Big Bend Regional Medical Center prices. From its own published file.

Big Bend Regional Medical Center in Alpine, TX publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,602prices published

Sep 2026file last updated

$1,460cash price for ct abdomen and pelvis with contrast (list $7,300)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$302	$1,510	$986–$1,329
Emergency visit, high (level 4) `99284`	$494	$2,472	$1,600–$2,175
Emergency visit, highest (level 5) `99285`	$709	$3,543	$2,344–$3,118
Comprehensive metabolic panel `80053`	$92.25	$461	$13.04–$406
Basic metabolic panel `80048`	$38.61	$193	$10.44–$170
Complete blood count (CBC) `85025`	$49.60	$248	$9.59–$218
Blood draw (venipuncture) `36415`	$13.89	$69.46	$51.05–$61.12
Urinalysis `81001`	$40.67	$203	$3.92–$179
Troponin (heart test) `84484`	$54.56	$273	$12.47–$240
EKG tracing `93005`	$229	$1,146	$53.16–$1,011
Chest X-ray, 2 views `71046`	$116	$580	$62.12–$510
CT head without contrast `70450`	$529	$2,647	$160–$2,329
CT abdomen and pelvis with contrast `74177`	$1,460	$7,300	$354–$6,424
MRI lower back without contrast `72148`	$588	$2,941	$325–$2,588
Ultrasound, abdomen `76700`	$112	$560	$114–$626
IV push, single drug `96374`	$109	$548	$44.66–$482
IV fluids, first hour `96360`	$229	$1,144	$45.00–$1,007
Ketorolac injection, 15 mg `J1885`	$40.53	$315	$0.22–$355
Ondansetron injection `J2405`	$5.45	$27.24	$0.59–$23.97

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Big Bend Regional Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.