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De Tar Hospital Navarro

506 E San Antonio St, Victoria, TX 77901 · (361) 575-7441

Acute Care HospitalsProprietaryCMS rating 2/5Victoria, TX metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

9,488 price rows for 52 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $366

$366
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $3,442

$3,442
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $2,209

$2,209
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $3,193

$3,193
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 16 lines · metro median $127

$127
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $4,263

$4,263
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $6,599

$6,599
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $6,194

$6,194
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $182

$182
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $395

$395
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $279

$279
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $3,304

$3,304
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $10,594

$10,594
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 12 lines · metro median $127

$127
cash
Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $88

$88
cash
—
cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $9,190

$9,190
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $10,514

$10,514
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 8 lines · metro median $73

$73
cash
Liver function panel

CPT 80076 · lowest of 4 lines · metro median $415

$415
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $2,651

$2,651
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $2,237

$2,237
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $2,110

$2,110
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $2,110

$2,110
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $3,558

$3,558
cash
PSA test (prostate)

CPT 84153 · lowest of 8 lines · metro median $158

$158
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $119

$119
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $1,014

$1,014
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $7,547

$7,547
cash
Prostate removal (laparoscopic)

CPT 55866 · lowest of 2 lines · metro median $24,942

$24,942
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 12 lines · metro median $119

$119
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $107

$107
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $185

$185
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $8,816

$8,816
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $219

$219
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $15,187

$15,187
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $3,640

$3,640
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 6 lines · metro median $1,521

$1,521
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $127

$127
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $7,057

$7,057
cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $524

$524
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $976

$976
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $4,985

$4,985
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $7,144

$7,144
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $200

$200
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $794

$794
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.