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Hospital Profile Critical Access Hospitals Government - Local

Plains Memorial Hospital

310 WEST HALSELL, Dimmitt, TX 79027

CMS Overall Rating No CMS Rating
Factual Overview

Plains Memorial Hospital is a Critical Access Hospitals (Government - Local) operating in Dimmitt, TX. Mapped commercial insurance prices across 78 procedures average 3.78x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 17 Beds Teaching Status: Non-Teaching Annual Discharges: 110

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 108 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 78 codes Avg Markup vs Medicare: 3.78x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $776 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $449 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $822 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,053 Calc
CT scan, sinuses
CPT Code: 70486
 $709 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,316 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $1,086 Calc
X-ray, chest (single view)
CPT Code: 71045
 $162 Calc
X-ray, chest (two views)
CPT Code: 71046
 $162 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $844 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $162 Calc
X-ray, lower back
CPT Code: 72110
 $144 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $831 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $836 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $827 Calc
X-ray, pelvis
CPT Code: 72170
 $197 Calc
CT scan, pelvis
CPT Code: 72192
 $848 Calc
X-ray, shoulder
CPT Code: 73030
 $162 Calc
X-ray, hand
CPT Code: 73130
 $162 Calc
X-ray, hip
CPT Code: 73502
 $162 Calc
X-ray, ankle
CPT Code: 73610
 $162 Calc
X-ray, foot
CPT Code: 73630
 $162 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $838 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $1,298 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $1,102 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $270 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $286 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $284 Calc
Ultrasound, pelvis
CPT Code: 76856
 $338 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $41 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $68 Calc
Blood test, liver function panel
CPT Code: 80076
 $40 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $16 Calc
Blood test, amylase
CPT Code: 82150
 $32 Calc
Blood test, vitamin D
CPT Code: 82306
 $93 Calc
Blood test, calcium
CPT Code: 82310
 $24 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $25 Calc
Blood test, vitamin B12
CPT Code: 82607
 $72 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $67 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $20 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $40 Calc
Blood test, lipase
CPT Code: 83690
 $34 Calc
Blood test, magnesium
CPT Code: 83735
 $66 Calc
Blood test, potassium
CPT Code: 84132
 $23 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $88 Calc
Blood test, sodium
CPT Code: 84295
 $23 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $80 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $20 Calc
Blood test, hemoglobin
CPT Code: 85018
 $11 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $38 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $20 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $29 Calc
Hepatitis C antibody test
CPT Code: 86803
 $74 Calc
Blood antibody screen
CPT Code: 86850
 $99 Calc
Culture, blood
CPT Code: 87040
 $50 Calc
Culture, bacterial
CPT Code: 87070
 $40 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $285 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $285 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $285 Calc
Family therapy session
CPT Code: 90847
 $112 Calc
Group therapy session
CPT Code: 90853
 $26 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $185 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $75 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $110 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $986 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $438 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $206 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $72 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $61 Calc
Physical therapy (gait training)
CPT Code: 97116
 $58 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $65 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $67 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $70 Calc
Orthotic fitting and training
CPT Code: 97760
 $69 Calc
Prosthetic fitting and training
CPT Code: 97761
 $60 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $155 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $122 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $150 Calc