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GRACE SURGICAL HOSPITAL

Acute Care Hospitals

16

2412 50TH ST

LUBBOCK, TX, 79412

View on Google Maps →
Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at GRACE SURGICAL HOSPITAL

HC BLOOD DRAW VENIPUNCTURE

CPT 36415

$14.44

HC CBC WITH DIFF AUTO

CPT 85025

$46.74

HC COMPREHEN METABOLIC PANEL

CPT 80053

$66.12

Therapeutic Exercises

CPT 97110

$66.88

Therapeutic Activities

CPT 97530

$75.62

EKG Tracing

CPT 93005

$114

Chest X-Ray (1 view)

CPT 71045

$134.14

Chest X-Ray (2 views)

CPT 71046

$182.78

Thoracic Spine X-Ray

CPT 72072

$266

Screening Mammogram (bilateral)

CPT 77067

$348.84

Abdominal Ultrasound — Limited

CPT 76705

$459.04

Diagnostic Mammogram (unilateral)

CPT 77065

$460.18

Abdominal Ultrasound

CPT 76700

$564.68

Retroperitoneal Ultrasound

CPT 76770

$564.68

OB Ultrasound

CPT 76805

$564.68

ER Visit — Low-Moderate Complexity

CPT 99283

$585.96

Diagnostic Mammogram (bilateral)

CPT 77066

$587.48

ER Visit — Moderate Complexity

CPT 99284

$807.12

Echocardiogram

CPT 93307

$872.1

CT Chest

CPT 71250

$1,098.58

Echocardiogram w/ Doppler

CPT 93306

$1,287.82

ER Visit — High Complexity

CPT 99285

$1,407.14

CT Abdomen & Pelvis

CPT 74177

$1,423.86

MRI Brain w/o Contrast

CPT 70551

$1,526.08

MRI Joint of Lower Extremity

CPT 73721

$1,562.94

MRI Brain w/ Contrast

CPT 70553

$2,373.48

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.