Butler County Health
Butler County Health in David City, NE publishes cash prices for 250 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 above the Nebraska median for 231 of 246 procedures and below it for 13. By typical cash price it ranks #42 of 44 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
372 South 9TH Street, David City, NE 68632 Collected Sep 27, 2026 Source price file (402) 367-1388
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 281332 · CMS hospital register
The price file shows no self-pay discount
For 313 of the 313 prices listed here, the cash price in Butler County Health's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
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 Complete 3+ Views Right | $418.00 | $418.00 | $74.00–$436.00 | 28% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3+ Views Left | $418.00 | $418.00 | $74.00–$436.00 | 28% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922 Limited Unilateral Noninvasive Physiologic Studies Of Upper/lower Extremity Arteries | $655.00 | $655.00 | $162.00–$694.00 | 43% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr Esophagus | $870.00 | $870.00 | $216.00–$907.00 | 45% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body | $2,197.00 | $2,197.00 | $684.00–$2,292.00 | 30% above | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Complete Bilat | $699.00 | $699.00 | $239.00–$729.00 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Right. | $699.00 | $699.00 | $239.00–$729.00 | 47% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Left. | $699.00 | $699.00 | $239.00–$729.00 | 47% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Right. | $527.00 | $527.00 | $183.00–$550.00 | 37% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Left. | $527.00 | $527.00 | $183.00–$550.00 | 37% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest | $4,180.00 | $4,180.00 | $648.00–$4,360.00 | 32% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Heart Calcium Scoring | $165.00 | $165.00 | $57.00–$202.00 | 25% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Stone Protocol | $5,088.00 | $5,088.00 | $449.00–$5,307.00 | 48% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen And Pelvis W/o Contrast | $5,088.00 | $5,088.00 | $449.00–$5,307.00 | 48% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $5,841.00 | $5,841.00 | $711.00–$6,093.00 | 45% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen And Pelvis W/ + W/o Contrast | $6,773.00 | $6,773.00 | $802.00–$7,065.00 | 39% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Urogram | $6,773.00 | $6,773.00 | $802.00–$7,065.00 | 39% above | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast | $3,279.00 | $3,279.00 | $531.00–$3,420.00 | 27% above | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $2,990.00 | $2,990.00 | $335.00–$3,119.00 | 36% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast | $2,374.00 | $2,374.00 | $310.00–$2,476.00 | 33% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus W/o Contrast | $2,374.00 | $2,374.00 | $310.00–$2,476.00 | 33% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $2,542.00 | $2,542.00 | $258.00–$2,652.00 | 36% above | — |
| CT scan of the head with contrast CPT 70460 Ct Brain/head W/ Contrast | $2,873.00 | $2,873.00 | $365.00–$2,997.00 | 40% above | — |
| CT scan of the head without and with contrast CPT 70470 Ct Brain/head W/ + W/o Contrast | $3,275.00 | $3,275.00 | $427.00–$3,416.00 | 32% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast | $2,908.00 | $2,908.00 | $360.00–$3,033.00 | 36% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast | $2,995.00 | $2,995.00 | $367.00–$3,124.00 | 35% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $3,346.00 | $3,346.00 | $520.00–$3,490.00 | 40% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 Bilateral Carotid Duplex Charge | $1,725.00 | $1,725.00 | $380.00–$1,829.00 | — | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views | $433.00 | $433.00 | $70.00–$452.00 | 54% above | — |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $350.00 | $350.00 | $55.00–$365.00 | 55% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Kidney Bladder | $995.00 | $995.00 | $252.00–$1,038.00 | 27% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Bone Density Dexa Axial Skeleton | $605.00 | $605.00 | $89.00–$631.00 | 54% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bd Bone Density Dexa App Skeleton | $339.00 | $339.00 | $74.00–$354.00 | 46% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Ob Detailed Complete First Gest | $913.00 | $913.00 | $317.00–$952.00 | 86% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $2,902.00 | $2,902.00 | $354.00–$3,027.00 | 36% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ Contrast | $3,152.00 | $3,152.00 | $438.00–$3,288.00 | 28% above | — |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $564.00 | $564.00 | $196.00–$588.00 | 29% above | — |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $470.00 | $470.00 | $163.00–$490.00 | 51% above | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925 Bilateral Art Duplex, Low Charge | $1,418.00 | $1,418.00 | $483.00–$1,503.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 Bilateral Venous Duplex Charge | $1,822.00 | $1,822.00 | $368.00–$1,932.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 2d Echo Complete Tech Fee | $2,710.00 | $2,710.00 | $395.00–$2,873.00 | 28% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobiliary Imaging | $2,428.00 | $2,428.00 | $746.00–$2,533.00 | 67% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 Sleep Study Unattended Charge | $597.00 | $597.00 | $208.00–$633.00 | 30% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Psg/split Charge | $5,627.00 | $5,627.00 | $1,217.00–$5,966.00 | 50% above | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Right | $465.00 | $465.00 | $82.00–$485.00 | 27% above | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left | $465.00 | $465.00 | $82.00–$485.00 | 27% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited | $851.00 | $851.00 | $203.00–$888.00 | 53% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Lung Cancer Screening | $787.00 | $787.00 | $274.00–$821.00 | 27% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $3,118.00 | $3,118.00 | $519.00–$3,252.00 | 23% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Right | $4,163.00 | $4,163.00 | $1,022.00–$4,342.00 | 23% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Left | $4,163.00 | $4,163.00 | $1,022.00–$4,342.00 | 23% above | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $3,922.00 | $3,922.00 | $544.00–$4,091.00 | 33% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast | $5,125.00 | $5,125.00 | $889.00–$5,346.00 | 39% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast | $4,324.00 | $4,324.00 | $505.00–$4,510.00 | 40% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $4,913.00 | $4,913.00 | $827.00–$5,125.00 | 25% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $4,141.00 | $4,141.00 | $493.00–$4,319.00 | 32% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W/ + W/o Contrast | $5,057.00 | $5,057.00 | $831.00–$5,275.00 | 30% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/o Contrast | $4,304.00 | $4,304.00 | $493.00–$4,490.00 | 34% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W/ + W/o Contrast | $5,201.00 | $5,201.00 | $832.00–$5,425.00 | 33% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/o Contrast | $4,277.00 | $4,277.00 | $492.00–$4,461.00 | 39% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast | $5,123.00 | $5,123.00 | $888.00–$5,344.00 | 45% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast | $3,768.00 | $3,768.00 | $602.00–$3,930.00 | 42% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Lt | $3,078.00 | $3,078.00 | $519.00–$3,211.00 | 27% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Rt | $3,078.00 | $3,078.00 | $519.00–$3,211.00 | 27% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Rt Stress Test Myoview Charge | $5,118.00 | $5,118.00 | $1,069.00–$5,339.00 | 28% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Comp W/transvag If Indicated | $963.00 | $963.00 | $335.00–$944.00 | 24% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $1,004.00 | $1,004.00 | $314.00–$1,047.00 | 45% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob < 14 Weeks Multi | $850.00 | $850.00 | $275.00–$887.00 | 39% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $563.00 | $563.00 | $188.00–$587.00 | 44% above | — |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $539.00 | $539.00 | $206.00–$562.00 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2 Views Left | $436.00 | $436.00 | $67.00–$455.00 | 30% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2 Views Right | $436.00 | $436.00 | $67.00–$455.00 | 30% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $4,946.00 | $4,946.00 | $1,161.00–$5,244.00 | 39% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Xr Swallowing Function W/ Speech | $847.00 | $847.00 | $283.00–$884.00 | 49% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $827.00 | $827.00 | $272.00–$863.00 | 37% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal | $743.00 | $743.00 | $216.00–$775.00 | 48% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $1,059.00 | $1,059.00 | $272.00–$1,105.00 | 29% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum (Contents) W/ Doppler If Ind | $845.00 | $845.00 | $235.00–$881.00 | 31% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/neck Soft Tissue | $770.00 | $770.00 | $256.00–$803.00 | 31% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 Limited Venous Duplex Charge | $1,281.00 | $1,281.00 | $228.00–$1,358.00 | 25% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Right | $413.00 | $413.00 | $81.00–$431.00 | 25% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Left | $413.00 | $413.00 | $81.00–$431.00 | 25% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Left | $432.00 | $432.00 | $95.00–$451.00 | 52% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Right | $432.00 | $432.00 | $95.00–$451.00 | 52% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views W/ap Pelvis Right | $432.00 | $432.00 | $95.00–$451.00 | 52% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views W/ap Pelvis Left | $432.00 | $432.00 | $95.00–$451.00 | 52% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 View | $396.00 | $396.00 | $63.00–$413.00 | 51% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left | $339.00 | $339.00 | $68.00–$354.00 | 50% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Right | $339.00 | $339.00 | $68.00–$354.00 | 50% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Fingers Minimum Of 2 Views | $307.00 | $307.00 | $74.00–$320.00 | 37% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2+ Views Right | $307.00 | $307.00 | $74.00–$320.00 | 37% above | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left | $332.00 | $332.00 | $60.00–$346.00 | 54% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Left | $436.00 | $436.00 | $69.00–$455.00 | 40% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Right | $436.00 | $436.00 | $69.00–$455.00 | 40% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Left | $413.00 | $413.00 | $74.00–$431.00 | 21% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Right | $413.00 | $413.00 | $74.00–$431.00 | 21% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Left | $407.00 | $407.00 | $71.00–$425.00 | 28% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Right | $407.00 | $407.00 | $71.00–$425.00 | 28% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Or 3 Views | $575.00 | $575.00 | $81.00–$600.00 | 52% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $672.00 | $672.00 | $113.00–$701.00 | 44% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views | $471.00 | $471.00 | $76.00–$491.00 | 54% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Views | $413.00 | $413.00 | $76.00–$431.00 | 42% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views | $448.00 | $448.00 | $81.00–$467.00 | 46% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views | $425.00 | $425.00 | $73.00–$443.00 | 59% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx 2+ Views | $409.00 | $409.00 | $68.00–$427.00 | 53% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $102.00 | $102.00 | $11.00–$100.00 | 67% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $98.00 | $98.00 | $11.00–$96.00 | 73% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Panel, Acute Wrfx Hep C Rna Qnt Unmc | $430.00 | $430.00 | $97.00–$421.00 | 36% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Region 9 Allergens Unmc | $45.00 | $45.00 | $11.00–$44.00 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 Allergen Specific Ige Unmc | $45.00 | $45.00 | $11.00–$44.00 | 2% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibody, Igg Unmc | $217.00 | $217.00 | $26.00–$213.00 | 124% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen Unmc | $159.00 | $159.00 | $25.00–$156.00 | 135% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide | $365.00 | $365.00 | $72.00–$358.00 | 86% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $184.00 | $184.00 | $17.00–$180.00 | 37% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill Only Ap 88305 Surg Level Iv | $403.00 | $403.00 | $121.00–$395.00 | 111% above | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $328.00 | $328.00 | $21.00–$321.00 | 82% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Label | $48.00 | $48.00 | $4.00–$51.00 | 82% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $53.00 | $53.00 | $8.00–$52.00 | 13% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hour Unmc | $82.00 | $82.00 | $8.00–$80.00 | 75% above | — |
| Blood lead test CPT 83655 83655 Lead Unmc | $117.00 | $117.00 | $25.00–$115.00 | 81% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum Qual | $168.00 | $168.00 | $15.00–$165.00 | 54% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo/rh | $103.00 | $103.00 | $6.00–$101.00 | 92% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $141.00 | $141.00 | $11.00–$138.00 | 56% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 .C Difficile Toxin, Conf Testing Unmc | $292.00 | $292.00 | $71.00–$286.00 | 97% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 Unmc | $305.00 | $305.00 | $42.00–$299.00 | 103% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 Unmc | $272.00 | $272.00 | $42.00–$267.00 | 110% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus Pcr (Covid-19) Unmc | $209.00 | $209.00 | $68.00–$205.00 | 69% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 (Covid-19) Pcr (Genexpert) | $216.00 | $216.00 | $68.00–$212.00 | 74% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Amp Probe Unmc | $194.00 | $194.00 | $71.00–$190.00 | 76% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $164.00 | $164.00 | $27.00–$161.00 | 44% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $137.00 | $137.00 | $16.00–$134.00 | 52% above | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $107.00 | $107.00 | $13.00–$105.00 | 52% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $215.00 | $215.00 | $22.00–$211.00 | 39% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $219.00 | $219.00 | $21.00–$215.00 | 64% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer Unmc | $219.00 | $219.00 | $21.00–$215.00 | 64% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate Unmc | $258.00 | $258.00 | $45.00–$253.00 | 82% above | — |
| Estradiol blood test CPT 82670 Estradiol Unmc | $230.00 | $230.00 | $57.00–$225.00 | 78% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Unmc | $188.00 | $188.00 | $38.00–$184.00 | 67% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal Unmc | $605.00 | $605.00 | $40.00–$593.00 | 70% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Unmc | $170.00 | $170.00 | $28.00–$167.00 | 63% above | — |
| Folate (folic acid) blood test CPT 82746 82746 Folic Acid Serum Unmc | $185.00 | $185.00 | $30.00–$181.00 | 75% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 (Triiodothyronine), Free Unmc | $249.00 | $249.00 | $35.00–$244.00 | 61% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $146.00 | $146.00 | $18.00–$143.00 | 71% above | — |
| Free testosterone test CPT 84402 Testosterone Free Unmc | $243.00 | $243.00 | $52.00–$238.00 | 135% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $469.00 | $469.00 | $79.00–$460.00 | 60% above | — |
| Glucose tolerance test, 3 samples CPT 82951 .Gtt Fasting Ob | $225.00 | $225.00 | $26.00–$221.00 | 73% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Neisseria Gonorrhoeae Probe Unmc | $185.00 | $185.00 | $71.00–$181.00 | 70% above | — |
| H. pylori antibody blood test CPT 86677 Zzhelicobacter Pylori Antibody Igg | $250.00 | $250.00 | $31.00–$245.00 | 227% above | — |
| H. pylori stool antigen test CPT 87338 H. Pylori Stool Ag Unmc | $300.00 | $300.00 | $29.00–$294.00 | 88% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .Hiv Rna Quant Ultra Unmc | $510.00 | $510.00 | $173.00–$500.00 | 3% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 87389 Hiv-1 Ag Hiv-1/2 Ab Unmc | $168.00 | $168.00 | $49.00–$165.00 | 128% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c W/eag | $112.00 | $112.00 | $20.00–$110.00 | 57% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 Hbsab Hepatitis B Surface Ab Unmc | $199.00 | $199.00 | $22.00–$195.00 | 119% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 Hepatitis B Surf Ag Hbsag Unmc | $141.00 | $141.00 | $21.00–$138.00 | 52% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 Hepatitis C Antibody Unmc | $161.00 | $161.00 | $29.00–$158.00 | 76% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 .Hcv Rna Detect/quant Unmc | $667.00 | $667.00 | $87.00–$654.00 | 99% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1, Igg Unmc | $146.00 | $146.00 | $27.00–$143.00 | 46% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 86696 Herpes Simplex Type 2 Unmc | $148.00 | $148.00 | $39.00–$145.00 | 40% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp High Sensitivity Unmc | $238.00 | $238.00 | $26.00–$233.00 | 192% above | — |
| Homocysteine blood test CPT 83090 Homocysteine Unmc | $291.00 | $291.00 | $34.00–$285.00 | 105% above | — |
| Insulin blood test CPT 83525 Insulin Fasting Unmc | $181.00 | $181.00 | $23.00–$177.00 | 68% above | — |
| Iron blood test (serum iron) CPT 83540 Iron Level | $97.00 | $97.00 | $13.00–$95.00 | 54% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 83550 Iron Binding Capacity Unmc | $114.00 | $114.00 | $18.00–$112.00 | 67% above | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $200.00 | $200.00 | $18.00–$196.00 | 48% above | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Unmc | $190.00 | $190.00 | $38.00–$186.00 | 53% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $165.00 | $165.00 | $14.00–$162.00 | 72% above | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $180.00 | $180.00 | $17.00–$176.00 | 39% above | — |
| Lyme disease antibody test CPT 86618 Bâ Burgdorferi Abs, Total Unmc | $287.00 | $287.00 | $35.00–$281.00 | 123% above | — |
| Magnesium blood test CPT 83735 .Ana Screen Rfx Unmc | $118.00 | $118.00 | $14.00–$116.00 | 73% above | — |
| Measles (rubeola) antibody test CPT 86765 Immunity Panel Unmc | $163.00 | $163.00 | $26.00–$160.00 | 96% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $111.00 | $111.00 | $11.00–$109.00 | 72% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $184.00 | $184.00 | $37.00–$180.00 | 44% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $175.00 | $175.00 | $37.00–$172.00 | 68% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytology Genital Screen (Pap) Unmc | $171.00 | $171.00 | $41.00–$168.00 | 212% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact Unmc | $376.00 | $376.00 | $84.00–$368.00 | 78% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $131.00 | $131.00 | $12.00–$128.00 | 70% above | — |
| Progesterone blood test CPT 84144 Progesterone Unmc | $212.00 | $212.00 | $43.00–$208.00 | 95% above | — |
| Prolactin blood test CPT 84146 Prolactin Unmc | $239.00 | $239.00 | $39.00–$234.00 | 113% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $72.00 | $72.00 | $8.00–$71.00 | 43% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine | $150.00 | $150.00 | $23.00–$147.00 | 58% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A/b | $170.00 | $170.00 | $30.00–$167.00 | 130% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Unmc | $417.00 | $417.00 | $12.00–$409.00 | 670% above | — |
| Rubella antibody test (immunity check) CPT 86762 86762 Rubella Antibody Unmc | $149.00 | $149.00 | $29.00–$146.00 | 101% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr, Sedimentation Rate, Westergren Unmc | $77.00 | $77.00 | $6.00–$75.00 | 64% above | — |
| Stool ova and parasites exam CPT 87177 Crypto & Coccidia St Unmc | $136.00 | $136.00 | $18.00–$133.00 | 83% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen | $57.00 | $57.00 | $8.00–$56.00 | 107% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Hemoglobin Blood Screen Unmc | $67.00 | $67.00 | $26.00–$66.00 | 62% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Unmc | $80.00 | $80.00 | $9.00–$78.00 | 90% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Gold-tb | $312.00 | $312.00 | $119.00–$306.00 | 55% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Unmc | $210.00 | $210.00 | $53.00–$206.00 | 96% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-kidney Microsome Ab, Igg Unmc | $165.00 | $165.00 | $30.00–$162.00 | 97% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $157.00 | $157.00 | $34.00–$154.00 | 49% above | — |
| Uric acid blood test CPT 84550 Uric Acid | $90.00 | $90.00 | $9.00–$88.00 | 71% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $82.00 | $82.00 | $6.00–$80.00 | 64% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $66.00 | $66.00 | $5.00–$65.00 | 110% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine Mb Unmc | $122.00 | $122.00 | $16.00–$120.00 | 70% above | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Qual | $119.00 | $119.00 | $16.00–$117.00 | 88% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Unmc | $196.00 | $196.00 | $31.00–$192.00 | 73% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25oh Total Unmc | $232.00 | $232.00 | $60.00–$227.00 | 66% above | — |
| Zinc blood test CPT 84630 Zinc Unmc | $142.00 | $142.00 | $23.00–$139.00 | 115% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hcg, Serum Quant Tumor Marker Unmc | $184.00 | $184.00 | $31.00–$180.00 | 108% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-hcg Quantitative | $184.00 | $184.00 | $31.00–$180.00 | 108% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Fac Fee, Chemodenerv Musc Migraine | $3,360.00 | $3,360.00 | $268.00–$3,562.00 | 731% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion Charge | $1,911.00 | $1,911.00 | $215.00–$2,026.00 | 34% above | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $5,999.00 | $5,999.00 | $598.00–$6,360.00 | 439% above | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $5,739.00 | $5,739.00 | $472.00–$6,084.00 | 343% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $4,673.00 | $4,673.00 | $433.00–$4,954.00 | 280% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 Removal Impacted Cerumen Using Irrigatoion/lavage Unilateral | $50.00 | $50.00 | $17.00–$53.00 | 7% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 69210 Removal Impacted Cerumen Requiring Instrumentation Unilateral | $50.00 | $50.00 | $17.00–$76.00 | 42% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Fac Fee, Njx Interlaminar Crv/thrc W/image Guidance | $2,950.00 | $2,950.00 | $252.00–$3,128.00 | 178% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Fac Fee, Inj Paravert F Jnt L/s 1 Lev | $2,870.00 | $2,870.00 | $211.00–$3,043.00 | 166% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $19,909.00 | $19,909.00 | $1,475.00–$21,108.00 | 1047% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hysterosalpingogram Catheterization | $194.00 | $194.00 | $67.00–$206.00 | 53% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $14,960.00 | $14,960.00 | $1,167.00–$15,861.00 | 987% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Fac Fee, Inj Tendon Seath/ligament | $875.00 | $875.00 | $91.00–$928.00 | 410% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Fac Fee, Drain/inject Major Joint/bursa | $1,205.00 | $1,205.00 | $105.00–$1,278.00 | 531% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Intermediate Joint Injection | $215.00 | $215.00 | $30.00–$211.00 | 16% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Fac Fee, Drain/inject Intermediate Joint/bursa | $930.00 | $930.00 | $87.00–$986.00 | 404% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $15,583.00 | $15,583.00 | $1,226.00–$16,521.00 | 570% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $3,164.00 | $3,164.00 | $232.00–$3,354.00 | 177% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance | $3,164.00 | $3,164.00 | $201.00–$3,354.00 | 403% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $3,801.00 | $3,801.00 | $261.00–$4,030.00 | 163% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Fac Fee, Njx Aa&/strd Gr Ocpl Nrv | $1,175.00 | $1,175.00 | $120.00–$1,246.00 | 184% above | — |
| Paracentesis with imaging guidance CPT 49083 49083 Paracentesis W/guidance Charge | $1,608.00 | $1,608.00 | $254.00–$1,705.00 | 94% above | — |
| Paracentesis with imaging guidance CPT 49083 Us Paracentesis Eo | $1,608.00 | $1,608.00 | $559.00–$1,576.00 | 94% above | — |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $4,608.00 | $4,608.00 | $306.00–$4,885.00 | 305% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Fac Fee, Destruction By Neurolytic Agent Lum | $5,900.00 | $5,900.00 | $520.00–$6,255.00 | 189% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $28,069.00 | $28,069.00 | $398.00–$29,759.00 | 2247% above | — |
| Thoracentesis with imaging guidance CPT 32555 Us Thoracentesis Eo | $1,385.00 | $1,385.00 | $482.00–$1,357.00 | 68% above | — |
| Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis W/guidance Charge | $1,385.00 | $1,385.00 | $265.00–$1,468.00 | 68% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 | $12,517.00 | $12,517.00 | $664.00–$13,271.00 | 843% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Fac Fee, Inject Trigger Point 1 Or 2 | $985.00 | $985.00 | $88.00–$1,044.00 | 664% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $6,734.00 | $6,734.00 | $325.00–$7,139.00 | 343% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $6,734.00 | $6,734.00 | $287.00–$7,139.00 | 822% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Platelet Product (Bridge) | $910.00 | $910.00 | $78.00–$965.00 | 27% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Transfusion-1 Unit Charge | $956.00 | $956.00 | $78.00–$1,014.00 | 34% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Transfusion-2 Units Charge | $1,197.00 | $1,197.00 | $78.00–$1,269.00 | 67% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Transfusion-3 Units Charge | $1,439.00 | $1,439.00 | $78.00–$1,526.00 | 101% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 Blood Transfusion4 Units Charge | $1,680.00 | $1,680.00 | $78.00–$1,781.00 | 135% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 3804664 Initial Aerosol Tx | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Sputum Induction Charge | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 3784542 Subsequent Aerosol Tx | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 3784664 Initial Aerosol Tx | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 3804542 Subsequent Aerosol Tx | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mist Mask | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Subsequent Aerosol Tx Charge | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Mdi Treatment Subsequent Charge | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Mdi Treatment For Airway Obst Charge | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Initial Aerosol Tx Charge | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 4264664 Initial Aerosol Tx | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 4264542 Subsequent Aerosol Tx | $370.00 | $370.00 | $33.00–$392.00 | 250% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo By Iv Only 1st Hr Charge | $651.00 | $651.00 | $226.00–$690.00 | 14% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 Comprehensive Audiometry Threshold Eval And Speech Recognition (92553 And 92556 Combined) | $250.00 | $250.00 | $64.00–$265.00 | 159% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291 Facility Level Critical Care Ill/injured Patient Init 30 To 74 Min | $3,385.00 | $3,385.00 | $422.00–$3,589.00 | 420% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291 Critical Care First Hour Charge | $3,385.00 | $3,385.00 | $422.00–$3,589.00 | 420% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Cv Ecg Acquisition | $388.00 | $388.00 | $16.00–$411.00 | 64% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er E&m L1 | $48.00 | $48.00 | $10.00–$47.00 | 69% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Ed Visit For E&m Patient, Lev 1, May Not Req Presence Of Physician Or Other, Cc | $265.00 | $265.00 | $40.00–$281.00 | 74% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er E&m L2 | $94.00 | $94.00 | $38.00–$92.00 | 51% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 Ed Visit E&m Patient, Lev 2, Req Med Approp Hstry/exam/mdm, Cc | $510.00 | $510.00 | $79.00–$541.00 | 165% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er E&m L3 | $141.00 | $141.00 | $64.00–$138.00 | 49% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 Ed Visit E&m Patient, Lev 3, Req Med Approp Hstry/exam/low Mdm, Cc | $785.00 | $785.00 | $118.00–$832.00 | 186% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er E&m L4 | $267.00 | $267.00 | $108.00–$262.00 | 43% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 Ed Visit E&m Patient, Lev 4, Req Med Approp Hstry/exam/moderate Mdm, Cc | $1,295.00 | $1,295.00 | $223.00–$1,373.00 | 176% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er E&m L5 | $392.00 | $392.00 | $157.00–$384.00 | 40% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 Ed Visit E M Patient, Lev 5, Req Med Approp Hstry/exam/high Mdm, Cc | $1,790.00 | $1,790.00 | $329.00–$1,898.00 | 172% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Rt Stress Test Treadmill Charge | $1,405.00 | $1,405.00 | $63.00–$1,490.00 | 31% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $298.00 | $298.00 | $104.00–$316.00 | 28% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $308.00 | $308.00 | $107.00–$327.00 | 51% above | — |
| Group psychotherapy session CPT 90853 Group psychotherapy | $76.00 | $76.00 | $26.00–$81.00 | 66% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydrate Iv Infuse 1st Hr Charge | $380.00 | $380.00 | $71.00–$403.00 | at median | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360ed Hydration, First Hour | $380.00 | $380.00 | $71.00–$403.00 | at median | — |
| IV infusion of a medicine, first hour CPT 96365 96365 Iv Therapeutic 1st Hr Charge | $465.00 | $465.00 | $134.00–$493.00 | 21% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365- Ed Iv Tx, First Hour | $465.00 | $465.00 | $134.00–$493.00 | 21% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Sq/im Injection Charge | $370.00 | $370.00 | $32.00–$392.00 | 307% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ed Subq/im Injection | $370.00 | $370.00 | $32.00–$392.00 | 307% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Fac Fee, Behavioral Health Initial Diagnostic Evaluation W/o Med | $445.00 | $445.00 | $155.00–$436.00 | 108% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Behavioral Health Initial Diagnostic Evaluation W/o Med | $445.00 | $445.00 | $155.00–$436.00 | 108% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Charges | $128.00 | $128.00 | $45.00–$136.00 | 40% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges | $128.00 | $128.00 | $45.00–$136.00 | 40% above | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $263.00 | $263.00 | $91.00–$279.00 | 28% above | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $341.00 | $341.00 | $119.00–$362.00 | 13% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Audiology Visit New Level 1 And 2 | $95.00 | $95.00 | $33.00–$101.00 | 23% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Do Not Use 99202 Office/op Visit New-2 Charge Tech | $189.00 | $189.00 | $66.00–$200.00 | 53% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Mnt Individual Initial Charge | $79.00 | $79.00 | $27.00–$84.00 | 64% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Low Complex Units | $233.00 | $233.00 | $81.00–$247.00 | 42% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt High Complex Units | $339.00 | $339.00 | $118.00–$359.00 | 63% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Low Complex Units | $211.00 | $211.00 | $73.00–$224.00 | 34% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Moderate Complex Units | $254.00 | $254.00 | $88.00–$269.00 | 44% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Charge Units | $135.00 | $135.00 | $47.00–$143.00 | 41% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units | $135.00 | $135.00 | $47.00–$143.00 | 41% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $128.00 | $128.00 | $45.00–$136.00 | 35% above | — |
| Psychiatric evaluation with medical services CPT 90792 Behavioral Health Initial Diagnostic Evaluation W/med | $503.00 | $503.00 | $175.00–$493.00 | 116% above | — |
| Psychiatric evaluation with medical services CPT 90792 90792 Fac Fee, Behavioral Health Initial Diagnostic Evaluation W/med | $503.00 | $503.00 | $175.00–$493.00 | 116% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $260.00 | $260.00 | $90.00–$276.00 | 26% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $383.00 | $383.00 | $133.00–$406.00 | 52% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking Followup Edu 3-10 Charge | $53.00 | $53.00 | $18.00–$56.00 | 81% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Audiology Visit Est Level 3 | $100.00 | $100.00 | $35.00–$109.00 | 15% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office Visit Established Pt. Level 3 | $168.00 | $168.00 | $58.00–$178.00 | 42% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Audiology Visit Est Level 4 | $126.00 | $126.00 | $44.00–$150.00 | 28% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office/op Visit Est-4 Charge | $263.00 | $263.00 | $91.00–$279.00 | 50% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Audiology Visit Est Level 2 | $84.00 | $84.00 | $29.00–$89.00 | at median | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office Visit Established Pt. Level 2 (Sp Pro) | $147.00 | $147.00 | $48.00–$156.00 | 75% above | — |
| Speech and language evaluation CPT 92523 Speech Sound Prod W/ Language Charge | $494.00 | $494.00 | $172.00–$524.00 | 60% above | — |
| Speech therapy session, individual CPT 92507 Tx Of Speech/lang/voice/comm/auditory Chg | $368.00 | $368.00 | $128.00–$390.00 | 51% above | — |
| Spirometry (breathing test) CPT 94010 94010 Pulm Function W/o Bd Charge | $396.00 | $396.00 | $67.00–$420.00 | 47% above | — |
| Spirometry before and after a bronchodilator CPT 94060 94060 Pft Pre/post Charge | $890.00 | $890.00 | $113.00–$944.00 | 58% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge | $144.00 | $144.00 | $50.00–$153.00 | 67% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Charges | $144.00 | $144.00 | $50.00–$153.00 | 67% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Tdap Vaccine Administration Charge | $93.00 | $93.00 | $22.00–$91.00 | 163% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Sq/im Immunization Charge | $93.00 | $93.00 | $22.00–$91.00 | 163% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin Vac Initial Charge | $93.00 | $93.00 | $22.00–$91.00 | 163% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Admin Vac Ea Additional Charge | $57.00 | $57.00 | $22.00–$56.00 | 70% above | — |