▸ Hospital · TX · CCN 452044
LIFECARE SPEC HOSP OF NORTH TEXAS
1950 RECORD CROSSING, DALLAS, TX, 75235
40 beds4
Compliance grade
A
100/100
Procedures tracked
96
of 209 target codes
Payers
20
with negotiated rates
Rates published
6,725
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 | 16 | $405 | $40.5 | $92.38 | $163.62 | $378.74 |
| Psychiatric eval with medical services | CPT | 90792 | 16 | $241 | $24.1 | $54.97 | $97.36 | $225.38 |
| Psychotherapy 30 minutes | CPT | 90832 | 16 | $278 | $27.8 | $63.41 | $112.31 | $259.98 |
| Psychotherapy 45 minutes | CPT | 90834 | 16 | $513 | $51.3 | $117.01 | $207.25 | $479.74 |
| Psychotherapy 60 minutes | CPT | 90837 | 16 | $671 | $67.1 | $153.05 | $271.08 | $627.5 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 9 | $253 | $25.3 | $63.25 | $63.25 | $169.51 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 9 | $364 | $36.4 | $91 | $91 | $243.88 |
| ED visit level 2 | CPT | 99282 | 9 | $643 | $64.3 | $160.75 | $160.75 | $430.81 |
| ED visit level 3 | CPT | 99283 | 9 | $1,127 | $112.7 | $281.75 | $281.75 | $755.09 |
| ED visit level 4 | CPT | 99284 | 9 | $1,733 | $173.3 | $433.25 | $433.25 | $1,161.11 |
| ED visit level 5 | CPT | 99285 | 9 | $2,894 | $289.4 | $723.5 | $723.5 | $1,938.98 |
| Critical care, first hour | CPT | 99291 | 9 | $6,569 | $656.9 | $1,642.25 | $1,642.25 | $4,401.23 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 7 | $3,193 | $319.3 | $798.25 | $798.25 | $798.25 |
| CT head with contrast | CPT | 70460 | 9 | $3,631 | $363.1 | $907.75 | $907.75 | $2,432.77 |
| CT head with and without contrast | CPT | 70470 | 7 | $4,186 | $418.6 | $1,046.5 | $1,046.5 | $1,046.5 |
| CT neck with contrast | CPT | 70491 | 7 | $3,681 | $368.1 | $920.25 | $920.25 | $920.25 |
| MRI brain without contrast | CPT | 70551 | 7 | $3,160 | $316 | $790 | $790 | $790 |
| MRI brain with contrast | CPT | 70552 | 7 | $3,223 | $322.3 | $805.75 | $805.75 | $805.75 |
| MRI brain with and without contrast | CPT | 70553 | 7 | $5,043 | $504.3 | $1,260.75 | $1,260.75 | $1,260.75 |
| Chest X-ray single view | CPT | 71045 | 10 | $572 | $57.2 | $143 | $143 | $383.24 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $501 | $50.1 | $125.25 | $125.25 | $335.67 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $377 | $37.7 | $94.25 | $94.25 | $252.59 |
| CT chest without contrast | CPT | 71250 | 7 | $3,596 | $359.6 | $899 | $899 | $899 |
| CT chest with contrast | CPT | 71260 | 7 | $4,201 | $420.1 | $1,050.25 | $1,050.25 | $1,050.25 |
| CT chest with and without contrast | CPT | 71270 | 7 | $5,127 | $512.7 | $1,281.75 | $1,281.75 | $1,281.75 |
| MRI chest without contrast | CPT | 71550 | 7 | $3,270 | $327 | $817.5 | $817.5 | $817.5 |
| MRI chest with contrast | CPT | 71551 | 9 | $3,752 | $375.2 | $938 | $938 | $2,513.84 |
| MRI chest with and without contrast | CPT | 71552 | 7 | $5,324 | $532.4 | $1,331 | $1,331 | $1,331 |
| Lumbosacral spine X-ray | CPT | 72100 | 9 | $360 | $36 | $90 | $90 | $241.2 |
| CT cervical spine without contrast | CPT | 72125 | 7 | $3,688 | $368.8 | $922 | $922 | $922 |
| CT thoracic spine without contrast | CPT | 72128 | 7 | $3,382 | $338.2 | $845.5 | $845.5 | $845.5 |
| CT lumbar spine without contrast | CPT | 72131 | 7 | $3,775 | $377.5 | $943.75 | $943.75 | $943.75 |
| MRI cervical spine without contrast | CPT | 72141 | 7 | $3,337 | $333.7 | $834.25 | $834.25 | $834.25 |
| MRI thoracic spine without contrast | CPT | 72146 | 7 | $3,477 | $347.7 | $869.25 | $869.25 | $869.25 |
| MRI lumbar spine without contrast | CPT | 72148 | 7 | $3,378 | $337.8 | $844.5 | $844.5 | $844.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 7 | $4,141 | $414.1 | $1,035.25 | $1,035.25 | $1,035.25 |
| MRI cervical spine with and without contrast | CPT | 72156 | 7 | $4,717 | $471.7 | $1,179.25 | $1,179.25 | $1,179.25 |
| MRI lumbar spine with contrast | CPT | 72158 | 7 | $5,161 | $516.1 | $1,290.25 | $1,290.25 | $1,290.25 |
| CT pelvis without contrast | CPT | 72192 | 7 | $3,581 | $358.1 | $895.25 | $895.25 | $895.25 |
| CT pelvis with contrast | CPT | 72193 | 7 | $4,017 | $401.7 | $1,004.25 | $1,004.25 | $1,004.25 |
| Shoulder X-ray | CPT | 73030 | 9 | $502.5 | $50.25 | $83.75 | $125.63 | $336.68 |
| Humerus X-ray | CPT | 73060 | 9 | $540 | $54 | $135 | $135 | $361.8 |
| Hand X-ray 3 views | CPT | 73130 | 9 | $556.5 | $55.65 | $92.75 | $139.13 | $372.86 |
| MRI upper extremity joint without contrast | CPT | 73221 | 7 | $4,629 | $462.9 | $771.5 | $964.38 | $1,157.25 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 7 | $4,171 | $417.1 | $1,042.75 | $1,042.75 | $1,042.75 |
| Knee X-ray 1-2 views | CPT | 73560 | 9 | $475.5 | $47.55 | $79.25 | $118.88 | $318.59 |
| Ankle X-ray 3 views | CPT | 73610 | 9 | $502.5 | $50.25 | $83.75 | $125.63 | $336.68 |
| MRI lower extremity joint without contrast | CPT | 73721 | 7 | $3,228 | $322.8 | $807 | $807 | $807 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 7 | $4,464 | $446.4 | $1,116 | $1,116 | $1,116 |
| CT abdomen without contrast | CPT | 74150 | 7 | $3,412 | $341.2 | $853 | $853 | $853 |
| CT abdomen with contrast | CPT | 74160 | 7 | $4,236 | $423.6 | $1,059 | $1,059 | $1,059 |
| CT abdomen with and without contrast | CPT | 74170 | 7 | $4,771 | $477.1 | $1,192.75 | $1,192.75 | $1,192.75 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 7 | $2,955 | $295.5 | $738.75 | $738.75 | $738.75 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 7 | $4,415 | $441.5 | $1,103.75 | $1,103.75 | $1,103.75 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 7 | $4,415 | $441.5 | $1,103.75 | $1,103.75 | $1,103.75 |
| MRI abdomen without contrast | CPT | 74181 | 7 | $3,480 | $348 | $870 | $870 | $870 |
| MRI abdomen with and without contrast | CPT | 74183 | 7 | $4,569 | $456.9 | $1,142.25 | $1,142.25 | $1,142.25 |
| Abdominal ultrasound complete | CPT | 76700 | 7 | $2,174 | $217.4 | $543.5 | $543.5 | $543.5 |
| Abdominal ultrasound limited | CPT | 76705 | 7 | $1,624 | $162.4 | $406 | $406 | $406 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 7 | $1,684 | $168.4 | $421 | $421 | $421 |
| Obstetric ultrasound first trimester | CPT | 76801 | 9 | $1,629 | $162.9 | $407.25 | $407.25 | $1,091.43 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 9 | $1,681 | $168.1 | $420.25 | $420.25 | $1,126.27 |
| Transvaginal ultrasound | CPT | 76830 | 9 | $1,833 | $183.3 | $458.25 | $458.25 | $1,228.11 |
| Pelvic ultrasound complete | CPT | 76856 | 7 | $1,772 | $177.2 | $443 | $443 | $443 |
| Scrotal ultrasound | CPT | 76870 | 7 | $1,420 | $142 | $355 | $355 | $355 |
| Diagnostic mammography unilateral | CPT | 77065 | 13 | $679 | $67.9 | $154.87 | $169.75 | $634.98 |
| Diagnostic mammography bilateral | CPT | 77066 | 13 | $846 | $84.6 | $192.96 | $211.5 | $791.15 |
| Screening mammography bilateral | CPT | 77067 | 13 | $748 | $74.8 | $170.61 | $187 | $699.51 |
| EKG tracing only | CPT | 93005 | 13 | $598 | $59.8 | $136.4 | $149.5 | $559.23 |
| Transthoracic echocardiogram complete | CPT | 93306 | 13 | $2,202 | $220.2 | $502.25 | $550.5 | $2,059.24 |
| Transthoracic echocardiogram | CPT | 93307 | 9 | $1,930 | $193 | $482.5 | $482.5 | $1,293.1 |
| Stress echocardiogram | CPT | 93350 | 10 | $2,680 | $268 | $670 | $670 | $1,795.6 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 9 | $363 | $36.3 | $90.75 | $90.75 | $243.21 |
| General health panel | CPT | 80050 | 16 | $946 | $94.6 | $189.2 | $236.5 | $884.67 |
| Electrolyte panel | CPT | 80051 | 9 | $359 | $35.9 | $89.75 | $89.75 | $240.53 |
| Comprehensive metabolic panel | CPT | 80053 | 9 | $487 | $48.7 | $121.75 | $121.75 | $326.29 |
| Lipid panel | CPT | 80061 | 9 | $367 | $36.7 | $91.75 | $91.75 | $245.89 |
| Renal function panel | CPT | 80069 | 9 | $449 | $44.9 | $112.25 | $112.25 | $300.83 |
| Hepatic function panel | CPT | 80076 | 9 | $382 | $38.2 | $95.5 | $95.5 | $255.94 |
| Urinalysis non-automated | CPT | 81002 | 9 | $69 | $6.9 | $17.25 | $17.25 | $46.23 |
| Urinalysis automated | CPT | 81003 | 9 | $108 | $10.8 | $27 | $27 | $72.36 |
| Glucose quantitative | CPT | 82947 | 9 | $117 | $11.7 | $29.25 | $29.25 | $78.39 |
| Hemoglobin A1c | CPT | 83036 | 9 | $176 | $17.6 | $44 | $44 | $117.92 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 9 | $246 | $24.6 | $61.5 | $61.5 | $164.82 |
| Complete blood count with automated differential | CPT | 85025 | 9 | $198 | $19.8 | $49.5 | $49.5 | $132.66 |
| Complete blood count without differential | CPT | 85027 | 9 | $182 | $18.2 | $45.5 | $45.5 | $121.94 |
| Urine culture bacterial | CPT | 87086 | 9 | $212 | $21.2 | $53 | $53 | $142.04 |
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | $473 | $47.3 | $107.89 | $118.25 | $442.33 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 14 | $153 | $15.3 | $38.25 | $68.24 | $143.08 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | $2,143 | $214.3 | $488.8 | $535.75 | $2,004.07 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | $2,143 | $214.3 | $488.8 | $535.75 | $2,004.07 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | $2,276 | $227.6 | $519.13 | $569 | $2,128.44 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | $1,416 | $141.6 | $322.98 | $354 | $1,324.2 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | $2,165 | $216.5 | $493.81 | $541.25 | $2,024.64 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | $2,165 | $216.5 | $493.81 | $541.25 | $2,024.64 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | $2,165 | $216.5 | $493.81 | $541.25 | $2,024.64 |
Payer mix (top 20)
| Payer | Codes covered | Median rate |
|---|---|---|
| web tpa [2115] | 96 | $443 |
| amerigroup commercial [5055] | 96 | $443 |
| black lung [6055] | 96 | $443 |
| healthcare highways [2210] | 96 | $443 |
| healthscope benefits [2290] | 96 | $443 |
| lucent health [6000] | 96 | $443 |
| Medicaid | 96 | $543.5 |
| group pension admin [1450] | 50 | $322.44 |
| phcs [1780] | 50 | $322.44 |
| Cigna | 24 | $461.04 |
| texas childrens health plan [3995] | 20 | $745.33 |
| UnitedHealthcare | 20 | $667.25 |
| pending ssi [1616] | 19 | $192.96 |
| Aetna | 6 | $163.62 |
| mailhandlers [1595] | 5 | $163.62 |
| Blue Cross Blue Shield | 5 | $145.16 |
| Healthfirst | 1 | $473 |
| Medicare | 1 | $189.2 |
| umr [2035] | 1 | $68.24 |
| aarp [1000] | 1 | $68.24 |