Nebraska Spine Hospital
Nebraska Spine Hospital in Omaha, NE publishes cash prices for 95 common procedures listed here, from its own machine-readable price file updated Jul 20, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Nebraska median for 91 of 93 procedures and below it for 2. By typical cash price it ranks #49 of 52 Nebraska hospitals and #14 of 14 hospitals in the Omaha, NE area, cheapest first. Select a procedure to compare it with other hospitals nearby.
6901 North 72nd St Suite 20300 Collected Sep 29, 2026 Source price file Check a bill from this hospital (402) 572-3000
Acute care hospital For-profit hospital No emergency department CCN 280133 · CMS hospital register NPI 1649595448
The price file shows no self-pay discount
For 210 of the 210 prices listed here, the cash price in Nebraska Spine Hospital'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. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Nebraska Spine Hospital in Omaha, NE:
- Jan 28, 2026 Warning notice
- May 1, 2026 Corrective action plan requested
- Jul 6, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN COMPLETE 2V | $456.00 | $456.00 | $108.56–$456.00 | 27% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN COMPLETE 2V | $456.00 | $456.00 | $342.00–$456.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM | $658.00 | $658.00 | $182.14–$760.14 | 5% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM | $658.00 | $658.00 | $493.50–$658.00 | — | — |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD W WO CONTRAST | $3,342.00 | $3,342.00 | $182.14–$3,342.00 | 18% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO HEAD W WO CONTRAST | $3,342.00 | $3,342.00 | $2,506.50–$3,342.00 | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W WO CONTRAST | $3,548.00 | $3,548.00 | $182.14–$3,548.00 | 25% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK W WO CONTRAST | $3,548.00 | $3,548.00 | $2,661.00–$3,548.00 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W WO CONTRST | $3,763.00 | $3,763.00 | $182.14–$3,763.00 | 15% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W WO CONTRST | $3,763.00 | $3,763.00 | $2,822.25–$3,763.00 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS WO CONTRAST | $5,090.00 | $5,090.00 | $247.76–$5,090.00 | 37% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD PELVIS WO CONTRAST | $5,090.00 | $5,090.00 | $3,817.50–$5,090.00 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $5,433.00 | $5,433.00 | $362.27–$5,433.00 | 30% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $5,433.00 | $5,433.00 | $4,074.75–$5,433.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $2,168.00 | $2,168.00 | $108.56–$2,168.00 | 13% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $2,168.00 | $2,168.00 | $1,626.00–$2,168.00 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR WO CONTRAST | $2,848.17 | $2,848.17 | $108.56–$2,848.17 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR WO CONTRAST | $2,848.17 | $2,848.17 | $2,136.13–$2,848.17 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL WO CONTRAST | $2,807.00 | $2,807.00 | $108.56–$2,807.00 | 21% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL WO CONTRAST | $2,807.00 | $2,807.00 | $2,105.25–$2,807.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX BILATERAL | $1,526.00 | $1,526.00 | $247.76–$1,526.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID DUPLEX BILATERAL | $1,526.00 | $1,526.00 | $1,144.50–$1,526.00 | — | — |
| Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS PA LAT | $472.00 | $472.00 | $90.37–$472.00 | 56% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS PA LAT | $472.00 | $472.00 | $354.00–$472.00 | — | — |
| Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW PA OR AP ONLY | $332.00 | $332.00 | $90.37–$332.00 | 35% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW PA OR AP ONLY | $332.00 | $332.00 | $249.00–$332.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $1,095.00 | $1,095.00 | $108.56–$1,095.00 | 38% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $1,095.00 | $1,095.00 | $821.25–$1,095.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST | $2,602.00 | $2,602.00 | $108.56–$2,602.00 | 19% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST | $2,602.00 | $2,602.00 | $1,951.50–$2,602.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST | $2,746.00 | $2,746.00 | $182.14–$2,746.00 | 9% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST | $2,746.00 | $2,746.00 | $2,059.50–$2,746.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VENOUS DUPLEX BILATERAL | $2,037.00 | $2,037.00 | $247.76–$2,037.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VENOUS DUPLEX BILATERAL | $2,037.00 | $2,037.00 | $1,527.75–$2,037.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO W PW CW CF DOPPLER | $3,165.00 | $3,165.00 | $567.39–$3,165.00 | 46% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO W PW CW CF DOPPLER | $3,165.00 | $3,165.00 | $2,373.75–$3,165.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $682.00 | $682.00 | $108.56–$730.99 | 18% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED | $682.00 | $682.00 | $511.50–$682.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA FIBULA | $349.00 | $349.00 | $90.37–$349.00 | 12% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA FIBULA | $349.00 | $349.00 | $261.75–$349.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONT LTD M52 | $4,331.00 | $4,331.00 | $247.76–$4,331.00 | 29% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONT LTD M52 | $4,331.00 | $4,331.00 | $3,248.25–$4,331.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST | $4,658.00 | $4,658.00 | $362.27–$4,658.00 | 18% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST | $4,658.00 | $4,658.00 | $3,493.50–$4,658.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MR LUMBAR WO CONTRAST | $3,834.00 | $3,834.00 | $247.76–$3,834.00 | 19% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR LUMBAR WO CONTRAST | $3,834.00 | $3,834.00 | $2,875.50–$3,834.00 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR THORACIC WO CONTRAST | $4,083.00 | $4,083.00 | $247.76–$4,083.00 | 20% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR THORACIC WO CONTRAST | $4,083.00 | $4,083.00 | $3,062.25–$4,083.00 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR CERVICAL W WO CONTRAST | $4,163.00 | $4,163.00 | $362.27–$4,163.00 | 4% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR CERVICAL W WO CONTRAST | $4,163.00 | $4,163.00 | $3,122.25–$4,163.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR CERVICAL WO CONTRAST | $3,887.00 | $3,887.00 | $247.76–$3,887.00 | 17% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR CERVICAL WO CONTRAST | $3,887.00 | $3,887.00 | $2,915.25–$3,887.00 | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST | $2,487.00 | $2,487.00 | $108.56–$2,487.00 | 14% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST | $2,487.00 | $2,487.00 | $1,865.25–$2,487.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER COMPLETE | $460.00 | $460.00 | $90.37–$460.00 | 34% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER COMPLETE | $460.00 | $460.00 | $345.00–$460.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING STUDY FOR SPEECH | $570.00 | $570.00 | $182.14–$1,183.76 | 3% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING STUDY FOR SPEECH | $570.00 | $570.00 | $427.50–$570.00 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC WO CONTRAST | $2,470.00 | $2,470.00 | $108.56–$2,470.00 | 8% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC WO CONTRAST | $2,470.00 | $2,470.00 | $1,852.50–$2,470.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC VENOUS DUPLEX UNILATERAL | $1,630.00 | $1,630.00 | $108.56–$1,630.00 | 57% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC VENOUS DUPLEX UNILATERAL | $1,630.00 | $1,630.00 | $1,222.50–$1,630.00 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW | $291.00 | $291.00 | $90.37–$291.00 | 5% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW | $291.00 | $291.00 | $218.25–$291.00 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER LT 5TH DIGIT F4 | $268.00 | $268.00 | $90.37–$286.55 | 15% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER LT 5TH DIGIT F4 | $268.00 | $268.00 | $201.00–$268.00 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 2 VIEW AP LAT | $375.00 | $375.00 | $90.37–$375.00 | 15% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 2 VIEW AP LAT | $375.00 | $375.00 | $281.25–$375.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE 2 OR 3V | $489.00 | $489.00 | $108.56–$489.00 | 14% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE 2 OR 3V | $489.00 | $489.00 | $366.75–$489.00 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2 VIEW | $296.00 | $296.00 | $108.56–$296.00 | 10% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2 VIEW | $296.00 | $296.00 | $222.00–$296.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE =<3 VIEWS | $345.00 | $345.00 | $90.37–$345.00 | 1% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE =<3 VIEWS | $345.00 | $345.00 | $258.75–$345.00 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS | $308.00 | $308.00 | $108.56–$308.00 | 5% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS | $308.00 | $308.00 | $231.00–$308.00 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX | $432.00 | $432.00 | $90.37–$432.00 | 37% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX | $432.00 | $432.00 | $324.00–$432.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Albumin blood test CPT 82040 HC ALBUMIN | $97.00 | $97.00 | $4.09–$97.00 | 111% above | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN | $97.00 | $97.00 | $72.75–$97.00 | — | — |
| Ammonia blood test CPT 82140 HC AMMONIA | $220.00 | $220.00 | $12.05–$220.00 | 73% above | — |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $220.00 | $220.00 | $165.00–$220.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC CHF PEPTIDE | $385.86 | $385.86 | $32.46–$437.70 | 74% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC CHF PEPTIDE | $385.86 | $385.86 | $289.39–$385.86 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE ANY OTHER SOURCE | $194.00 | $194.00 | $7.13–$194.00 | 151% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE ANY OTHER SOURCE | $194.00 | $194.00 | $145.50–$194.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $276.00 | $276.00 | $6.99–$276.00 | 93% above | — |
| Basic metabolic panel (blood test) CPT 80048 HC RHC BASIC METABOLIC PANL | $276.00 | $276.00 | $6.99–$276.00 | 93% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $276.00 | $276.00 | $207.00–$276.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC RHC BASIC METABOLIC PANL | $276.00 | $276.00 | $207.00–$276.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS EXAM | $402.00 | $402.00 | $54.11–$402.00 | 103% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS EXAM | $402.00 | $402.00 | $301.50–$402.00 | — | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $301.00 | $301.00 | $8.53–$301.00 | 67% above | — |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $301.00 | $301.00 | $225.75–$301.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE COLLECTION | $41.00 | $41.00 | $9.34–$41.00 | 47% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE COLLECTION | $41.00 | $41.00 | $30.75–$41.00 | — | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $65.00 | $65.00 | $3.25–$65.00 | 24% above | — |
| Blood glucose (sugar) test CPT 82947 HC POCT GLUCOSE | $76.00 | $76.00 | $3.25–$76.00 | 45% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $65.00 | $65.00 | $48.75–$65.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC POCT GLUCOSE | $76.00 | $76.00 | $57.00–$76.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL | $174.00 | $174.00 | $6.22–$174.00 | 42% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL | $174.00 | $174.00 | $130.50–$174.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPE | $93.00 | $93.00 | $35.34–$138.16 | 58% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPE | $93.00 | $93.00 | $69.75–$93.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP | $202.00 | $202.00 | $4.28–$202.00 | 97% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP | $202.00 | $202.00 | $151.50–$202.00 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE DNA DETECTION | $378.00 | $378.00 | $30.81–$452.54 | 120% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE DNA DETECTION | $378.00 | $378.00 | $283.50–$378.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC INFECTIOUS AGENT SARS-COV-2 AMP PROBE | $169.00 | $169.00 | $42.42–$483.14 | 28% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC INFECTIOUS AGENT SARS-COV-2 AMP PROBE | $169.00 | $169.00 | $126.75–$169.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $243.00 | $243.00 | $11.07–$243.00 | 100% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $243.00 | $243.00 | $182.25–$243.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF | $170.00 | $170.00 | $6.42–$170.00 | 85% above | — |
| Complete blood count (CBC) with differential CPT 85025 HC RHC CBC AUTOMATED W DIFF | $170.00 | $170.00 | $6.42–$170.00 | 85% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF | $170.00 | $170.00 | $127.50–$170.00 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC RHC CBC AUTOMATED W DIFF | $170.00 | $170.00 | $127.50–$170.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $129.00 | $129.00 | $5.35–$129.00 | 75% above | — |
| Complete blood count (CBC), no differential CPT 85027 HC RHC HEMOGRAM CBC W O DIFF | $129.00 | $129.00 | $5.35–$129.00 | 75% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC RHC HEMOGRAM CBC W O DIFF | $129.00 | $129.00 | $96.75–$129.00 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $129.00 | $129.00 | $96.75–$129.00 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE PANEL | $400.00 | $400.00 | $8.73–$400.00 | 142% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC RHC COMP METABOLIC PANEL | $400.00 | $400.00 | $8.73–$400.00 | 142% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC RHC COMP METABOLIC PANEL | $400.00 | $400.00 | $300.00–$400.00 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE PANEL | $400.00 | $400.00 | $300.00–$400.00 | — | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL | $282.00 | $282.00 | $13.48–$282.00 | 128% above | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL | $282.00 | $282.00 | $211.50–$282.00 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CPK | $173.00 | $173.00 | $5.38–$173.00 | 75% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CPK | $173.00 | $173.00 | $129.75–$173.00 | — | — |
| Creatinine blood test CPT 82565 HC CREATININE | $103.00 | $103.00 | $4.23–$103.00 | 89% above | — |
| Creatinine blood test inpatient CPT 82565 HC CREATININE | $103.00 | $103.00 | $77.25–$103.00 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUANTITATIVE | $286.00 | $286.00 | $8.42–$286.00 | 88% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUANTITATIVE | $286.00 | $286.00 | $214.50–$286.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN LIST A 8 | $217.50 | $217.50 | $51.37–$750.25 | 55% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN LIST A 8 | $217.50 | $217.50 | $163.13–$217.50 | — | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN | $234.00 | $234.00 | $8.04–$234.00 | 116% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN | $234.00 | $234.00 | $175.50–$234.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE | $160.00 | $160.00 | $7.46–$160.00 | 78% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE | $160.00 | $160.00 | $120.00–$160.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1 AG W HIV1 HIV2 AB | $202.00 | $202.00 | $19.91–$310.49 | 145% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV1 AG W HIV1 HIV2 AB | $202.00 | $202.00 | $151.50–$202.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN | $175.00 | $175.00 | $8.03–$175.00 | 116% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN | $175.00 | $175.00 | $131.25–$175.00 | — | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $49.00 | $49.00 | $1.96–$49.00 | 44% above | — |
| Hemoglobin blood test CPT 85018 HC RHC HEMOGLOBIN | $49.00 | $49.00 | $1.96–$49.00 | 44% above | — |
| Hemoglobin blood test inpatient CPT 85018 HC RHC HEMOGLOBIN | $49.00 | $49.00 | $36.75–$49.00 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $49.00 | $49.00 | $36.75–$49.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HS | $264.00 | $264.00 | $10.71–$264.00 | 176% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HS | $264.00 | $264.00 | $198.00–$264.00 | — | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $310.00 | $310.00 | $7.18–$310.00 | 108% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $310.00 | $310.00 | $232.50–$310.00 | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $184.00 | $184.00 | $9.56–$184.00 | 47% above | — |
| Lactate (lactic acid) blood test CPT 83605 HC POCT LACTIC ACID | $205.00 | $205.00 | $9.56–$205.00 | 64% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $184.00 | $184.00 | $138.00–$184.00 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC POCT LACTIC ACID | $205.00 | $205.00 | $153.75–$205.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $207.00 | $207.00 | $5.70–$207.00 | 107% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $207.00 | $207.00 | $155.25–$207.00 | — | — |
| Liver function blood test panel CPT 80076 HC HEPATIC PROFILE | $289.00 | $289.00 | $6.75–$289.00 | 116% above | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PROFILE | $289.00 | $289.00 | $216.75–$289.00 | — | — |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $105.00 | $105.00 | $5.54–$105.00 | 45% above | — |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $105.00 | $105.00 | $78.75–$105.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID | $391.60 | $391.60 | $34.13–$532.26 | 86% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID | $391.60 | $391.60 | $293.70–$391.60 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $112.00 | $112.00 | $4.97–$112.00 | 42% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $112.00 | $112.00 | $84.00–$112.00 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $84.00 | $84.00 | $3.92–$84.00 | 61% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $84.00 | $84.00 | $63.00–$84.00 | — | — |
| Potassium blood test CPT 84132 HC POCT POTASSIUM | $83.00 | $83.00 | $3.94–$83.00 | 74% above | — |
| Potassium blood test CPT 84132 HC POTASSIUM | $83.00 | $83.00 | $3.94–$83.00 | 74% above | — |
| Potassium blood test inpatient CPT 84132 HC POCT POTASSIUM | $83.00 | $83.00 | $62.25–$83.00 | — | — |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM | $83.00 | $83.00 | $62.25–$83.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT | $86.00 | $86.00 | $3.55–$86.00 | 68% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC RHC PROTIME | $86.00 | $86.00 | $3.55–$86.00 | 68% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT | $86.00 | $86.00 | $64.50–$86.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC RHC PROTIME | $86.00 | $86.00 | $64.50–$86.00 | — | — |
| Rh blood typing CPT 86901 HC RH TYPE | $83.00 | $83.00 | $31.54–$83.00 | 60% above | — |
| Rh blood typing inpatient CPT 86901 HC RH TYPE | $83.00 | $83.00 | $62.25–$83.00 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE AUTOMATED | $84.00 | $84.00 | $2.23–$84.00 | 56% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE AUTOMATED | $84.00 | $84.00 | $63.00–$84.00 | — | — |
| Sodium blood test CPT 84295 HC SODIUM | $57.75 | $57.75 | $3.98–$62.03 | 9% above | — |
| Sodium blood test CPT 84295 HC POCT SODIUM | $85.00 | $85.00 | $3.98–$85.00 | 60% above | — |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $57.75 | $57.75 | $43.31–$57.75 | — | — |
| Sodium blood test inpatient CPT 84295 HC POCT SODIUM | $85.00 | $85.00 | $63.75–$85.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $210.00 | $210.00 | $13.89–$216.70 | 86% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $210.00 | $210.00 | $157.50–$210.00 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $187.00 | $187.00 | $11.72–$187.00 | 110% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $187.00 | $187.00 | $140.25–$187.00 | — | — |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDE | $104.00 | $104.00 | $4.75–$104.00 | 71% above | — |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDE | $104.00 | $104.00 | $78.00–$104.00 | — | — |
| Troponin test, quantitative CPT 84484 HC TROPONIN | $276.00 | $276.00 | $10.31–$276.00 | 45% above | — |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN | $276.00 | $276.00 | $207.00–$276.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS | $108.00 | $108.00 | $2.62–$108.00 | 86% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS | $108.00 | $108.00 | $81.00–$108.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO WO MICRO | $60.00 | $60.00 | $1.86–$60.00 | 76% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO WO MICRO | $60.00 | $60.00 | $45.00–$60.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE | $175.49 | $175.49 | $6.67–$175.49 | 144% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE | $175.49 | $175.49 | $131.62–$175.49 | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC HCG URINE | $111.00 | $111.00 | $7.12–$111.00 | 69% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC HCG URINE | $111.00 | $111.00 | $83.25–$111.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $228.00 | $228.00 | $12.47–$228.00 | 97% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $228.00 | $228.00 | $171.00–$228.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25OH | $457.00 | $457.00 | $24.47–$457.00 | 195% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25OH | $457.00 | $457.00 | $342.75–$457.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANT | $219.00 | $219.00 | $12.44–$219.00 | 94% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANT | $219.00 | $219.00 | $164.25–$219.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS | $1,119.00 | $1,119.00 | $425.22–$1,119.00 | 50% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS | $1,119.00 | $1,119.00 | $839.25–$1,119.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $216.00 | $216.00 | $82.08–$227.38 | 41% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $216.00 | $216.00 | $162.00–$216.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG ROUTINE | $296.00 | $296.00 | $61.26–$296.00 | 16% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG ROUTINE | $296.00 | $296.00 | $222.00–$296.00 | — | — |
Source file: https://nebraskaspinehospital.com/270263191_nebraska-spine-hospital_standardcharges.csv