Skip to main content

Grace Surgical Hospital

2412 50Th St, Lubbock, TX 79412 · (806) 788-4000

Acute Care HospitalsVoluntary non-profit - PrivateLubbock, TX metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

4,237 price rows for 69 procedures

Published prices

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

CPT 80048 · lowest of 3 lines · metro median $52

$42
cash
$460
cash
CT scan of the head, no contrast

CPT 70450 · metro median $245

$245
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $836

$1,244
cash
—
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 20 lines · metro median $81

$150
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 11 lines · metro median $47

$48
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $65

$56
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $336

$537
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 22 lines · metro median $70

$42
cash
—
cash
—
cash
—
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 16 lines · metro median $88

$88
cash
Liver function panel

CPT 80076 · lowest of 3 lines · metro median $50

$42
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $690

$690
cash
$360
cash
$360
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $665

$281
cash
—
cash
—
cash
—
cash
—
cash
—
cash
PSA test (prostate)

CPT 84153 · lowest of 13 lines · metro median $99

$125
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 25 lines · metro median $36

$36
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $72

$72
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $540

$540
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $70

$70
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $80

$80
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 25 lines · metro median $24

$24
cash
—
cash
—
cash
—
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $125

$125
cash
—
cash
—
cash
—
cash
—
cash
—
cash
TSH test (thyroid)

CPT 84443 · lowest of 19 lines · metro median $90

$115
cash
—
cash
Transvaginal ultrasound

CPT 76830 · metro median $459

$513
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $459

$540
cash
—
cash
—
cash
Urinalysis with microscope

CPT 81001 · lowest of 9 lines · metro median $24

$21
cash
—
cash
—
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $239

$352
cash

Source files

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