CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$288 - $1,866
from 4 insurers · median $983
Typical for a hospital with this service line
Lockney, TX
32
In-network payers
319
Disclosed rate categories
25
Beds
W.J. Mangold Memorial Hospital is a 25-bed government - hospital district or authority hospital in Lockney, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 319 disclosed rate categories.
CCN (Medicare provider number)
451337
NPI
1104842475
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services W.J. Mangold Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$288 - $1,866
from 4 insurers · median $983
Typical for a hospital with this service line
CT imaging
CPT 70450
$98 - $879
from 4 insurers · median $567
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$650 - $1,884
from 4 insurers · median $1,361
Typical for a hospital with this service line
CT imaging
CPT 71275
$695 - $1,584
from 4 insurers · median $1,440
Typical for a hospital with this service line
CT imaging
CPT 71260
$468 - $1,402
from 4 insurers · median $1,337
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$405 - $2,342
from 2 insurers · median $1,374
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$405 - $2,541
from 2 insurers · median $1,473
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,851 - $13,317
from 2 insurers · median $7,584
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $1,686
from 2 insurers · median $1,239
Typical for a hospital with this service line
Gynecology
CPT 58571
$22,547
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$23 - $198
from 4 insurers · median $145
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,851 - $14,404
from 2 insurers · median $8,128
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $1,923
from 2 insurers · median $1,161
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $1,923
from 2 insurers · median $1,155
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$405 - $2,276
from 2 insurers · median $1,341
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,851 - $13,317
from 2 insurers · median $7,584
Typical for a hospital with this service line
MRI imaging
CPT 73721
$393 - $1,778
from 2 insurers · median $1,085
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$694 - $3,849
from 2 insurers · median $2,271
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$675 - $3,897
from 4 insurers · median $3,221
Typical for a hospital with this service line
Gynecology
CPT 58662
$1,851 - $12,229
from 2 insurers · median $7,040
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$775 - $3,686
from 4 insurers · median $3,221
Typical for a hospital with this service line
Ultrasound
CPT 76856
$158 - $482
from 4 insurers · median $372
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$72 - $421
from 4 insurers · median $275
Typical for a hospital with this service line
Mammography
CPT 77067
$152
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 378% | 4 | 3 |
| Insurer B* | 10 | 370% | 0 | 0 |
| Insurer C* | 24 | 246% | 18 | 3 |
| Insurer D* | 22 | 114% | 0 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for W.J. Mangold Memorial Hospital.
320 North Main Street, Lockney, TX 79241
(806) 652-3373
About W.J. Mangold Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at W.J. Mangold Memorial Hospital range from $792 to $1,686 across 2 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,055. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at W.J. Mangold Memorial Hospital range from $288 to $1,866 across 4 insurers. Aetna's rate is $288. The median at nearby comparable hospitals is $1,175. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at W.J. Mangold Memorial Hospital range from $405 to $2,541 across 2 insurers. Blue Cross Blue Shield's rate is $2,541. The median at nearby comparable hospitals is $891. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at W.J. Mangold Memorial Hospital range from $152 to $152 across 1 insurers. Blue Cross Blue Shield's rate is $152. The median at nearby comparable hospitals is $255. What a patient pays depends on their plan's deductible, coinsurance and network status.
W.J. Mangold Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
W.J. Mangold Memorial Hospital is located at 320 North Main Street, Lockney, TX 79241. Its main phone number is (806) 652-3373.
W.J. Mangold Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 451337.
The National Provider Identifier (NPI) on file for W.J. Mangold Memorial Hospital is 1104842475.
W.J. Mangold Memorial Hospital lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
319 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers