$1,436.4	$355.33	$471.96	$1,395.36
CT head with and without contrast	CPT	70470	6	$2,952	$2,066.4	$355.33	$678.96	$2,007.36
CT neck with contrast	CPT	70491	6	$3,372	$2,360.4	$355.33	$775.56	$2,292.96
MRI brain without contrast	CPT	70551	6	$5,647	$3,952.9	$454.43	$1,298.81	$3,839.96
MRI brain with contrast	CPT	70552	6	$4,061	$2,842.7	$744.61	$934.03	$2,761.48
MRI brain with and without contrast	CPT	70553	6	$7,469	$5,228.3	$744.61	$1,717.87	$5,078.92
Chest X-ray single view	CPT	71045	6	$401	$280.7	$67.04	$92.23	$313
Chest X-ray 2 views	CPT	71046	6	$533	$373.1	$67.04	$122.59	$362.44
CT chest without contrast	CPT	71250	6	$5,165	$3,615.5	$218.56	$1,187.95	$3,512.2
CT chest with contrast	CPT	71260	6	$5,909	$4,136.3	$355.33	$1,359.07	$4,018.12
CT chest with and without contrast	CPT	71270	6	$7,897	$5,527.9	$355.33	$1,816.31	$5,369.96
Lumbosacral spine X-ray	CPT	72100	6	$972	$680.4	$94.15	$223.56	$660.96
CT cervical spine without contrast	CPT	72125	6	$3,438	$2,406.6	$218.56	$790.74	$2,337.84
CT thoracic spine without contrast	CPT	72128	6	$3,826	$2,678.2	$218.56	$879.98	$2,601.68
CT lumbar spine without contrast	CPT	72131	6	$4,101	$2,870.7	$218.56	$943.23	$2,788.68
MRI cervical spine without contrast	CPT	72141	6	$6,175	$4,322.5	$454.43	$1,420.25	$4,199
MRI thoracic spine without contrast	CPT	72146	6	$6,175	$4,322.5	$454.43	$1,420.25	$4,199
MRI lumbar spine without contrast	CPT	72148	6	$6,175	$4,322.5	$454.43	$1,420.25	$4,199
MRI lumbar spine with and without contrast	CPT	72149	6	$4,061	$2,842.7	$744.61	$934.03	$2,761.48
MRI cervical spine with and without contrast	CPT	72156	6	$7,201	$5,040.7	$744.61	$1,656.23	$4,896.68
MRI lumbar spine with contrast	CPT	72158	6	$7,201	$5,040.7	$744.61	$1,656.23	$4,896.68
CT pelvis without contrast	CPT	72192	6	$2,500	$1,750	$218.56	$575	$1,700
CT pelvis with contrast	CPT	72193	6	$2,667	$1,866.9	$355.33	$613.41	$1,813.56
Shoulder X-ray	CPT	73030	6	$674	$471.8	$67.04	$155.02	$458.32
Humerus X-ray	CPT	73060	6	$715	$500.5	$67.04	$164.45	$486.2
Hand X-ray 3 views	CPT	73130	6	$676	$473.2	$67.04	$155.48	$459.68
MRI upper extremity joint without contrast	CPT	73221	6	$5,443	$3,810.1	$454.43	$1,251.89	$3,701.24
MRI upper extremity joint with and without contrast	CPT	73223	6	$4,128	$2,889.6	$744.61	$949.44	$2,807.04
Knee X-ray 1-2 views	CPT	73560	6	$820	$574	$67.04	$188.6	$557.6
Ankle X-ray 3 views	CPT	73610	6	$620	$434	$67.04	$142.6	$421.6
MRI lower extremity joint without contrast	CPT	73721	6	$5,466	$3,826.2	$454.43	$1,257.18	$3,716.88
MRI lower extremity joint with and without contrast	CPT	73723	6	$4,128	$2,889.6	$744.61	$949.44	$2,807.04
CT abdomen without contrast	CPT	74150	6	$3,689	$2,582.3	$218.56	$848.47	$2,508.52
CT abdomen with contrast	CPT	74160	6	$6,778	$4,744.6	$355.33	$1,558.94	$4,609.04
CT abdomen with and without contrast	CPT	74170	6	$7,796	$5,457.2	$355.33	$1,793.08	$5,301.28
CT abdomen and pelvis without contrast	CPT	74176	6	$5,368	$3,757.6	$454.43	$1,234.64	$3,650.24
CT abdomen and pelvis with contrast	CPT	74177	6	$8,498	$5,948.6	$725	$1,954.54	$5,778.64
CT abdomen and pelvis with and without contrast	CPT	74178	6	$12,043	$8,430.1	$725	$2,769.89	$8,189.24
MRI abdomen without contrast	CPT	74181	6	$2,972	$2,080.4	$454.43	$683.56	$2,020.96
MRI abdomen with and without contrast	CPT	74183	6	$6,696	$4,687.2	$744.61	$1,540.08	$4,553.28
Abdominal ultrasound complete	CPT	76700	6	$1,674	$1,171.8	$94.15	$385.02	$1,138.32
Abdominal ultrasound limited	CPT	76705	6	$1,551	$1,085.7	$94.15	$356.73	$1,054.68
Retroperitoneal ultrasound complete	CPT	76770	6	$1,143	$800.1	$94.15	$262.89	$777.24
Obstetric ultrasound first trimester	CPT	76801	6	$542	$379.4	$61.76	$124.66	$368.56
Obstetric ultrasound after first trimester	CPT	76805	6	$542	$379.4	$76.89	$124.66	$368.56
Transvaginal ultrasound	CPT	76830	6	$1,308	$915.6	$74.17	$300.84	$889.44
Pelvic ultrasound complete	CPT	76856	6	$1,928	$1,349.6	$94.15	$443.44	$1,311.04
Scrotal ultrasound	CPT	76870	6	$1,530	$1,071	$94.15	$351.9	$1,040.4
Diagnostic mammography unilateral	CPT	77065	6	$562	$393.4	$79.01	$129.26	$382.16
Diagnostic mammography bilateral	CPT	77066	6	$712	$498.4	$101.11	$163.76	$484.16
Screening mammography bilateral	CPT	77067	6	$480	$336	$83.55	$110.4	$326.4
EKG complete	CPT	93000	6	$75.21	$52.65	$13.84	$45.13	$248.48
EKG tracing only	CPT	93005	6	$368	$257.6	$67.71	$115.25	$250.24
EKG interpretation only	CPT	93010	6	$91.51	$64.06	$16.61	$21.05	$183
Transthoracic echocardiogram complete	CPT	93306	6	$1,751	$1,225.7	$154.3	$402.73	$1,190.68
inpatient
Initial hospital care, low complexity	CPT	99221	6	$409	$286.3	$75.26	$207.17	$278.12
Initial hospital care, moderate complexity	CPT	99222	6	$553	$387.1	$101.75	$279.61	$376.04
Initial hospital care, high complexity	CPT	99223	6	$819	$573.3	$150.7	$412.89	$556.92
Hospital discharge, <30 min	CPT	99238	6	$292	$204.4	$53.73	$149.22	$198.56
Hospital discharge, >30 min	CPT	99239	6	$430	$301	$79.12	$218.77	$292.4
lab
Basic metabolic panel (BMP)	CPT	80048	6	$185	$129.5	$10.15	$42.55	$125.8
General health panel	CPT	80050	6	$676	$473.2	$70.64	$155.48	$459.68
Electrolyte panel	CPT	80051	6	$94	$65.8	$8.41	$21.62	$63.92
Comprehensive metabolic panel	CPT	80053	6	$279	$195.3	$12.67	$64.17	$189.72
Lipid panel	CPT	80061	6	$143	$100.1	$16.07	$32.89	$97.24
Renal function panel	CPT	80069	6	$211	$147.7	$10.42	$48.53	$143.48
Hepatic function panel	CPT	80076	6	$185	$129.5	$9.8	$42.55	$125.8
Urinalysis non-automated	CPT	81002	6	$62.05	$43.44	$4.18	$35.06	$248.48
Glucose quantitative	CPT	82947	6	$98	$68.6	$4.72	$22.54	$66.64
Hemoglobin A1c	CPT	83036	6	$115	$80.5	$11.65	$26.45	$78.2
Thyroid stimulating hormone (TSH)	CPT	84443	6	$211	$147.7	$20.16	$48.53	$143.48
Complete blood count with automated differential	CPT	85025	6	$132	$92.4	$9.32	$30.36	$89.76
Complete blood count without differential	CPT	85027	6	$126	$88.2	$7.76	$28.98	$85.68
Urine culture bacterial	CPT	87086	6	$149	$104.3	$9.68	$34.27	$101.32
Tissue exam by pathologist level IV	CPT	88305	6	$748	$523.6	$98.94	$172.04	$508.64
maternity
Fetal non-stress test	CPT	59025	6	$604	$422.8	$37.48	$138.92	$410.72
Routine obstetric care including vaginal delivery	CPT	59400	6	$7,073	$4,951.1	$1,301.43	$3,136.09	$4,809.64
Vaginal delivery only	CPT	59409	6	$3,980	$2,786	$461.47	$1,542.42	$2,706.4
Vaginal delivery with postpartum	CPT	59410	6	$2,895	$2,026.5	$532.68	$1,553.77	$1,968.6
Routine obstetric care with C-section	CPT	59510	6	$9,418	$6,592.6	$1,732.91	$3,477.05	$6,404.24
C-section delivery only	CPT	59514	6	$4,136	$2,895.2	$761.02	$1,366.43	$2,812.48
C-section with postpartum	CPT	59515	6	$4,950.07	$3,465.05	$900.5	$1,889.02	$3,366.05
office
Office visit, new patient, 15-29 min	CPT	99202	6	$232	$162.4	$21.34	$109.81	$248.48
Office visit, new patient, 30-44 minutes	CPT	99203	6	$357	$249.9	$32.84	$150.8	$248.48
Office visit, new patient, 45-59 min	CPT	99204	6	$599	$419.3	$55.11	$198.9	$407.32
Office visit, new patient, 60-74 min	CPT	99205	6	$779	$545.3	$71.67	$253.18	$529.72
Office visit, established patient, 5 min	CPT	99211	6	$298	$208.6	$3.86	$26.85	$248.48
Office visit, established patient, 10-19 min	CPT	99212	6	$298	$208.6	$6.26	$63.93	$248.48
Office visit, established patient, 20-29 minutes	CPT	99213	6	$298	$208.6	$21.34	$112.77	$248.48
Office visit, established patient, 30-39 minutes	CPT	99214	6	$357	$249.9	$23	$139.2	$248.48
Office visit, established patient, 40-54 min	CPT	99215	6	$645	$451.5	$54.83	$194.35	$438.6
preventive
Upper GI endoscopy diagnostic	CPT	43235	6	$470	$329	$86.48	$220.9	$319.6
Upper GI endoscopy with biopsy	CPT	43239	6	$527	$368.9	$96.97	$247.69	$358.36
Sigmoidoscopy diagnostic	CPT	45330	6	$226.88	$158.82	$40.85	$136.13	$228.34
Sigmoidoscopy with biopsy	CPT	45331	6	$267	$186.9	$49.13	$125.49	$181.56
Colonoscopy diagnostic	CPT	45378	6	$767	$536.9	$141.13	$360.49	$521.56
Colonoscopy with biopsy	CPT	45380	6	$916	$641.2	$168.54	$430.52	$622.88
Colonoscopy with polyp removal	CPT	45385	6	$1,090	$763	$200.56	$512.3	$741.2
surgery
Total shoulder arthroplasty	CPT	23472	6	$4,985	$3,489.5	$917.24	$2,176.01	$3,389.8
Hip hemiarthroplasty	CPT	27125	6	$3,878	$2,714.6	$713.55	$1,697.53	$2,637.04
Total hip replacement	CPT	27130	6	$4,799	$3,359.3	$883.02	$2,255.53	$3,263.32
Total knee replacement	CPT	27447	6	$4,851.05	$3,395.74	$248.48	$2,267.06	$3,298.71
Shoulder arthroscopy with decompression	CPT	29826	6	$626	$438.2	$115.18	$259.79	$425.68
Shoulder arthroscopy with rotator cuff repair	CPT	29827	6	$3,781	$2,646.7	$695.7	$1,777.07	$2,571.08
Knee arthroscopy with meniscectomy	CPT	29881	6	$1,896	$1,327.2	$348.86	$891.12	$1,289.28
ACL reconstruction	CPT	29888	6	$3,494	$2,445.8	$642.9	$1,642.18	$2,375.92
Open appendectomy	CPT	44950	6	$2,258	$1,580.6	$415.47	$1,061.26	$1,535.44
Laparoscopic appendectomy	CPT	44970	6	$2,103	$1,472.1	$386.95	$988.41	$1,430.04
Laparoscopic cholecystectomy	CPT	47562	6	$2,306	$1,614.2	$424.3	$1,083.82	$1,568.08
Lap cholecystectomy with cholangiography	CPT	47563	6	$2,540	$1,778	$467.36	$1,193.8	$1,727.2
Lap inguinal hernia repair	CPT	49650	6	$1,496	$1,047.2	$275.26	$703.12	$1,017.28
Total abdominal hysterectomy	CPT	58150	6	$3,645.18	$2,551.63	$662.95	$1,510.19	$2,478.72
Vaginal hysterectomy	CPT	58260	6	$2,973	$2,081.1	$547.03	$1,397.31	$2,021.64
Lap-assisted vaginal hysterectomy	CPT	58550	6	$3,212.72	$2,248.9	$591.14	$1,509.98	$2,184.65
Lap-assisted vaginal hysterectomy >250g	CPT	58552	6	$3,573.73	$2,501.61	$657.57	$1,679.65	$2,430.14
Lap salpingo-oophorectomy	CPT	58661	6	$2,321	$1,624.7	$427.06	$1,090.87	$1,578.28

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

Payer mix (top 6)

Payer	Codes covered	Median rate
Aetna	128	$346.45
Blue Cross Blue Shield	128	$355.32
Cigna	128	$115.18
Humana	128	$249.59
UnitedHealthcare	128	$315
wellmed	128	$220.57

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