Hospital Profile Critical Access Hospitals Government - Local

Plains Memorial Hospital

310 WEST HALSELL, Dimmitt, TX 79027

CMS Overall Rating No CMS Rating

Plains Memorial Hospital publishes prices for 91 shoppable procedures in Dimmitt, TX. It's classified by CMS as Critical Access Hospitals (Government - Local). CMS has not published a star rating for it.

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: 91 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at Plains Memorial Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$185	—	—	—
X-ray, foot CPT Code: `73630`	$162	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$58	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$68	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$155	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$110	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$25	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$65	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$15	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$86	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$338	—	—	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$150	—	—	—
Blood test, lipase CPT Code: `83690`	$34	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$844	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	—	—	—
Blood test, magnesium CPT Code: `83735`	$67	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$72	—	—	—
Group therapy session CPT Code: `90853`	$26	—	—	—
Family therapy session CPT Code: `90847`	$112	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$41	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$67	—	—	—
X-ray, hand CPT Code: `73130`	$162	—	—	—
X-ray, shoulder CPT Code: `73030`	$162	—	—	—
MRI, knee or other leg joint CPT Code: `73721`	$838	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$29	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$986	—	—	—
Orthotic fitting and training CPT Code: `97760`	$69	—	—	—
Culture, blood CPT Code: `87040`	$50	—	—	—
Psychiatric evaluation (first visit) CPT Code: `90791`	$285	—	—	—
Blood antibody screen CPT Code: `86850`	$99	—	—	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$123	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$38	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$74	—	—	—
Psychotherapy session (45 minutes) CPT Code: `90834`	$285	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$831	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$162	—	—	—
CT scan, pelvis CPT Code: `72192`	$848	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$40	—	—	—
Blood test, liver function panel CPT Code: `80076`	$40	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$67	—	—	—
Blood test, amylase CPT Code: `82150`	$32	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$88	—	—	—
Trauma team activation HCPCS Code: `G0390`	$2,446	—	—	—
X-ray, ankle CPT Code: `73610`	$162	—	—	—
X-ray, hip CPT Code: `73502`	$162	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$50	—	—	—
Blood test, calcium CPT Code: `82310`	$24	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$449	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$284	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$88	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$15	—	—	—
Blood test, vitamin D CPT Code: `82306`	$93	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$1,053	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$20	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$20	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$167	—	—	—
MRI, lower back (no contrast) CPT Code: `72148`	$827	—	—	—
X-ray, lower back CPT Code: `72110`	$144	—	—	—
Culture, bacterial CPT Code: `87070`	$40	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$23	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$206	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$1,087	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$61	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$270	—	—	—
Psychotherapy session (60 minutes) CPT Code: `90837`	$285	—	—	—
Colorectal cancer screening HCPCS Code: `G0010`	$15	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$286	—	—	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$75	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$70	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$16	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$17	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$836	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,102	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,298	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$47	—	—	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$214	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$119	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$162	—	—	—
Blood test, sodium CPT Code: `84295`	$23	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$162	—	—	—
X-ray, pelvis CPT Code: `72170`	$197	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$438	—	—	—
Blood transfusion CPT Code: `36430`	$776	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$72	—	—	—
Blood test, potassium CPT Code: `84132`	$23	—	—	—
CT scan, head (with contrast) CPT Code: `70460`	$822	—	—	—
Prosthetic fitting and training CPT Code: `97761`	$60	—	—	—
CT scan, sinuses CPT Code: `70486`	$709	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$1,316	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$80	—	—	—