Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

North Texas Medical Center

1900 HOSPITAL BLVD, Gainesville, TX 76240

CMS Overall Rating ★★★★☆
Factual Overview

North Texas Medical Center is a Acute Care Hospitals (Voluntary non-profit - Private) operating in Gainesville, TX. Mapped commercial insurance prices across 94 procedures average 2.20x the Medicare baseline. The facility holds a CMS quality rating of 4/5 stars with a patient recommendation score of 69%.

Facility Overview

Setting: rural Bed Count: 35 Beds Teaching Status: Non-Teaching Annual Discharges: 1,575

Patient Experience

Recommendation Rate: 69% High Patient Rating: 68% ER Wait Time (Med): 121 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 94 codes Avg Markup vs Medicare: 2.20x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
$1,396 Calc
Total hip replacement
CPT Code: 27130
$905 Calc
Total knee replacement
CPT Code: 27447
$905 Calc
Bunion correction surgery
CPT Code: 28296
$320 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
$1,530 Calc
Blood transfusion
CPT Code: 36430
$410 Calc
Upper endoscopy with biopsy
CPT Code: 43239
$1,016 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
$913 Calc
Colonoscopy with biopsy
CPT Code: 45380
$952 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
$16,608 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
$2,010 Calc
Inguinal hernia repair
CPT Code: 49505
$2,582 Calc
Vaginal delivery (full package)
CPT Code: 59400
$2,284 Calc
C-section delivery (full package)
CPT Code: 59510
$2,752 Calc
Cataract surgery with lens implant
CPT Code: 66984
$1,888 Calc
CT scan, head (no contrast)
CPT Code: 70450
$501 Calc
CT scan, head (with contrast)
CPT Code: 70460
$563 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
$626 Calc
CT scan, sinuses
CPT Code: 70486
$501 Calc
MRI, brain (no contrast)
CPT Code: 70551
$638 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
$1,078 Calc
X-ray, chest (single view)
CPT Code: 71045
$68 Calc
X-ray, chest (two views)
CPT Code: 71046
$53 Calc
CT scan, chest (no contrast)
CPT Code: 71250
$502 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
$68 Calc
X-ray, lower back
CPT Code: 72110
$94 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
$588 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
$501 Calc
MRI, lower back (no contrast)
CPT Code: 72148
$666 Calc
X-ray, pelvis
CPT Code: 72170
$56 Calc
CT scan, pelvis
CPT Code: 72192
$501 Calc
X-ray, shoulder
CPT Code: 73030
$49 Calc
X-ray, hand
CPT Code: 73130
$54 Calc
X-ray, hip
CPT Code: 73502
$52 Calc
X-ray, ankle
CPT Code: 73610
$48 Calc
X-ray, foot
CPT Code: 73630
$38 Calc
MRI, knee or other leg joint
CPT Code: 73721
$646 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$569 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$631 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
$150 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
$238 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
$212 Calc
Ultrasound, pelvis
CPT Code: 76856
$187 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
$114 Calc
Screening mammogram (both breasts)
CPT Code: 77067
$86 Calc
Blood test, basic metabolic panel
CPT Code: 80048
$17 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
$21 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
$22 Calc
Blood test, liver function panel
CPT Code: 80076
$16 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
$7 Calc
Blood test, amylase
CPT Code: 82150
$22 Calc
Blood test, vitamin D
CPT Code: 82306
$59 Calc
Blood test, calcium
CPT Code: 82310
$10 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
$10 Calc
Blood test, vitamin B12
CPT Code: 82607
$30 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
$25 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
$10 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
$12 Calc
Blood test, lipase
CPT Code: 83690
$22 Calc
Blood test, magnesium
CPT Code: 83735
$21 Calc
Blood test, potassium
CPT Code: 84132
$10 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
$37 Calc
Blood test, sodium
CPT Code: 84295
$10 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
$52 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
$6 Calc
Blood test, hemoglobin
CPT Code: 85018
$5 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
$12 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
$9 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
$12 Calc
Blood antibody screen
CPT Code: 86850
$20 Calc
Culture, blood
CPT Code: 87040
$21 Calc
Culture, bacterial
CPT Code: 87070
$28 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
$63 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
$86 Calc
Family therapy session
CPT Code: 90847
$72 Calc
Group therapy session
CPT Code: 90853
$19 Calc
Speech therapy (language evaluation)
CPT Code: 92507
$76 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
$10 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
$78 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
$482 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
$169 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
$63 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
$2,463 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
$25 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
$23 Calc
Physical therapy (gait training)
CPT Code: 97116
$21 Calc
Physical therapy (manual therapy)
CPT Code: 97140
$35 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
$33 Calc
Occupational therapy (self-care training)
CPT Code: 97535
$32 Calc
Orthotic fitting and training
CPT Code: 97760
$28 Calc
Prosthetic fitting and training
CPT Code: 97761
$28 Calc
New patient office visit (30-44 min)
CPT Code: 99203
$66 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
$46 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
$89 Calc