▸ Hospital · TX · CCN 451372

Muleshoe Area Medical Center

708 SOUTH FIRST STREET, MULESHOE, TX, 451372

Compliance grade

88/100

Rates published

1,368

last crawl 2026-05-23

Procedures tracked

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TX hospitals JSON

Source MRF: https://secure.claraprice.net/price-transparency/QNWA-1762447523274/machine-readable/752290436_muleshoe-area-medical-center_standardcharges.json · JSON

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
emergency
ED visit level 1	CPT	99281	4	$206	$124	$80	$165	$206
ED visit level 2	CPT	99282	4	$361	$217	$141	$289	$361
ED visit level 3	CPT	99283	4	$567	$340	$221	$454	$567
ED visit level 4	CPT	99284	4	$824	$494	$321	$659	$824
ED visit level 5	CPT	99285	4	$1,133	$680	$442	$906	$1,133
Critical care, first hour	CPT	99291	4	$1,785	$1,071	$696	$1,428	$1,785
imaging
CT head without contrast	CPT	70450	4	$927	$556	$362	$742	$927
CT head with contrast	CPT	70460	4	$1,262	$757	$492	$1,010	$1,262
CT head with and without contrast	CPT	70470	4	$1,442	$865	$562	$1,154	$1,442
CT neck with contrast	CPT	70491	4	$1,313	$788	$512	$1,050	$1,313
Chest X-ray single view	CPT	71045	4	$232	$139	$57	$127.5	$232
Chest X-ray 2 views	CPT	71046	4	$232	$139	$90	$186	$232
CT chest without contrast	CPT	71250	4	$927	$556	$362	$742	$927
CT chest with contrast	CPT	71260	4	$1,262	$757	$492	$1,010	$1,262
CT chest with and without contrast	CPT	71270	4	$1,442	$865	$562	$1,154	$1,442
Lumbosacral spine X-ray	CPT	72100	4	$279	$167	$109	$223	$279
CT cervical spine without contrast	CPT	72125	4	$927	$556	$362	$742	$927
CT thoracic spine without contrast	CPT	72128	4	$850	$510	$332	$680	$850
CT lumbar spine without contrast	CPT	72131	4	$902	$541	$352	$722	$902
CT pelvis without contrast	CPT	72192	4	$796	$478	$310	$637	$796
CT pelvis with contrast	CPT	72193	4	$1,262	$757	$492	$1,010	$1,262
Shoulder X-ray	CPT	73030	4	$200	$120	$68	$140	$200
Humerus X-ray	CPT	73060	4	$200	$120	$78	$160	$200
Hand X-ray 3 views	CPT	73130	4	$279	$167	$109	$223	$279
Knee X-ray 1-2 views	CPT	73560	4	$200	$120	$78	$160	$200
Ankle X-ray 3 views	CPT	73610	4	$185	$111	$70	$144	$185
CT abdomen without contrast	CPT	74150	4	$827	$496	$323	$662	$827
CT abdomen with contrast	CPT	74160	4	$1,262	$757	$492	$1,010	$1,262
CT abdomen with and without contrast	CPT	74170	4	$1,545	$927	$603	$1,236	$1,545
CT abdomen and pelvis without contrast	CPT	74176	4	$1,591	$955	$620	$1,273	$1,591
CT abdomen and pelvis with contrast	CPT	74177	4	$1,931	$1,159	$753	$1,545	$1,931
CT abdomen and pelvis with and without contrast	CPT	74178	4	$2,163	$1,298	$844	$1,730	$2,163
Abdominal ultrasound complete	CPT	76700	4	$615	$369	$240	$492	$615
Abdominal ultrasound limited	CPT	76705	4	$366	$220	$118	$242	$366
Retroperitoneal ultrasound complete	CPT	76770	4	$615	$369	$240	$492	$615
Obstetric ultrasound first trimester	CPT	76801	4	$398	$239	$155	$318	$398
Obstetric ultrasound after first trimester	CPT	76805	4	$386	$232	$151	$309	$386
Pelvic ultrasound complete	CPT	76856	4	$366	$220	$143	$293	$366
Scrotal ultrasound	CPT	76870	4	$366	$220	$143	$293	$366
EKG tracing only	CPT	93005	4	$175	$105	$68	$140	$175
Transthoracic echocardiogram complete	CPT	93306	4	$1,185	$711	$462	$948	$1,185
Stress echocardiogram	CPT	93350	4	$2,576	$1,546	$1,005	$2,061	$2,576
lab
Basic metabolic panel (BMP)	CPT	80048	4	$81	$49	$32	$65	$81
General health panel	CPT	80050	4	$306	$184	$119	$245	$306
Electrolyte panel	CPT	80051	4	$71	$43	$28	$57	$71
Comprehensive metabolic panel	CPT	80053	4	$132	$79	$48	$99	$132
Lipid panel	CPT	80061	4	$109	$65	$41	$85	$109
Renal function panel	CPT	80069	4	$95	$57	$37	$76	$95
Hepatic function panel	CPT	80076	4	$84	$50	$33	$67	$84
Urinalysis non-automated	CPT	81002	4	$37	$22	$14	$30	$37
Urinalysis automated	CPT	81003	4	$47	$28	$18	$38	$47
Glucose quantitative	CPT	82947	4	$66	$40	$25	$51	$66
Hemoglobin A1c	CPT	83036	4	$250	$150	$98	$200	$250
Thyroid stimulating hormone (TSH)	CPT	84443	4	$109	$65	$41	$85	$109
Complete blood count with automated differential	CPT	85025	4	$71	$43	$28	$57	$71
Complete blood count without differential	CPT	85027	4	$66	$40	$25	$51	$66
Urine culture bacterial	CPT	87086	4	$76	$46	$30	$61	$76
maternity
Vaginal delivery only	CPT	59409	4	$2,472	$1,483	$964	$1,978	$2,472
office
Office visit, new patient, 15-29 min	CPT	99202	4	$130	$78	$39	$80	$130
Office visit, new patient, 30-44 minutes	CPT	99203	4	$180	$108	$70	$144	$180
Office visit, new patient, 45-59 min	CPT	99204	4	$245	$147	$96	$196	$245
Office visit, new patient, 60-74 min	CPT	99205	4	$305	$183	$119	$244	$305
Office visit, established patient, 5 min	CPT	99211	4	$60	$36	$23	$48	$60
Office visit, established patient, 10-19 min	CPT	99212	4	$75	$45	$29	$60	$75
Office visit, established patient, 20-29 minutes	CPT	99213	4	$100	$60	$39	$80	$100
Office visit, established patient, 30-39 minutes	CPT	99214	4	$150	$90	$59	$120	$150
Office visit, established patient, 40-54 min	CPT	99215	4	$225	$135	$88	$180	$225

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 4)

Payer	Codes covered	Median rate
Aetna	67	$98
Blue Cross Blue Shield	67	$200
superior health plan	67	$181
UnitedHealthcare	67	$200

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