Texas County Memorial Hospital

1333 Sam Houston Boulevard, Houston, MO 65483 · (417) 967-3311

Acute Care HospitalsGovernment - LocalCMS rating 2/5Website ↗

Price file

Prices published

File dated 2026-07-17

297 price rows for 39 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$50

cash

$8 to $8

2 negotiated rates

$71

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

$2,937

cash

$365 to $365

1 negotiated rates

$4,196

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,655

cash

$109 to $109

2 negotiated rates

$2,364

list

CT scan of the pelvis, with contrast

CPT 72193

$1,961

cash

$183 to $183

1 negotiated rates

$2,802

list

Cataract surgery with lens implant

CPT 66984

$5,116

cash

$2,414 to $2,414

1 negotiated rates

$7,309

list

Cesarean section hospital stay, no complications

MS-DRG 788

$16,709

cash

$8,518 to $8,518

1 negotiated rates

$23,870

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$1,035

cash

$973 to $973

3 negotiated rates

$1,035

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$1,140

cash

$1,252 to $1,252

3 negotiated rates

$1,140

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$1,465

cash

$1,252 to $1,252

3 negotiated rates

$1,465

list

Complete blood count (CBC) with differential

CPT 85025

$49

cash

$8 to $8

1 negotiated rates

$71

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines

$77

cash

$10 to $10

3 negotiated rates

$111

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$105

cash

$93 to $93

2 negotiated rates

$150

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines

$2,945

cash

$6,324 to $6,324

3 negotiated rates

$2,945

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

$11,246

cash

$7,220 to $7,220

1 negotiated rates

$16,065

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines

$1,855

cash

$3,746 to $3,746

3 negotiated rates

$1,855

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 3 lines

$98

cash

$13 to $13

3 negotiated rates

$139

list

Liver function panel

CPT 80076 · lowest of 2 lines

$71

cash

$8 to $8

2 negotiated rates

$101

list

MRI of the brain, with and without contrast

CPT 70553

$3,591

cash

$365 to $365

1 negotiated rates

$5,130

list

MRI of the knee or other lower joint, no contrast

CPT 73721

$2,884

cash

$250 to $250

1 negotiated rates

$4,120

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148

$2,884

cash

$250 to $250

1 negotiated rates

$4,120

list

MRI of the neck (cervical spine), no contrast

CPT 72141

$2,884

cash

$250 to $250

1 negotiated rates

$4,120

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

$845

cash

$925 to $925

2 negotiated rates

$845

list

PSA test (prostate)

CPT 84153

$181

cash

$18 to $18

1 negotiated rates

$259

list

Partial thromboplastin time (blood clotting test)

CPT 85730

$81

cash

$6 to $6

1 negotiated rates

$116

list

Pregnancy ultrasound (after first trimester)

CPT 76805

$663

cash

$109 to $109

1 negotiated rates

$947

list

Prothrombin time (blood clotting test)

CPT 85610

$30

cash

$4 to $4

1 negotiated rates

$43

list

Removal of a breast lump (biopsy by excision)

CPT 19120

$1,010

cash

$4,096 to $4,096

2 negotiated rates

$1,010

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 3 lines

$79

cash

$77 to $77

3 negotiated rates

$112

list

Sleep study (overnight, attended)

CPT 95810

$2,604

cash

$898 to $898

1 negotiated rates

$3,720

list

Spinal injection, lower back, no imaging guidance

CPT 62322

$420

cash

$925 to $925

2 negotiated rates

$420

list

Spinal injection, lower back, with imaging guidance

CPT 62323

$475

cash

$738 to $738

2 negotiated rates

$475

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$93

cash

$16 to $16

2 negotiated rates

$132

list

Transvaginal ultrasound

CPT 76830

$644

cash

$109 to $109

1 negotiated rates

$920

list

Ultrasound of the abdomen (complete)

CPT 76700

$922

cash

$109 to $109

1 negotiated rates

$1,317

list

Upper endoscopy (EGD)

CPT 43235

$725

cash

$949 to $949

2 negotiated rates

$725

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$835

cash

$949 to $949

3 negotiated rates

$835

list

Urinalysis with microscope

CPT 81001

$40

cash

$3 to $3

1 negotiated rates

$57

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

$5,040

cash

$6,456 to $6,456

1 negotiated rates

$7,200

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$175

cash

$109 to $109

3 negotiated rates

$175

list

Source files

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

https://www.tcmh.org/wp-content/uploads/2026/07/430887928_texas-county-memorial-hospital_standardcharges.csv
Texas County Memorial Hospital · parsed · tall v3.0.0 · file dated 2026-07-17 · 0.4 MB · 297 price rows read · read Nov 2026