PLAINS MEMORIAL HOSPITAL (Dimmitt, TX) prices

45 CFR § 180 compliance

A · 100

This hospital published most of what § 180 requires.

●Machine-readable file published: assessment threshold met

●Gross / standard charges: assessment threshold met

●Discounted cash price: assessment threshold met

●Payer-specific negotiated rates: assessment threshold met

●Min / max negotiated charges: assessment threshold met

●Free, public, no login required: assessment threshold met

Procedures listed

2,555

Insurances with rates

CPT / HCPCS codes

Source MRF

json ↗

Retrieved: 2026-11-02

Most expensive procedures (gross)

49064633B

$7,371

64633 Destroy C/th Facet Jnt 1st Levelbi-lateral Pain Charge

Gross

$9,828

49064635B

$7,371

64635 Destrov 1/s Facet Jnt 1st Levelbi-lateral Pain Charge

Gross

$9,828

49064624B

$7,369

64624 Genicular Nerve Ablationbi-lateral Pain Charge

Gross

$9,825

44526765

$6,084

26765 Open Tx Phalangeal Fx Ed Charge

Gross

$8,112

44523930

$5,076

23930 I&d Up Arm Elbw Deep Absc

Gross

$6,768

4340001

$4,722

Cchd Bone Imaging, 3 Phase

Gross

$6,296

49064624

$3,922

64624 Genicular Nerve Ablation Pain Charge

Gross

$5,229

49064633

$3,922

64633 Destroy C/th Facet Jnt 1st Level Pain Charge

Gross

$5,229

49064635

$3,922

64635 Destroy L/s Facet Jnt 1st Level Pain Charge

Gross

$5,229

49064493B

$3,729

64493 Ini Paravert F Jnt L/s 1 Levelbi-lateral Pain Charge

Gross

$4,972

49064490B

$3,729

64490 Inj Paravert Facet Jnt C/t 1 Levelbi-lateral Pain Charge

Gross

$4,972

49064630B

$3,257

64630 Destruction Pudendal Nerve Bilateral [Cchd]

Gross

$4,342

49064640B

$3,257

64640 Destruction By Neruolytic Agent Other Nerve Bilateral [Cchd]

Gross

$4,342

49064454B

$2,944

64454 Njx Genicular Diagnostic Blockbi- Lateral Pain Charge

Gross

$3,925

44520520

$2,897

20520 Rmvl Fb Smp Muscle/tendon

Gross

$3,862

44524200

$2,897

24200 Rmvl Fb U Arm Elbw Subq

Gross

$3,862

4453099

$2,871

25605 Fx Dis Rad Clsd W Manipul

Gross

$3,828

4476490

$2,861

Insert Picc Wo Port >5yrs Charge

Gross

$3,815

4456490

$2,861

Picc Line Insertion

Gross

$3,815

4456280

$2,789

99460 Int Care, Norm Nb

Gross

$3,718

49020606B

$2,651

20606 Xyphoid Jnt Inj (With Ultrasound Bi- Lateral Pain Charge

Gross

$3,535

4453985

$2,608

26951 Amputation, Finger Or Thumb, Single, W/ Direct Clsr

Gross

$3,477

49064450B

$2,471

64450 Other Peripheral Nerve Block Pain Charge

Gross

$3,295

4453007

$2,446

Trauma Team Activation Level 4

Gross

$3,261

4453995

$2,292

27372 Removal Fb Thighknee Deep

Gross

$3,056

4360312-TC

$2,103

Ct Abdomen/pelvis W + W/o Contrast

Gross

$2,804

49064483

$2,101

Injection(s) of anesthetic into lower spine using imaging guidance

Gross

$2,801

49064490

$2,101

64490 Inj Paravert F Jnt C/t 1 Level Pain Charge

Gross

$2,801

49064493

$2,101

64493 Ini Paravert F Jnt L/s 1 Level Pain Charge

Gross

$2,801

49027096B

$2,093

27096 Inject Sacroiliac Jointbi-lateral Pain Charge

Gross

$2,790

49064421

$1,808

64421 Nix Aa&/strd Intercostal Nerve Block Pain Charge

Gross

$2,411

49062321

$1,708

62321 Interlaminar Inj Cervical Or Thoracic (Esi) Pain Charge

Gross

$2,277

49062323

$1,708

Injection(s) of therapeutic substance

Gross

$2,277

49064451

$1,708

64451 Nix Aa&/strd Nrv Nrvtg Si It Pain Charge

Gross

$2,277

49064454

$1,708

64454 Njx Genicular Diagnostic Block Pain Charge

Gross

$2,277

4453988

$1,700

11752 Ex Nail W Tuft Amputation

Gross

$2,266

4454051

$1,700

Partial Excision Distal Phalanx Of Toe

Gross

$2,266

4360402-TC

$1,675

Ct Angiography Abdomen/pelvis

Gross

$2,233

4360310-TC

$1,670

CT scan of abdomen and pelvis with contrast

Gross

$2,226

49064510

$1,628

64510 Stellate Ganglion (Cervical Sympathetic) Pain Charge

Gross

$2,171

49064520

$1,628

64520 Ganglion Impar Block Pain Charge

Gross

$2,171

49064630

$1,628

64630 Destruction Pudendal Nerve Unilateral [Cchd]

Gross

$2,171

49064640

$1,628

64640 Continuous Ablation Suprascapular Nerve/suprascapular Nerve Rfa Peripheral *Pulse Pain Charge

Gross

$2,171

4531232

$1,628

Transport Specialty Care

Gross

$2,171

4453989

$1,623

15200 Autogrf Acell Full Thick

Gross

$2,164

4453046

$1,623

Rpr Lay S,ax,t,ex,g;>30cm

Gross

$2,164

44549082

$1,619

49082 Paracentesis Abd Wo Image

Gross

$2,159

4320062-TC

$1,609

Mra Neck W/ + W/o Contrast

Gross

$2,145

4320014-TC

$1,609

Mri Abdomen W/ + W/o Contrast

Gross

$2,145

4320001-TC

$1,609

MRI Scan

Gross

$2,145

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
49064633B	64633 Destroy C/th Facet Jnt 1st Levelbi-lateral Pain Charge	$9,828	$7,371	$7,862	$8,354	5
49064635B	64635 Destrov 1/s Facet Jnt 1st Levelbi-lateral Pain Charge	$9,828	$7,371	$7,862	$8,354	5
49064624B	64624 Genicular Nerve Ablationbi-lateral Pain Charge	$9,825	$7,369	$7,860	$8,351	5
44526765	26765 Open Tx Phalangeal Fx Ed Charge	$8,112	$6,084	$6,490	$6,895	5
44523930	23930 I&d Up Arm Elbw Deep Absc	$6,768	$5,076	$5,414	$5,753	5
4340001	Cchd Bone Imaging, 3 Phase	$6,296	$4,722	$5,037	$5,352	5
49064624	64624 Genicular Nerve Ablation Pain Charge	$5,229	$3,922	$4,183	$4,445	5
49064633	64633 Destroy C/th Facet Jnt 1st Level Pain Charge	$5,229	$3,922	$4,183	$4,445	5
49064635	64635 Destroy L/s Facet Jnt 1st Level Pain Charge	$5,229	$3,922	$4,183	$4,445	5
49064493B	64493 Ini Paravert F Jnt L/s 1 Levelbi-lateral Pain Charge	$4,972	$3,729	$3,978	$4,226	5
49064490B	64490 Inj Paravert Facet Jnt C/t 1 Levelbi-lateral Pain Charge	$4,972	$3,729	$3,978	$4,226	5
49064630B	64630 Destruction Pudendal Nerve Bilateral [Cchd]	$4,342	$3,257	$3,474	$3,691	5
49064640B	64640 Destruction By Neruolytic Agent Other Nerve Bilateral [Cchd]	$4,342	$3,257	$3,474	$3,691	5
49064454B	64454 Njx Genicular Diagnostic Blockbi- Lateral Pain Charge	$3,925	$2,944	$3,140	$3,336	5
44520520	20520 Rmvl Fb Smp Muscle/tendon	$3,862	$2,897	$3,090	$3,283	5
44524200	24200 Rmvl Fb U Arm Elbw Subq	$3,862	$2,897	$3,090	$3,283	5
4453099	25605 Fx Dis Rad Clsd W Manipul	$3,828	$2,871	$3,062	$3,254	5
4476490	Insert Picc Wo Port >5yrs Charge	$3,815	$2,861	$3,052	$3,243	5
4456490	Picc Line Insertion	$3,815	$2,861	$3,052	$3,243	5
4456280	99460 Int Care, Norm Nb	$3,718	$2,789	$2,974	$3,160	5
49020606B	20606 Xyphoid Jnt Inj (With Ultrasound Bi- Lateral Pain Charge	$3,535	$2,651	$2,828	$3,005	5
4453985	26951 Amputation, Finger Or Thumb, Single, W/ Direct Clsr	$3,477	$2,608	$2,782	$2,955	5
49064450B	64450 Other Peripheral Nerve Block Pain Charge	$3,295	$2,471	$2,636	$2,801	5
4453007	Trauma Team Activation Level 4	$3,261	$2,446	$2,609	$2,772	5
4453995	27372 Removal Fb Thighknee Deep	$3,056	$2,292	$2,445	$2,598	5
4360312-TC	Ct Abdomen/pelvis W + W/o Contrast	$2,804	$2,103	$2,243	$2,383	5
49064483	Injection(s) of anesthetic into lower spine using imaging guidance	$2,801	$2,101	$2,241	$2,381	5
49064490	64490 Inj Paravert F Jnt C/t 1 Level Pain Charge	$2,801	$2,101	$2,241	$2,381	5
49064493	64493 Ini Paravert F Jnt L/s 1 Level Pain Charge	$2,801	$2,101	$2,241	$2,381	5
49027096B	27096 Inject Sacroiliac Jointbi-lateral Pain Charge	$2,790	$2,093	$2,232	$2,372	5
49064421	64421 Nix Aa&/strd Intercostal Nerve Block Pain Charge	$2,411	$1,808	$1,929	$2,049	5
49062321	62321 Interlaminar Inj Cervical Or Thoracic (Esi) Pain Charge	$2,277	$1,708	$1,822	$1,935	5
49062323	Injection(s) of therapeutic substance	$2,277	$1,708	$1,822	$1,935	5
49064451	64451 Nix Aa&/strd Nrv Nrvtg Si It Pain Charge	$2,277	$1,708	$1,822	$1,935	5
49064454	64454 Njx Genicular Diagnostic Block Pain Charge	$2,277	$1,708	$1,822	$1,935	5
4453988	11752 Ex Nail W Tuft Amputation	$2,266	$1,700	$1,813	$1,926	5
4454051	Partial Excision Distal Phalanx Of Toe	$2,266	$1,700	$1,813	$1,926	5
4360402-TC	Ct Angiography Abdomen/pelvis	$2,233	$1,675	$1,786	$1,898	5
4360310-TC	CT scan of abdomen and pelvis with contrast	$2,226	$1,670	$1,781	$1,892	5
49064510	64510 Stellate Ganglion (Cervical Sympathetic) Pain Charge	$2,171	$1,628	$1,737	$1,845	5
49064520	64520 Ganglion Impar Block Pain Charge	$2,171	$1,628	$1,737	$1,845	5
49064630	64630 Destruction Pudendal Nerve Unilateral [Cchd]	$2,171	$1,628	$1,737	$1,845	5
49064640	64640 Continuous Ablation Suprascapular Nerve/suprascapular Nerve Rfa Peripheral *Pulse Pain Charge	$2,171	$1,628	$1,737	$1,845	5
4531232	Transport Specialty Care	$2,171	$1,628	$1,737	$1,845	5
4453989	15200 Autogrf Acell Full Thick	$2,164	$1,623	$1,731	$1,839	5
4453046	Rpr Lay S,ax,t,ex,g;>30cm	$2,164	$1,623	$1,731	$1,839	5
44549082	49082 Paracentesis Abd Wo Image	$2,159	$1,619	$1,727	$1,835	5
4320062-TC	Mra Neck W/ + W/o Contrast	$2,145	$1,609	$1,716	$1,823	5
4320014-TC	Mri Abdomen W/ + W/o Contrast	$2,145	$1,609	$1,716	$1,823	5
4320001-TC	MRI Scan	$2,145	$1,609	$1,716	$1,823	5

Showing top 50 of 2,555 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.