Rolling Plains Memorial Hospital — procedure prices

Published prices for 237 procedures at Rolling Plains Memorial Hospital (Sweetwater, TX), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $42 $65 $52 $51
Abdominal fluid drain (paracentesis) $449 $691 $553 $284
Abdominal ultrasound $411 $633 $507 $100
Abscess incision and drainage $195 $300 $241 $174
Albumin blood test $52 $80 $64 $5
Aldosterone test $153 $235 $180 $41
Alkaline phosphatase test $47 $72 $58 $5
Allergy shots $17 $25 $20 $11
Alpha-fetoprotein (AFP) test $105 $162 $130 $17
ALT liver enzyme test $52 $80 $64 $5
Ammonia blood test $97 $149 $119 $15
Amylase test $62 $95 $77 $6
Annual physical (established patient) $152 $233 $182 —
Annual physical (new patient) $177 $272 $208 —
Anoscopy $119 $184 $138 $129
Antinuclear antibody (ANA) test $70 $107 $86 $12
Arterial blood gas (ABG) $162 $249 $199 $26
AST liver enzyme test $50 $76 $59 $5
Barium swallow study $378 $581 $446 $107
Bartholin cyst removal $204 $314 $237 $182
Basic metabolic panel $131 $202 $162 $8
Benign skin lesion removal $371 $570 $433 $171
Bilirubin blood test $52 $80 $64 $5
Blood clotting test (PT/INR) $37 $57 $44 $4
Blood crossmatch $62 $96 $77 —
Blood glucose test $51 $78 $60 $5
Blood transfusion $780 $1,200 $960 $47
Blood type and screen $101 $155 $124 $10
Blood type test $33 $50 $40 $3
BNP (heart failure) test $144 $222 $178 $39
Bone density scan (DEXA) $359 $552 $442 $39
Bone marrow biopsy $235 $361 $273 $172
Bone scan (nuclear) $1,035 $1,593 $1,274 $259
Breast ultrasound $354 $544 $435 $92
Breathing tube insertion (intubation) $291 $448 $358 $133
Burn treatment $138 $212 $165 $129
C-reactive protein (CRP) $47 $73 $58 $5
CA 19-9 tumor marker test $89 $137 $110 $21
CA-125 ovarian marker test $125 $193 $154 $21
Calcium blood test $49 $75 $58 $5
Cardiac rehabilitation $163 $250 $200 $26
Cardiac stress test $652 $1,003 $802 $39
Cardioversion $629 $968 $780 $155
Carotid artery ultrasound $611 $940 $752 $156
CEA tumor marker test $82 $126 $101 $19
Central line placement $976 $1,502 $1,202 $238
Chalazion (eyelid cyst) removal $293 $450 $360 $131
Chest fluid drain (thoracentesis) $865 $1,331 $1,065 $311
Chest tube insertion $511 $786 $629 $143
Chest X-ray $234 $360 $288 $37
Chickenpox (varicella) vaccine $350 $539 $431 —
Circumcision $952 $1,465 $1,092 $167
CK-MB heart enzyme test $125 $193 $154 $12
Clotting time test (PTT) $54 $83 $66 $6
Colonoscopy $2,607 $4,010 $3,037 $480
Colposcopy $243 $374 $299 $161
Complete blood count (CBC) $55 $85 $65 $7
Complex wound repair $421 $648 $518 $390
Comprehensive metabolic panel $140 $216 $173 $11
Contraceptive implant (Nexplanon) $111 $170 $136 $115
Copper blood test $72 $110 $88 $12
Cortisol test $93 $143 $114 $16
COVID-19 PCR test $101 $156 $125 $51
CPAP titration study $397 $610 $488 $69
Creatine kinase (CK) test $72 $110 $88 $7
CT angiography of the chest $1,651 $2,540 $2,032 $281
CT angiography of the head $1,690 $2,600 $2,080 $274
CT scan of the abdomen $1,513 $2,328 $1,862 $230
CT scan of the abdomen and pelvis $2,799 $4,305 $3,359 $300
CT scan of the arm $1,513 $2,328 $1,862 $199
CT scan of the chest $1,513 $2,328 $1,862 $167
CT scan of the head $1,482 $2,281 $1,755 $148
CT scan of the leg $1,513 $2,328 $1,862 $166
CT scan of the lower back (lumbar spine) $1,519 $2,337 $1,870 $169
CT scan of the neck $1,491 $2,294 $1,835 $183
CT scan of the neck (cervical spine) $1,519 $2,337 $1,870 $168
CT scan of the pelvis $1,513 $2,328 $1,862 $226
CT scan of the sinuses $1,147 $1,765 $1,354 $152
D-dimer test $96 $147 $118 $10
Developmental screening (child) $30 $46 $37 —
DHEA-sulfate test $96 $148 $118 $22
Diagnostic mammogram $213 $327 $262 $140
Dilation and curettage (D&C) $1,873 $2,882 $2,306 $298
Drug screen (urine) $87 $134 $107 $17
Echocardiogram $669 $1,029 $783 $138
Electrocardiogram (EKG) $130 $199 $153 $8
Electroencephalogram (EEG) $601 $925 $740 $448
Electrolyte panel $56 $86 $69 $7
Emergency department visit $416 $640 $483 $69
Endometrial biopsy $140 $215 $170 $98
Epidural steroid injection $1,056 $1,625 $1,300 $275
Estradiol (estrogen) test $120 $184 $148 $28
Facet joint injection (spine) $756 $1,163 $850 $99
Fallopian tube X-ray (HSG) $482 $742 $594 $164
Family therapy session $130 $200 $160 $110
Fecal occult blood (stool) test $23 $35 $26 $10
Ferritin (iron) test $83 $128 $102 $14
Fibrinogen test $71 $110 $86 $10
Flexible sigmoidoscopy $533 $820 $627 $323
Flu test $26 $40 $32 $17
Flu vaccine $25 $38 $29 —
Folate (folic acid) test $81 $125 $100 $15
Foreign body removal (skin) $216 $332 $253 $157
Free T4 thyroid test $70 $108 $82 $9
FSH hormone test $92 $141 $113 $19
Gallbladder removal (laparoscopic) $4,904 $7,544 $6,035 $658
Gallbladder scan (HIDA) $1,197 $1,842 $1,474 $334
GGT liver test $59 $90 $72 $7
Glucose tolerance test $93 $143 $108 $8
HDL cholesterol test $54 $83 $66 $8
Hematocrit test $9 $14 $11 $2
Hemodialysis $2,373 $3,650 $2,920 $75
Hemoglobin A1c (diabetes test) $61 $94 $75 $10
Hepatitis A vaccine $49 $76 $61 —
Hepatitis B test $64 $99 $79 $10
Hepatitis B vaccine $174 $268 $211 —
Hepatitis C test $275 $423 $324 $14
HIV test $72 $110 $85 $19
Holter heart monitor $237 $365 $292 $26
HPV vaccine $572 $880 $704 —
Inguinal hernia repair $4,540 $6,984 $5,587 $538
Iron blood test $45 $69 $55 $6
IUD insertion $60 $92 $74 —
IUD removal $137 $211 $157 $112
IV infusion therapy $107 $164 $126 $44
Joint aspiration (small/intermediate) $134 $206 $158 $57
Kidney scan (nuclear) $609 $937 $750 $172
Kidney ultrasound $411 $633 $506 $84
Knee arthroscopy $3,626 $5,579 $4,463 $524
Knee joint injection $149 $229 $183 $69
Lactate test $64 $99 $79 $12
LDH test $52 $80 $61 $6
LDL cholesterol test $50 $77 $59 $11
Leg vein ultrasound (Doppler) $611 $940 $752 $150
LH hormone test $97 $149 $119 $19
Lipase test $86 $132 $106 $7
Lipid (cholesterol) panel $92 $142 $107 $13
Liver function panel $110 $168 $129 $8
Lung function test (PFT) $275 $423 $329 $37
Lung scan (V/Q) $1,106 $1,702 $1,362 $291
Magnesium blood test $57 $87 $70 $7
MMR vaccine $141 $216 $159 —
MRA of the brain $1,676 $2,578 $2,062 $226
MRA of the neck $1,676 $2,578 $2,062 $245
MRI of the abdomen $1,843 $2,836 $2,178 $300
MRI of the ankle $2,010 $3,093 $2,474 $261
MRI of the brain $2,010 $3,093 $2,474 $269
MRI of the chest $2,010 $3,093 $2,474 $371
MRI of the knee $2,010 $3,093 $2,474 $315
MRI of the lower back (lumbar spine) $2,010 $3,093 $2,474 $270
MRI of the mid-back (thoracic spine) $2,010 $3,093 $2,474 $271
MRI of the neck (cervical spine) $2,010 $3,093 $2,474 $274
MRI of the pelvis $2,010 $3,093 $2,474 $268
MRI of the shoulder $2,010 $3,093 $2,474 $313
MRI of the wrist $2,010 $3,093 $2,474 $330
Nebulizer breathing treatment $397 $610 $488 $9
Nuclear cardiac stress test $2,633 $4,050 $3,240 $428
Occupational therapy evaluation $186 $286 $229 $101
Office visit (established patient) $75 $115 $88 $115
Office visit (new patient) $100 $154 $119 $177
Parathyroid hormone (PTH) test $176 $270 $216 $41
Pelvic ultrasound $411 $632 $506 $78
Phosphorus blood test $52 $80 $64 $5
Physical therapy evaluation $161 $247 $198 $98
Platelet count $40 $61 $49 $4
Pneumonia vaccine $171 $263 $212 —
Pregnancy blood test (hCG) $47 $73 $58 $8
Pregnancy ultrasound $413 $636 $481 $126
Procalcitonin test $249 $383 $306 $27
Prolactin test $111 $171 $129 $19
Prostate test (PSA) $89 $137 $110 $18
Psychiatric evaluation $144 $221 $170 $188
Psychotherapy session $121 $185 $143 $140
Rheumatoid factor test $82 $126 $101 $6
Scoliosis spine X-ray $319 $491 $393 $58
Screening mammogram $219 $337 $262 $126
Scrotal ultrasound $465 $715 $548 $99
Sedimentation rate (ESR) test $39 $60 $48 $3
Semen analysis $66 $101 $74 $12
Sex hormone binding globulin test $70 $107 $86 $22
Shingles vaccine $133 $204 $163 —
Simple wound stitches $156 $240 $183 $127
Skin biopsy $157 $241 $185 $121
Skin cancer lesion removal $407 $626 $472 $240
Skin lesion freezing (cryotherapy) $29 $45 $32 $36
Skin tag removal $63 $97 $78 $92
Sleep study (polysomnography) $2,646 $4,070 $3,256 $691
Soft tissue ultrasound $306 $471 $377 $64
Speech therapy $164 $253 $202 $76
Spinal tap (lumbar puncture) $410 $630 $484 $165
Swallow study $252 $387 $309 $85
T3 thyroid test $93 $143 $114 $14
Tdap (tetanus) vaccine $87 $133 $105 —
Testosterone test $135 $207 $156 $26
Thyroid test (TSH) $117 $180 $144 $17
Thyroid ultrasound $411 $633 $506 $109
Thyroid uptake scan $767 $1,180 $944 $145
Total IgE allergy test $77 $119 $95 $16
Total protein test $19 $29 $23 $4
Transvaginal ultrasound $393 $605 $484 $118
Trigger finger release $1,037 $1,595 $1,276 $630
Trigger point injection $158 $243 $194 $56
Triglycerides test $52 $80 $64 $6
Troponin (heart) test $111 $171 $137 $12
Upper GI endoscopy (EGD) $2,916 $4,486 $3,450 $371
Upper GI series (barium) $402 $618 $493 $128
Uric acid (gout) test $52 $80 $64 $5
Urinalysis $33 $50 $40 $3
Urine microalbumin test $53 $81 $64 $5
Urine pregnancy test $47 $72 $54 $9
Vaccine administration $36 $55 $44 $19
Vitamin B12 test $86 $132 $106 $15
Vitamin D test $124 $191 $153 $30
Wart removal $76 $117 $90 $121
Well-child visit $124 $190 $152 —
Wound debridement $436 $670 $536 $186
X-ray of the abdomen $197 $303 $243 $36
X-ray of the ankle $189 $291 $233 $37
X-ray of the collarbone $194 $299 $234 $33
X-ray of the elbow $189 $291 $233 $33
X-ray of the facial bones $195 $300 $234 $39
X-ray of the foot $203 $312 $250 $34
X-ray of the forearm $169 $260 $208 $29
X-ray of the hand $196 $302 $242 $38
X-ray of the hip $198 $305 $238 $49
X-ray of the knee $189 $291 $233 $42
X-ray of the lower back (lumbar spine) $308 $474 $356 $47
X-ray of the lower leg $198 $305 $244 $31
X-ray of the mid-back (thoracic spine) $205 $315 $252 $36
X-ray of the neck (cervical spine) $189 $291 $233 $47
X-ray of the pelvis $205 $315 $252 $36
X-ray of the ribs $231 $355 $274 $42
X-ray of the shoulder $223 $343 $267 $36
X-ray of the skull $286 $440 $332 $40
X-ray of the upper arm $189 $291 $233 $32
X-ray of the wrist $189 $291 $233 $43
Zinc blood test $57 $87 $70 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.