Garden County Health Services
Listed in its price file as “Garden County Hospital and Nursing Home dba Garden County Health Services”.
Garden County Health Services in Oshkosh, NE publishes cash prices for 253 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Nebraska median for 131 of 250 procedures and above it for 115. By typical cash price it ranks #24 of 45 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
Collected Sep 27, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle 3v Lt | $294.00 | $433.00 | $257.00–$416.00 | 11% below | 32% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle 3v Rt | $294.00 | $433.00 | $257.00–$416.00 | 11% below | 32% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Whole Body | $1,542.00 | $2,268.00 | $1,347.00–$2,177.00 | 10% below | 32% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Lt | $386.00 | $568.00 | $337.00–$545.00 | at median | 32% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Rt | $386.00 | $568.00 | $337.00–$545.00 | at median | 32% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest | $2,921.00 | $4,296.00 | $2,552.00–$4,124.00 | 9% below | 32% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd Pelvis Wo Contrast | $3,717.00 | $5,466.00 | $3,247.00–$5,247.00 | 8% above | 32% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $4,079.00 | $5,999.00 | $3,563.00–$5,759.00 | at median | 32% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd Pelvis Wwo Contra | $4,777.00 | $7,025.00 | $4,173.00–$6,744.00 | 4% below | 32% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen With Contrast | $3,262.00 | $4,797.00 | $2,849.00–$4,605.00 | 26% above | 32% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Without Contrast | $2,973.00 | $4,372.00 | $2,597.00–$4,197.00 | 35% above | 32% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Wo Cont | $1,899.00 | $2,792.00 | $1,658.00–$2,680.00 | 5% above | 32% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus Wo Cont | $1,899.00 | $2,792.00 | $1,658.00–$2,680.00 | 5% above | 32% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,805.00 | $2,654.00 | $1,576.00–$2,548.00 | 5% below | 32% |
| CT scan of the head with contrast CPT 70460 Ct Head Brain W Cont | $2,043.00 | $3,004.00 | $1,784.00–$2,884.00 | 1% below | 32% |
| CT scan of the head without and with contrast CPT 70470 Ct Head Brain Wow Cont | $2,481.00 | $3,648.00 | $2,167.00–$3,502.00 | 1% below | 32% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lspine Wo | $2,033.00 | $2,990.00 | $1,776.00–$2,870.00 | 6% below | 32% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cspine Wo Cont | $2,117.00 | $3,113.00 | $1,849.00–$2,988.00 | 6% below | 32% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,243.00 | $3,299.00 | $1,960.00–$3,167.00 | 7% below | 32% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Duplex Art Carotid Bilat | $1,166.00 | $1,714.00 | $1,018.00–$1,645.00 | — | 32% |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2v | $303.00 | $446.00 | $265.00–$428.00 | 7% above | 32% |
| Chest X-ray, single view CPT 71045 Xr Chest Single View | $226.00 | $332.00 | $197.00–$319.00 | 2% below | 32% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Comp | $634.00 | $933.00 | $554.00–$896.00 | 19% below | 32% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo Contrast | $2,033.00 | $2,989.00 | $1,775.00–$2,869.00 | 6% below | 32% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest High Resolution | $2,617.00 | $3,849.00 | $2,286.00–$3,695.00 | 21% above | 32% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W Contrast | $2,247.00 | $3,305.00 | $1,963.00–$3,173.00 | 10% below | 32% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Duplex Art Lower Ext Bilat | $984.00 | $1,447.00 | $860.00–$1,389.00 | — | 32% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Duplex Ven Ext Bilat | $1,181.00 | $1,737.00 | $1,032.00–$1,668.00 | — | 32% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Duplex Ven Upper Ext Bilat | $1,181.00 | $1,737.00 | $1,032.00–$1,668.00 | — | 32% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us 3 Part Echocardiogram | $1,811.00 | $2,663.00 | $1,582.00–$2,556.00 | 15% below | 32% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobiliary Wo Cck | $1,376.00 | $2,023.00 | $1,202.00–$1,942.00 | 5% below | 32% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3v Rt | $355.00 | $522.00 | $310.00–$501.00 | 5% below | 32% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3v Lt | $355.00 | $522.00 | $310.00–$501.00 | 5% below | 32% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited | $585.00 | $860.00 | $511.00–$826.00 | 5% above | 32% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Chest | $452.00 | $665.00 | $395.00–$638.00 | 27% below | 32% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $2,332.00 | $3,429.00 | $2,037.00–$3,292.00 | 9% below | 32% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Any Joint Wow Rt | $3,002.00 | $4,414.00 | $2,622.00–$4,237.00 | 11% below | 32% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Any Joint Wow Lt | $3,002.00 | $4,414.00 | $2,622.00–$4,237.00 | 11% below | 32% |
| MRI of the abdomen without contrast CPT 74181 Mri Abd Wo | $2,787.00 | $4,098.00 | $2,434.00–$3,934.00 | 6% below | 32% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen Wwo | $3,624.00 | $5,330.00 | $3,166.00–$5,117.00 | 3% below | 32% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo Cont | $3,254.00 | $4,786.00 | $2,843.00–$4,595.00 | 3% above | 32% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $4,249.00 | $6,248.00 | $3,711.00–$5,998.00 | 8% above | 32% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,941.00 | $4,325.00 | $2,569.00–$4,152.00 | 7% below | 32% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lspine Wow Cont | $3,860.00 | $5,677.00 | $3,372.00–$5,450.00 | 2% below | 32% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Tspine Wo Cont | $3,044.00 | $4,477.00 | $2,659.00–$4,298.00 | 7% below | 32% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cspine Wow Cont | $3,894.00 | $5,726.00 | $3,401.00–$5,497.00 | at median | 32% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cspine Wo Contrast | $2,969.00 | $4,366.00 | $2,593.00–$4,191.00 | 7% below | 32% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Wow Cont | $3,428.00 | $5,041.00 | $2,994.00–$4,839.00 | 5% below | 32% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo Cont | $2,591.00 | $3,810.00 | $2,263.00–$3,658.00 | 8% below | 32% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Joint Wo Rt | $2,294.00 | $3,374.00 | $2,004.00–$3,239.00 | 6% below | 32% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Joint Wo Lt | $2,294.00 | $3,374.00 | $2,004.00–$3,239.00 | 6% below | 32% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Spect Multiple | $3,680.00 | $5,412.00 | $3,215.00–$5,196.00 | 11% below | 32% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvis Limited | $551.00 | $810.00 | $481.00–$778.00 | 54% above | 32% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis | $668.00 | $983.00 | $584.00–$944.00 | 15% below | 32% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $700.00 | $1,029.00 | $611.00–$988.00 | 1% above | 32% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob<14 Weeks 1st Gest | $623.00 | $916.00 | $544.00–$879.00 | 1% above | 32% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $392.00 | $576.00 | $342.00–$553.00 | at median | 32% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2+v Rt | $334.00 | $491.00 | $292.00–$471.00 | 1% below | 32% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2+v Lt | $334.00 | $491.00 | $292.00–$471.00 | 1% below | 32% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $592.00 | $870.00 | $517.00–$835.00 | 4% below | 32% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal | $433.00 | $637.00 | $378.00–$612.00 | 14% below | 32% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $724.00 | $1,064.00 | $632.00–$1,021.00 | 13% below | 32% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum Testicles | $583.00 | $857.00 | $509.00–$823.00 | 10% below | 32% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid | $490.00 | $721.00 | $428.00–$692.00 | 17% below | 32% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex Ven Ext Right | $894.00 | $1,314.00 | $781.00–$1,261.00 | 13% below | 32% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex Ven Upper Ext Right | $894.00 | $1,314.00 | $781.00–$1,261.00 | 13% below | 32% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex Ven Upper Ext Left | $894.00 | $1,314.00 | $781.00–$1,261.00 | 13% below | 32% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex Ven Ext Left | $894.00 | $1,314.00 | $781.00–$1,261.00 | 13% below | 32% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3v Rt | $300.00 | $441.00 | $262.00–$423.00 | 9% below | 32% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist 3v Lt | $300.00 | $441.00 | $262.00–$423.00 | 9% below | 32% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Rt | $293.00 | $431.00 | $256.00–$414.00 | 1% above | 32% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Lt | $293.00 | $431.00 | $256.00–$414.00 | 1% above | 32% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen Single View | $250.00 | $368.00 | $219.00–$353.00 | 5% below | 32% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 1v Rt | $145.00 | $213.00 | $127.00–$204.00 | 42% below | 32% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2v Rt | $213.00 | $313.00 | $186.00–$300.00 | 15% below | 32% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2v Lt | $213.00 | $313.00 | $186.00–$300.00 | 15% below | 32% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Fingers Min 2v Rt | $203.00 | $298.00 | $177.00–$286.00 | 10% below | 32% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Fingers Min 2v Lt | $203.00 | $298.00 | $177.00–$286.00 | 10% below | 32% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2v Rt | $218.00 | $320.00 | $190.00–$307.00 | at median | 32% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2v Lt | $218.00 | $320.00 | $190.00–$307.00 | at median | 32% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3v Lt | $317.00 | $466.00 | $277.00–$447.00 | 1% above | 32% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot 3v Rt | $317.00 | $466.00 | $277.00–$447.00 | 1% above | 32% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand 3v Rt | $277.00 | $408.00 | $242.00–$392.00 | 19% below | 32% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand 3v Lt | $277.00 | $408.00 | $242.00–$392.00 | 19% below | 32% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1v Lt | $145.00 | $213.00 | $127.00–$204.00 | 55% below | 32% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 2v Rt | $306.00 | $450.00 | $267.00–$432.00 | 4% below | 32% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 2v Lt | $306.00 | $450.00 | $267.00–$432.00 | 4% below | 32% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Lspine 2-3v | $395.00 | $581.00 | $345.00–$558.00 | at median | 32% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $490.00 | $720.00 | $428.00–$691.00 | 3% above | 32% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Tspine 2v | $296.00 | $436.00 | $259.00–$419.00 | 3% below | 32% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+v | $310.00 | $456.00 | $271.00–$438.00 | 6% above | 32% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C Spine 2 Or 3 Views | $290.00 | $427.00 | $254.00–$410.00 | 9% below | 32% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1-2 Views | $260.00 | $382.00 | $227.00–$367.00 | 4% below | 32% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum Coccyx 2+ V | $313.00 | $461.00 | $274.00–$443.00 | 16% above | 32% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt | $83.00 | $122.00 | $72.00–$117.00 | 36% above | 32% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast | $67.00 | $99.00 | $59.00–$95.00 | 18% above | 32% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $602.00 | $886.00 | $526.00–$851.00 | 90% above | 32% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige | $63.00 | $93.00 | $55.00–$89.00 | 34% above | 32% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen | $63.00 | $93.00 | $55.00–$89.00 | 34% above | 32% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $143.00 | $211.00 | $125.00–$203.00 | 37% above | 32% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies | $120.00 | $176.00 | $105.00–$169.00 | 50% above | 32% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Beta Natriuretic Peptide | $262.00 | $385.00 | $229.00–$370.00 | 33% above | 32% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $153.00 | $225.00 | $134.00–$216.00 | 12% above | 32% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path Level Iv | $261.00 | $384.00 | $228.00–$369.00 | 36% above | 32% |
| Blood culture for bacteria CPT 87040 Culture Bacteria Blood | $222.00 | $326.00 | $194.00–$313.00 | 23% above | 32% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $29.00 | $43.00 | $26.00–$41.00 | 13% above | 33% |
| Blood glucose (sugar) test CPT 82947 Glucose Quantitative Bl | $63.00 | $92.00 | $55.00–$88.00 | 31% above | 32% |
| Blood lead test CPT 83655 Lead | $104.00 | $153.00 | $91.00–$147.00 | 61% above | 32% |
| Blood lead test CPT 83655 Lead Hvy Metals Screen | $104.00 | $153.00 | $91.00–$147.00 | 61% above | 32% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Qualitative | $146.00 | $215.00 | $128.00–$206.00 | 33% above | 32% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum | $146.00 | $215.00 | $128.00–$206.00 | 33% above | 32% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Urine | $146.00 | $215.00 | $128.00–$206.00 | 33% above | 32% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bb Blood Typing Abo | $66.00 | $97.00 | $58.00–$93.00 | 23% above | 32% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $142.00 | $209.00 | $124.00–$201.00 | 56% above | 32% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 199 | $276.00 | $406.00 | $241.00–$390.00 | 77% above | 32% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca125 | $176.00 | $259.00 | $154.00–$249.00 | 35% above | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Iaa Chlam Tr Amplified | $133.00 | $196.00 | $116.00–$188.00 | 21% above | 32% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $114.00 | $167.00 | $99.00–$160.00 | 2% below | 32% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $100.00 | $147.00 | $87.00–$141.00 | 9% above | 32% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $97.00 | $142.00 | $84.00–$136.00 | 37% above | 32% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $191.00 | $281.00 | $167.00–$270.00 | 22% above | 32% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $216.00 | $318.00 | $189.00–$305.00 | 62% above | 32% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate | $159.00 | $234.00 | $139.00–$225.00 | 12% above | 32% |
| Estradiol blood test CPT 82670 Estradiol | $170.00 | $250.00 | $149.00–$240.00 | 24% above | 32% |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Fsh | $142.00 | $209.00 | $124.00–$201.00 | 26% above | 32% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool | $530.00 | $779.00 | $463.00–$748.00 | 47% above | 32% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $163.00 | $240.00 | $143.00–$230.00 | 56% above | 32% |
| Folate (folic acid) blood test CPT 82746 Folate | $190.00 | $280.00 | $166.00–$269.00 | 80% above | 32% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $330.00 | $486.00 | $289.00–$467.00 | 112% above | 32% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Thyroxine Free | $103.00 | $151.00 | $90.00–$145.00 | 18% above | 32% |
| Free testosterone test CPT 84402 Testosterone Free | $175.00 | $257.00 | $153.00–$247.00 | 58% above | 32% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Dose | $84.00 | $124.00 | $74.00–$119.00 | 53% above | 32% |
| Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens | $206.00 | $303.00 | $180.00–$291.00 | 57% above | 32% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Iaa Gonorrhea Amplified | $132.00 | $194.00 | $115.00–$186.00 | 19% above | 32% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv1 & Hiv2 Single Ass | $115.00 | $169.00 | $100.00–$162.00 | 61% above | 32% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Iaa Pap Virus Human | $162.00 | $238.00 | $141.00–$228.00 | 47% above | 32% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Glycosylated | $75.00 | $111.00 | $66.00–$107.00 | 3% above | 32% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antib | $133.00 | $196.00 | $116.00–$188.00 | 47% above | 32% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Iaa Hepatitis B Surface | $129.00 | $190.00 | $113.00–$182.00 | 38% above | 32% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C | $132.00 | $194.00 | $115.00–$186.00 | 44% above | 32% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Type 1 | $100.00 | $147.00 | $87.00–$141.00 | 2% below | 32% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1/2 Igg Ab | $100.00 | $147.00 | $87.00–$141.00 | 2% below | 32% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Type 2 | $109.00 | $160.00 | $95.00–$154.00 | 2% above | 32% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp High Sensitivity | $100.00 | $147.00 | $87.00–$141.00 | 20% above | 32% |
| Homocysteine blood test CPT 83090 Homocysteine | $224.00 | $329.00 | $195.00–$316.00 | 56% above | 32% |
| Insulin blood test CPT 83525 Insulin Total | $149.00 | $219.00 | $130.00–$210.00 | 37% above | 32% |
| Iron blood test (serum iron) CPT 83540 Iron | $62.00 | $91.00 | $54.00–$87.00 | 2% below | 32% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity | $81.00 | $119.00 | $71.00–$114.00 | 14% above | 32% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $142.00 | $209.00 | $124.00–$201.00 | 4% above | 32% |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin Lh | $146.00 | $215.00 | $128.00–$206.00 | 17% above | 32% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $110.00 | $162.00 | $96.00–$156.00 | 15% above | 32% |
| Liver function blood test panel CPT 80076 Liver function blood test | $137.00 | $202.00 | $120.00–$194.00 | 4% above | 32% |
| Lyme disease antibody test CPT 86618 Lyme Antibodies W Reflex | $184.00 | $270.00 | $160.00–$259.00 | 41% above | 32% |
| Magnesium blood test CPT 83735 Magnesium | $120.00 | $176.00 | $105.00–$169.00 | 74% above | 32% |
| Magnesium blood test CPT 83735 Magnesium 24 Hr Urine | $120.00 | $176.00 | $105.00–$169.00 | 74% above | 32% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Measles | $129.00 | $190.00 | $113.00–$182.00 | 54% above | 32% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Spot | $83.00 | $122.00 | $72.00–$117.00 | 28% above | 32% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $125.00 | $184.00 | $109.00–$177.00 | 2% below | 32% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $143.00 | $211.00 | $125.00–$203.00 | 36% above | 32% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cyto Cv Thin Layer | $110.00 | $162.00 | $96.00–$156.00 | 93% above | 32% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormon | $290.00 | $427.00 | $254.00–$410.00 | 38% above | 32% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $98.00 | $144.00 | $86.00–$138.00 | 27% above | 32% |
| Progesterone blood test CPT 84144 Progesterone | $127.00 | $187.00 | $111.00–$180.00 | 14% above | 32% |
| Prolactin blood test CPT 84146 Prolactin | $179.00 | $263.00 | $156.00–$252.00 | 50% above | 32% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $63.00 | $92.00 | $55.00–$88.00 | 25% above | 32% |
| Rheumatoid factor (RF) test CPT 86431 Analyzer W Ana | $67.00 | $99.00 | $59.00–$95.00 | 23% above | 32% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $87.00 | $128.00 | $76.00–$123.00 | 59% above | 32% |
| Rubella antibody test (immunity check) CPT 86762 Rubella | $82.00 | $120.00 | $71.00–$115.00 | 9% above | 32% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $45.00 | $66.00 | $39.00–$63.00 | 4% below | 32% |
| Stool ova and parasites exam CPT 87177 Ova & Parasites Direct S | $97.00 | $142.00 | $84.00–$136.00 | 28% above | 32% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Test Fecal Hemoccult Car | $30.00 | $44.00 | $26.00–$42.00 | 8% above | 32% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood | $41.00 | $61.00 | $36.00–$59.00 | 48% above | 33% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test | $58.00 | $86.00 | $51.00–$83.00 | 37% above | 33% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold | $226.00 | $333.00 | $198.00–$320.00 | 12% above | 32% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $165.00 | $243.00 | $144.00–$233.00 | 43% above | 32% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Ana Panel W Ana Cpt 86376 | $110.00 | $162.00 | $96.00–$156.00 | 22% above | 32% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Ribas P Abs Add On | $114.00 | $167.00 | $99.00–$160.00 | 26% above | 32% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies | $125.00 | $184.00 | $109.00–$177.00 | 38% above | 32% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies | $127.00 | $187.00 | $111.00–$180.00 | 41% above | 32% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $114.00 | $167.00 | $99.00–$160.00 | 6% above | 32% |
| Uric acid blood test CPT 84550 Uric Acid Blood | $61.00 | $89.00 | $53.00–$85.00 | 16% above | 31% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $66.00 | $97.00 | $58.00–$93.00 | 29% above | 32% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $45.00 | $66.00 | $39.00–$63.00 | 43% above | 32% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $22.00 | $32.00 | $19.00–$31.00 | 3% above | 31% |
| Urine pregnancy test, read by color change CPT 81025 Test Urine Pregnancy | $45.00 | $66.00 | $39.00–$63.00 | 29% below | 32% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $182.00 | $268.00 | $159.00–$257.00 | 61% above | 32% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D D2 D3 | $198.00 | $291.00 | $173.00–$279.00 | 34% above | 32% |
| Zinc blood test CPT 84630 Zinc | $136.00 | $200.00 | $119.00–$192.00 | 98% above | 32% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative | $154.00 | $227.00 | $135.00–$218.00 | 74% above | 32% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Ed/closed Dist Fib Fract | $329.00 | $484.00 | $287.00–$465.00 | 21% below | 32% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Rhc Closed Tx Metatarsal Fx W/o Manip | $333.00 | $490.00 | $291.00–$470.00 | 9% below | 32% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Ed/closed Metatarsal Ea | $576.00 | $847.00 | $503.00–$813.00 | 57% above | 32% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Ext | $1,854.00 | $2,727.00 | $1,620.00–$2,618.00 | 30% above | 32% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Ed/cl Dis Shaft Fx Wo Man | $730.00 | $1,073.00 | $637.00–$1,030.00 | 52% above | 32% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $580.00 | $853.00 | $507.00–$819.00 | 59% below | 32% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Er Dest Premag Lesion | $123.00 | $181.00 | $49.00–$174.00 | 4% below | 32% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Dest Lesion Premalig First | $125.00 | $184.00 | $109.00–$177.00 | 2% below | 32% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Er Removal Of Impacted Cerumun | $70.00 | $103.00 | $17.00–$99.00 | 50% above | 32% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rhc Removal Cerumen Irrigation | $71.00 | $104.00 | $62.00–$100.00 | 52% above | 32% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Ed/remove Cerum Irrig Bl | $343.00 | $504.00 | $299.00–$484.00 | 636% above | 32% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Ed/remove Cerum Irrig Lt | $343.00 | $504.00 | $299.00–$484.00 | 636% above | 32% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Ed/remove Cerum Irrig Rt | $343.00 | $504.00 | $299.00–$484.00 | 636% above | 32% |
| Earwax removal with instruments, one ear CPT 69210 Rhc Removal Cerumen Instrument | $72.00 | $106.00 | $63.00–$102.00 | 19% below | 32% |
| Earwax removal with instruments, one ear CPT 69210 Er Impacted Cerumen Removal | $76.00 | $112.00 | $28.00–$108.00 | 15% below | 32% |
| Earwax removal with instruments, one ear CPT 69210 Ed/cerumen Removal Bil | $429.00 | $631.00 | $375.00–$606.00 | 381% above | 32% |
| Earwax removal with instruments, one ear one side CPT 69210 Ed/remove Cerum Instru Lt | $429.00 | $631.00 | $375.00–$606.00 | 381% above | 32% |
| Earwax removal with instruments, one ear one side CPT 69210 Ed/remove Cerum Instru Rt | $429.00 | $631.00 | $375.00–$606.00 | 381% above | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d/excise Abcess Simple | $180.00 | $264.00 | $157.00–$253.00 | 31% below | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Er I&d/exci Abcess Simple | $180.00 | $264.00 | $103.00–$253.00 | 31% below | 32% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Ed/i&d Abscess Simple | $662.00 | $973.00 | $578.00–$934.00 | 156% above | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Single Tendon Apo | $84.00 | $123.00 | $73.00–$118.00 | 55% below | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Er Inj Single Tendon Apo | $105.00 | $154.00 | $34.00–$148.00 | 44% below | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Pain Block-tendon | $449.00 | $660.00 | $392.00–$634.00 | 140% above | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Er Asp/inj Maj Jnt Sh | $92.00 | $135.00 | $40.00–$130.00 | 52% below | 32% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Asp/inj Maj Jnt (Shldr | $163.00 | $239.00 | $142.00–$229.00 | 15% below | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Er Asp/inj Med Jnt Sh | $79.00 | $116.00 | $33.00–$111.00 | 55% below | 32% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Asp/inj Med Jnt (Wrist | $97.00 | $143.00 | $85.00–$137.00 | 45% below | 32% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Asp/inj Small Joint (Fing | $84.00 | $124.00 | $74.00–$119.00 | 41% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Int Rep S/a/t/e 2.5cm/< | $351.00 | $516.00 | $307.00–$495.00 | 16% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Er Int Rep S/a/t 2.5cm/< | $354.00 | $521.00 | $136.00–$500.00 | 16% below | 32% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Ed/int Rep S/a/t 2.5cm/< | $681.00 | $1,001.00 | $595.00–$961.00 | 62% above | 32% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Lex T/a/l 0.5 Cm/< | $187.00 | $275.00 | $163.00–$264.00 | 38% below | 32% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Les F/e/e/n/l 0.5cm/< | $228.00 | $335.00 | $199.00–$322.00 | 33% below | 32% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate Rhc Single | $143.00 | $211.00 | $125.00–$203.00 | 36% below | 32% |
| Nail removal (partial or complete), one nail CPT 11730 Er Avulsion Nail Plate Single | $158.00 | $232.00 | $51.00–$223.00 | 30% below | 32% |
| Nail removal (partial or complete), one nail CPT 11730 Ed/avulsion Nail Plt Simp | $367.00 | $539.00 | $320.00–$517.00 | 63% above | 32% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Er Nail Remov Partial/comple | $323.00 | $475.00 | $97.00–$456.00 | 3% below | 32% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Nail Remov Partial/comple | $326.00 | $480.00 | $285.00–$461.00 | 2% below | 32% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excise Ingrown Toenail | $546.00 | $803.00 | $477.00–$771.00 | 64% above | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 I&r Foreign Body Subq Simple | $233.00 | $342.00 | $203.00–$328.00 | 30% below | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 Er I&r Foreign Body Subq Simple | $233.00 | $342.00 | $104.00–$328.00 | 30% below | 32% |
| Removal of a foreign object under the skin, simple CPT 10120 Ed/i&r Fb Subq Simple | $1,289.00 | $1,895.00 | $1,126.00–$1,819.00 | 290% above | 32% |
| Short arm cast (elbow to hand) CPT 29075 Rhc Appl Short Arm Cast | $130.00 | $191.00 | $113.00–$183.00 | 34% below | 32% |
| Short arm cast (elbow to hand) CPT 29075 Er Short Arm Cast | $130.00 | $191.00 | $59.00–$183.00 | 34% below | 32% |
| Short arm cast (elbow to hand) CPT 29075 Ed/appl Short Arm Cast | $446.00 | $656.00 | $390.00–$630.00 | 125% above | 32% |
| Short arm splint (forearm and hand) CPT 29125 Er Application Splint Short | $143.00 | $211.00 | $41.00–$203.00 | 7% below | 32% |
| Short arm splint (forearm and hand) CPT 29125 Application Splint Short | $143.00 | $211.00 | $125.00–$203.00 | 7% below | 32% |
| Short arm splint (forearm and hand) CPT 29125 Pt Application Of Short Arm | $200.00 | $294.00 | $175.00–$282.00 | 30% above | 32% |
| Short arm splint (forearm and hand) CPT 29125 Ed/appl Splint Short Arm | $339.00 | $499.00 | $296.00–$479.00 | 121% above | 32% |
| Short leg cast (below the knee) CPT 29405 Er Application Short Cast Leg | $131.00 | $192.00 | $56.00–$184.00 | 29% below | 32% |
| Short leg cast (below the knee) CPT 29405 Rhc Appl Short Leg Cast | $131.00 | $192.00 | $114.00–$184.00 | 29% below | 32% |
| Short leg splint (calf to foot) CPT 29515 Er Apply Splint Lower Leg | $146.00 | $215.00 | $50.00–$206.00 | 10% below | 32% |
| Short leg splint (calf to foot) CPT 29515 Rhc Appl Short Leg Splint | $151.00 | $222.00 | $132.00–$213.00 | 7% below | 32% |
| Short leg splint (calf to foot) CPT 29515 Ed/appl Splint Short Leg | $373.00 | $549.00 | $326.00–$527.00 | 130% above | 32% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Er Sim Rep S/n/t 2.5cm/< | $205.00 | $301.00 | $43.00–$289.00 | 1% below | 32% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Sim Rep S/n/a/g/t 2.5cm/< | $211.00 | $311.00 | $185.00–$299.00 | 1% above | 32% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Ed/sim Rep S/n/t 2.5cm/< | $496.00 | $729.00 | $433.00–$700.00 | 138% above | 32% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Initial | $153.00 | $225.00 | $134.00–$216.00 | 40% below | 32% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Les T/a/l 0.5c /< | $287.00 | $422.00 | $251.00–$405.00 | 29% below | 32% |
| Skin tag removal, up to 15 tags CPT 11200 Remv Skin Tags Up To 15 | $138.00 | $203.00 | $121.00–$195.00 | 27% below | 32% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Er Sim Rep S/nt 2.6-7.5cm | $167.00 | $245.00 | $57.00–$235.00 | 30% below | 32% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sim Rep S/n/a/t 2.6-7.5cm | $192.00 | $282.00 | $168.00–$271.00 | 20% below | 32% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Ed/sim Rep S/nt 2.6-7.5cm | $509.00 | $749.00 | $445.00–$719.00 | 112% above | 32% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Er Sim Rep F/e/e 2.5cm/< | $228.00 | $335.00 | $54.00–$322.00 | 1% above | 32% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Sim Rep F/e/e/n/l 2.5cm/< | $235.00 | $345.00 | $205.00–$331.00 | 4% above | 32% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Ed/sim Rep F/e/e 2.5cm/< | $491.00 | $722.00 | $429.00–$693.00 | 117% above | 32% |
| Thoracentesis with imaging guidance CPT 32555 Ed/thoracentesis | $825.00 | $1,213.00 | $721.00–$1,164.00 | 2% above | 32% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point (S) 1/2 Musc | $83.00 | $122.00 | $72.00–$117.00 | 35% below | 32% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigged Point 1/2 Musc | $449.00 | $660.00 | $392.00–$634.00 | 251% above | 32% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $503.00 | $740.00 | $440.00–$710.00 | 67% below | 32% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $385.00 | $566.00 | $336.00–$543.00 | 49% below | 32% |
| Wart removal, up to 14 warts CPT 17110 Dest Benign Les Upt To 14 | $167.00 | $245.00 | $146.00–$235.00 | 8% below | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subq 1st 20 Cm /< | $179.00 | $263.00 | $156.00–$252.00 | 40% below | 32% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Ed/debrid Sc Tissue 20cm | $607.00 | $893.00 | $530.00–$857.00 | 104% above | 32% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 1 Unit | $446.00 | $656.00 | $390.00–$630.00 | 37% below | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood 1 Unit | $446.00 | $656.00 | $390.00–$630.00 | 37% below | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 2 Units | $550.00 | $809.00 | $481.00–$777.00 | 22% below | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Bld 2 Units | $550.00 | $809.00 | $481.00–$777.00 | 22% below | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 3 Units | $652.00 | $959.00 | $570.00–$921.00 | 8% below | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood 3 Units | $652.00 | $959.00 | $570.00–$921.00 | 8% below | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Er Bld 1 Unit | $997.00 | $1,466.00 | $871.00–$1,407.00 | 41% above | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Er Bld 2 Unit | $1,191.00 | $1,752.00 | $1,041.00–$1,682.00 | 69% above | 32% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Er Bld 3 Unit | $1,386.00 | $2,038.00 | $1,211.00–$1,956.00 | 96% above | 32% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment | $170.00 | $250.00 | $149.00–$240.00 | 55% above | 32% |
| Critical care, first 30 to 74 minutes CPT 99291 E/mcritical Care; 30-70 | $450.00 | $662.00 | $206.00–$636.00 | 30% below | 32% |
| Critical care, first 30 to 74 minutes CPT 99291 Er Critical Care | $1,339.00 | $1,969.00 | $1,170.00–$1,890.00 | 108% above | 32% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Technical | $273.00 | $402.00 | $239.00–$386.00 | 17% above | 32% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/m Erminor (1) | $33.00 | $49.00 | $11.00–$47.00 | 78% below | 33% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 | $155.00 | $228.00 | $135.00–$219.00 | 2% above | 32% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/m Erlow (2) | $67.00 | $98.00 | $41.00–$94.00 | 63% below | 32% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level 2 | $254.00 | $374.00 | $222.00–$359.00 | 38% above | 32% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/m Ermoderate (3) | $100.00 | $147.00 | $71.00–$141.00 | 60% below | 32% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level 3 | $398.00 | $586.00 | $348.00–$563.00 | 59% above | 32% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/m Erurgent (4) | $187.00 | $275.00 | $121.00–$264.00 | 59% below | 32% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level 4 | $581.00 | $854.00 | $507.00–$820.00 | 26% above | 32% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/m Erlife Threatening (5) | $275.00 | $404.00 | $176.00–$388.00 | 58% below | 32% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level 5 | $926.00 | $1,362.00 | $809.00–$1,308.00 | 41% above | 32% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Nm Cardiovascular Stress Test | $1,015.00 | $1,493.00 | $887.00–$1,433.00 | 5% below | 32% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Fluid (First Hour) | $247.00 | $363.00 | $216.00–$348.00 | 35% below | 32% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Therapy 1st Hour Hydration | $312.00 | $459.00 | $273.00–$441.00 | 18% below | 32% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration Infusion 1st Hour | $450.00 | $662.00 | $393.00–$636.00 | 18% above | 32% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion 1st Hour | $247.00 | $363.00 | $216.00–$348.00 | 36% below | 32% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Therapy 1st Hour | $301.00 | $442.00 | $263.00–$424.00 | 22% below | 32% |
| IV infusion of a medicine, first hour CPT 96365 Iv Drug Infusion 1st Hour | $530.00 | $779.00 | $463.00–$748.00 | 38% above | 32% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Administration Injection | $14.00 | $21.00 | $12.00–$20.00 | 84% below | 33% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Sc / Im | $86.00 | $126.00 | $75.00–$121.00 | 4% below | 32% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Sc/im | $139.00 | $205.00 | $122.00–$197.00 | 54% above | 32% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sc/im Injection | $149.00 | $219.00 | $130.00–$210.00 | 66% above | 32% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Mental Health Evaluation | $162.00 | $238.00 | $141.00–$228.00 | 24% below | 32% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromusc Re-ed Ea 15 Min | $84.00 | $123.00 | $73.00–$118.00 | 9% below | 32% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re-ed | $84.00 | $123.00 | $73.00–$118.00 | 9% below | 32% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $171.00 | $251.00 | $149.00–$241.00 | 17% below | 32% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $262.00 | $385.00 | $229.00–$370.00 | 14% below | 32% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $328.00 | $483.00 | $287.00–$464.00 | 11% below | 32% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Visit Brief 99202 | $120.00 | $176.00 | $105.00–$169.00 | 2% below | 32% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Vv New Pt Brief | $120.00 | $176.00 | $105.00–$169.00 | 2% below | 32% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Scnew Pt Visit Brief 99202 | $120.00 | $176.00 | $43.00–$169.00 | 2% below | 32% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complexity | $160.00 | $236.00 | $140.00–$227.00 | 3% below | 32% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complexity | $274.00 | $403.00 | $239.00–$387.00 | 29% above | 32% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complexity | $148.00 | $217.00 | $129.00–$208.00 | 7% below | 32% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complexity | $179.00 | $263.00 | $156.00–$252.00 | at median | 32% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Per 15 Min | $96.00 | $141.00 | $84.00–$135.00 | 1% below | 32% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Per 15 Min | $96.00 | $141.00 | $84.00–$135.00 | 1% below | 32% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $110.00 | $162.00 | $96.00–$156.00 | 16% above | 32% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $209.00 | $307.00 | $182.00–$295.00 | 15% below | 32% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $233.00 | $342.00 | $203.00–$328.00 | 17% below | 32% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Well Adultnew 65 & Ove | $258.00 | $380.00 | $226.00–$365.00 | 10% below | 32% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Well Adultest 18-39 Y | $187.00 | $275.00 | $163.00–$264.00 | 15% below | 32% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Well Adultest 40-64 Y | $199.00 | $293.00 | $174.00–$281.00 | 15% below | 32% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Well Adult Physical 65 + | $213.00 | $313.00 | $186.00–$300.00 | 12% below | 32% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Well Adultest 65 & Ov | $213.00 | $313.00 | $186.00–$300.00 | 12% below | 32% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $94.00 | $138.00 | $82.00–$132.00 | 41% below | 32% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $128.00 | $188.00 | $112.00–$180.00 | 38% below | 32% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 E/m Smoking Cess Counsel | $35.00 | $51.00 | $30.00–$49.00 | 20% above | 31% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Est Patient Visit Complex 99215 | $233.00 | $342.00 | $203.00–$328.00 | 3% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Scest Pt Complex 99215 | $233.00 | $342.00 | $131.00–$328.00 | 3% below | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Patient Visit Minor 99213 | $116.00 | $170.00 | $101.00–$163.00 | 3% below | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Vv Established Minor | $116.00 | $170.00 | $101.00–$163.00 | 3% below | 32% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Scest Pt Visit Minor 99213 | $116.00 | $170.00 | $60.00–$163.00 | 3% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Patient Visit Moderat 99214 | $171.00 | $251.00 | $149.00–$241.00 | 4% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Scest Pt Visit Moder 99214 | $171.00 | $251.00 | $88.00–$241.00 | 4% below | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Vv Established Moderate | $171.00 | $251.00 | $149.00–$241.00 | 4% below | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Vv Established Brief | $70.00 | $103.00 | $61.00–$99.00 | 17% below | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Patient Visit Brief 99212 | $70.00 | $103.00 | $61.00–$99.00 | 17% below | 32% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Scest Pt Brief 99212 | $70.00 | $103.00 | $32.00–$99.00 | 17% below | 32% |
| Speech and language evaluation CPT 92523 St Eval Speech Sound W Comm | $328.00 | $483.00 | $287.00–$464.00 | 5% above | 32% |
| Speech therapy session, individual CPT 92507 St Speech Therapy | $252.00 | $371.00 | $220.00–$356.00 | 3% above | 32% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activities P | $92.00 | $135.00 | $80.00–$130.00 | 5% above | 32% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Act Ea 15 Min | $97.00 | $142.00 | $84.00–$136.00 | 11% above | 32% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $266.00 | $391.00 | $232.00–$375.00 | 39% above | 32% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Treadmill Supervision Interpretatoin Rep | $118.00 | $174.00 | $76.00–$167.00 | 58% below | 32% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Exercise Only Stress Treadmill | $1,191.00 | $1,751.00 | $1,040.00–$1,681.00 | 321% above | 32% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Cl-vaccine Covid | $179.00 | $263.00 | $156.00–$252.00 | 6% below | 32% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Cl-vaccine Varicella 0.5 Ml | $157.00 | $231.00 | $137.00–$222.00 | 21% below | 32% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Clvaccine, Influenza Pres. Free | $11.00 | $16.00 | $10.00–$15.00 | 58% below | 31% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Clvaccine, Gardasil 9 | $542.00 | $797.00 | $473.00–$765.00 | 46% above | 32% |
| Hepatitis A vaccine, adult dose CPT 90632 Cl-vaccine Hepatitis A Adult | $99.00 | $146.00 | $87.00–$140.00 | 15% above | 32% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Recombivax Hb 20mcg/ml Sd | $120.00 | $176.00 | $105.00–$169.00 | 40% above | 32% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Cl-vaccine Recombivax Hb 20mcg/ml Sd | $122.00 | $179.00 | $106.00–$172.00 | 43% above | 32% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Clvaccine Recombivax Hb 20mcg/ml Sd | $122.00 | $179.00 | $106.00–$172.00 | 43% above | 32% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Cl-vaccine Hep B Adult 10mc | $137.00 | $202.00 | $120.00–$194.00 | 60% above | 32% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Clvaccine, Influenza High Dose | $45.00 | $66.00 | $39.00–$63.00 | 45% below | 32% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Clvaccine, Medicare High Dose Flu | $58.00 | $85.00 | $50.00–$82.00 | 29% below | 32% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Cl-vaccine Mmr | $77.00 | $113.00 | $67.00–$108.00 | 30% below | 32% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Cl-vaccine Meningococcal Conj | $135.00 | $199.00 | $118.00–$191.00 | 26% below | 32% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Cl-vaccine Meningicoccal B | $262.00 | $385.00 | $229.00–$370.00 | 5% below | 32% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Clvaccine Prevnar-20 0.5ml | $169.00 | $249.00 | $148.00–$239.00 | 61% below | 32% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 0.5ml | $169.00 | $249.00 | $148.00–$239.00 | 61% below | 32% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Cl-vaccine Prevnar 20 0.5ml | $169.00 | $249.00 | $148.00–$239.00 | 61% below | 32% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Cl-prevnar 20 | $348.00 | $512.00 | $304.00–$492.00 | 20% below | 32% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Cl-vaccine Pneumococcal 0.5 Ml | $181.00 | $266.00 | $158.00–$255.00 | 3% below | 32% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Clvaccine Pneumococcal 23 0.5ml | $229.00 | $337.00 | $200.00–$324.00 | 23% above | 32% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Clvaccine Rsv Vial 120mcg/0.5ml | $420.00 | $618.00 | $367.00–$593.00 | 11% above | 32% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Cl-vaccine Rsv Vial 120 Mcg / 0.5 Ml | $420.00 | $618.00 | $367.00–$593.00 | 11% above | 32% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Clvaccine Rsv Medicare Part D | $420.00 | $618.00 | $367.00–$593.00 | 11% above | 32% |
| Rabies vaccine, one dose CPT 90675 Cl-vaccine Rabavert Rabies | $478.00 | $703.00 | $418.00–$675.00 | 6% below | 32% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine Kit (Pcec) 2.5 Unit | $592.00 | $871.00 | $517.00–$836.00 | 17% above | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Cl- Vaccine, Medicare Shingrix 0.5ml | $229.00 | $337.00 | $200.00–$324.00 | 20% below | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Cl-vaccine Shingrix | $229.00 | $337.00 | $200.00–$324.00 | 20% below | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Clvaccine Shingrix Medicare Part D | $307.00 | $452.00 | $268.00–$434.00 | 7% above | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Clvaccine Medicare Shingrix 0.5ml | $307.00 | $452.00 | $268.00–$434.00 | 7% above | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Clvaccine Shingrix 0.5ml | $307.00 | $452.00 | $268.00–$434.00 | 7% above | 32% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Cl- Vaccine, Shingrix 0.5ml | $307.00 | $452.00 | $268.00–$434.00 | 7% above | 32% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Cl-vaccine Tenivac 0.5 | $96.00 | $141.00 | $84.00–$135.00 | 84% above | 32% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Clvaccine Tenivac 0.5ml | $96.00 | $141.00 | $84.00–$135.00 | 84% above | 32% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus/diphtheria Tox (Tenivac) 0.5 Ml | $96.00 | $141.00 | $84.00–$135.00 | 84% above | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl-vaccine Adaceltdap .5 Im | $48.00 | $70.00 | $42.00–$67.00 | 32% below | 31% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Clvaccine Boostrix 0.5ml | $131.00 | $192.00 | $114.00–$184.00 | 87% above | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix 2.5mg/0.5ml | $131.00 | $192.00 | $114.00–$184.00 | 87% above | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl-vaccine Pediarix 0.5 Im Ped Tdap | $145.00 | $213.00 | $127.00–$204.00 | 107% above | 32% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl-vaccine, Tdap 0.5ml | $193.00 | $284.00 | $169.00–$273.00 | 175% above | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rhc Admin Vaccine>18 1st 90471 | $13.00 | $19.00 | $11.00–$18.00 | 62% below | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Insert Foley Cath Simple | $83.00 | $122.00 | $72.00–$117.00 | 143% above | 32% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1st | $145.00 | $213.00 | $127.00–$204.00 | 324% above | 32% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Rhc Admin Vaccine >18 Ea Addl 90472 | $13.00 | $19.00 | $11.00–$18.00 | 61% below | 32% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin Ea Addl | $83.00 | $122.00 | $72.00–$117.00 | 150% above | 32% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Each Additional | $120.00 | $176.00 | $105.00–$169.00 | 261% above | 32% |