Chadron Community Hospital
Chadron Community Hospital in Chadron, NE publishes cash prices for 266 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 193 of 263 procedures and above it for 65. By typical cash price it ranks #16 of 53 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
825 Centennial Drive, Chadron, NE 69337 Collected Sep 29, 2026 Source price file (308) 432-5586
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 281341 · CMS hospital register
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 | $271.00 | $387.00 | $174.00–$387.00 | 18% below | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3+ Views Left | $271.00 | $387.00 | $174.00–$387.00 | 18% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 93922 Limited Bilateral Non-invasive Physiologic Study â Upper/lower Extremity | $468.00 | $668.00 | $300.00–$668.00 | — | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Pro-limited Bilateral Noninvasive Physiologic Studyupper/lower Extremity | $468.00 | $668.00 | $67.00–$668.00 | — | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 Us Ankle Brachial Index | $468.00 | $668.00 | $300.00–$668.00 | 15% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922-abi-left | $438.00 | $625.00 | $281.00–$625.00 | 21% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922-abi-right | $438.00 | $625.00 | $281.00–$625.00 | 21% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922 Us Abi Limited Right Rad Charge | $468.00 | $668.00 | $300.00–$668.00 | 15% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 93922 Us Abi Limited Left Rad Charge | $468.00 | $668.00 | $300.00–$668.00 | 15% below | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body | $1,440.00 | $2,057.00 | $923.00–$2,057.00 | 17% below | 30% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Left | $410.00 | $586.00 | $263.00–$586.00 | 16% below | 30% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Left | $321.00 | $458.00 | $206.00–$458.00 | 17% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Chad Ct Angio Chest | $2,636.00 | $3,765.00 | $1,690.00–$3,765.00 | 20% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Chest Pe Protocol | $2,636.00 | $3,765.00 | $1,690.00–$3,765.00 | 20% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Stone Protocol | $3,157.00 | $4,510.00 | $2,024.00–$4,510.00 | 9% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen And Pelvis W/o Contrast | $3,157.00 | $4,510.00 | $2,024.00–$4,510.00 | 9% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,581.00 | $5,115.00 | $2,296.00–$5,115.00 | 13% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Urogram | $4,337.00 | $6,195.00 | $2,780.00–$6,195.00 | 13% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen And Pelvis W/ + W/o Contrast | $4,337.00 | $6,195.00 | $2,780.00–$6,195.00 | 13% below | 30% |
| CT scan of the abdomen with contrast CPT 74160 Ct Renal W/ Contrast | $2,119.00 | $3,027.00 | $1,359.00–$3,027.00 | 18% below | 30% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast | $2,119.00 | $3,027.00 | $1,359.00–$3,027.00 | 18% below | 30% |
| CT scan of the abdomen with contrast CPT 74160 Ct Pancreas W/ Contrast | $2,119.00 | $3,027.00 | $1,359.00–$3,027.00 | 18% below | 30% |
| CT scan of the abdomen without contrast CPT 74150 Ct Renal W/o Contrast | $1,865.00 | $2,664.00 | $1,196.00–$2,664.00 | 16% below | 30% |
| CT scan of the abdomen without contrast CPT 74150 Ct Pancreas W/o Contrast | $1,865.00 | $2,664.00 | $1,196.00–$2,664.00 | 16% below | 30% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $1,865.00 | $2,664.00 | $1,196.00–$2,664.00 | 16% below | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast | $1,515.00 | $2,164.00 | $971.00–$2,164.00 | 17% below | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus W/o Contrast | $1,515.00 | $2,164.00 | $971.00–$2,164.00 | 17% below | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,639.00 | $2,342.00 | $1,051.00–$2,342.00 | 15% below | 30% |
| CT scan of the head with contrast CPT 70460 Ct Head W/ Contrast | $1,821.00 | $2,601.00 | $1,167.00–$2,601.00 | 13% below | 30% |
| CT scan of the head without and with contrast CPT 70470 Ct Head W/ + W/o Contrast | $2,070.00 | $2,957.00 | $1,327.00–$2,957.00 | 17% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast | $1,928.00 | $2,755.00 | $1,236.00–$2,755.00 | 14% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast | $1,977.00 | $2,824.00 | $1,267.00–$2,824.00 | 14% below | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,153.00 | $3,075.00 | $1,380.00–$3,075.00 | 13% below | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Chad Us Bilateral Carotid Duplex | $1,175.00 | $1,678.00 | $753.00–$1,678.00 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880-us Carotid Duplex Bilateral | $1,175.00 | $1,678.00 | $753.00–$1,678.00 | — | 30% |
| Chest X-ray, 2 views CPT 71046 Chad Xr Chest 2 Views | $275.00 | $393.00 | $137.00–$393.00 | 5% below | 30% |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $228.00 | $326.00 | $146.00–$326.00 | 5% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Bone Density Dexa Axial Skeleton | $384.00 | $549.00 | $246.00–$549.00 | 6% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest High Resolution | $1,868.00 | $2,669.00 | $1,198.00–$2,669.00 | 14% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $1,868.00 | $2,669.00 | $1,198.00–$2,669.00 | 14% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 Ct Chest W/o Contrast | $3,157.00 | $4,510.00 | $2,024.00–$4,510.00 | 46% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260 Ct Chest W/ Contrast | $2,111.00 | $3,015.00 | $1,353.00–$3,015.00 | 16% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ Contrast | $2,111.00 | $3,015.00 | $1,353.00–$3,015.00 | 16% below | 30% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $342.00 | $489.00 | $219.00–$489.00 | 26% below | 30% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $278.00 | $397.00 | $178.00–$397.00 | 12% below | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Lower Ext Arterial Duplex Bilateral | $976.00 | $1,394.00 | $626.00–$1,394.00 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Chad Us Bilateral Le Arterial Duplex | $1,000.00 | $1,429.00 | $641.00–$1,429.00 | — | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 93925-us Le Arterial Duplex | $1,000.00 | $1,429.00 | $641.00–$1,429.00 | 7% below | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970-us Le Venous Duplex Bilateral | $1,145.00 | $1,635.00 | $734.00–$1,635.00 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Upper Ext Venous Duplex Bilateral | $1,145.00 | $1,635.00 | $734.00–$1,635.00 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chad Us Bilateral Le Venous Duplex | $1,145.00 | $1,635.00 | $734.00–$1,635.00 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Chad Echo Complete | $1,803.00 | $2,576.00 | $1,156.00–$2,576.00 | 17% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306-echocardiogram Complete | $1,803.00 | $2,576.00 | $1,156.00–$2,576.00 | 17% below | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobiliary Imaging | $1,393.00 | $1,990.00 | $893.00–$1,990.00 | 9% below | 30% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left | $287.00 | $410.00 | $184.00–$410.00 | 24% below | 30% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Right | $287.00 | $410.00 | $184.00–$410.00 | 24% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited | $557.00 | $796.00 | $357.00–$796.00 | 1% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 Us Abdomen/lower Back Limited | $557.00 | $796.00 | $357.00–$796.00 | 1% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Gallbladder | $557.00 | $796.00 | $357.00–$796.00 | 1% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Liver (Hepatic) | $557.00 | $796.00 | $357.00–$796.00 | 1% below | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Low Dose Lung Screening | $847.00 | $1,210.00 | $543.00–$1,210.00 | 37% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $2,103.00 | $3,004.00 | $1,348.00–$3,004.00 | 19% below | 30% |
| 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 Rt | $2,839.00 | $4,055.00 | $1,820.00–$4,055.00 | 16% below | 30% |
| 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 Lt | $2,839.00 | $4,055.00 | $1,820.00–$4,055.00 | 16% below | 30% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $2,664.00 | $3,806.00 | $1,708.00–$3,806.00 | 11% below | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast | $3,422.00 | $4,889.00 | $2,194.00–$4,889.00 | 11% below | 30% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast | $2,708.00 | $3,869.00 | $1,736.00–$3,869.00 | 17% below | 30% |
| MRI of the brain, no contrast dye CPT 70551 Mri Iac W/o Contrast | $2,708.00 | $3,869.00 | $1,736.00–$3,869.00 | 17% below | 30% |
| MRI of the brain, no contrast dye CPT 70551 Mri Pituitary W/o Contrast | $2,708.00 | $3,869.00 | $1,736.00–$3,869.00 | 17% below | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $3,286.00 | $4,694.00 | $2,107.00–$4,694.00 | 17% below | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,589.00 | $3,698.00 | $1,660.00–$3,698.00 | 19% below | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 72158 Mri L-spine W & W/o | $3,343.00 | $4,776.00 | $2,143.00–$4,776.00 | 15% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 72146 Mri T-spine W/o | $2,874.00 | $4,106.00 | $1,843.00–$4,106.00 | 15% below | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 72156 Mri C-spine W & W/o | $3,540.00 | $5,057.00 | $2,270.00–$5,057.00 | 11% below | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 72141 Mri C-spine W/o | $3,228.00 | $4,611.00 | $2,069.00–$4,611.00 | 3% below | 30% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Sacrum/coccyx W/ + W/o Contrast | $3,102.00 | $4,432.00 | $1,989.00–$4,432.00 | 14% below | 30% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast | $3,102.00 | $4,432.00 | $1,989.00–$4,432.00 | 14% below | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast | $2,490.00 | $3,557.00 | $1,596.00–$3,557.00 | 16% below | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Sacrum/coccyx W/o Contrast | $2,490.00 | $3,557.00 | $1,596.00–$3,557.00 | 16% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Lt | $2,035.00 | $2,907.00 | $1,305.00–$2,907.00 | 18% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Right | $2,035.00 | $2,907.00 | $1,305.00–$2,907.00 | 18% below | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Myocardial Spect Rest And Stress | $3,490.00 | $4,985.00 | $2,237.00–$4,985.00 | 17% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Non Ob Ltd | $424.00 | $605.00 | $272.00–$605.00 | 4% above | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Non Ob | $644.00 | $920.00 | $413.00–$920.00 | 18% below | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $589.00 | $841.00 | $377.00–$841.00 | 16% below | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob Less Than 14 Weeks Single | $524.00 | $748.00 | $336.00–$748.00 | 15% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 Us Ob Limited Charge | $342.00 | $489.00 | $219.00–$489.00 | 13% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $370.00 | $529.00 | $237.00–$529.00 | 6% below | 30% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $291.00 | $415.00 | $186.00–$415.00 | — | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Left | $283.00 | $404.00 | $181.00–$404.00 | 17% below | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Right | $283.00 | $404.00 | $181.00–$404.00 | 17% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $547.00 | $781.00 | $351.00–$781.00 | 14% below | 30% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $720.00 | $1,028.00 | $461.00–$1,028.00 | 14% below | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum (Contents) | $549.00 | $784.00 | $352.00–$784.00 | 16% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Head/neck | $498.00 | $712.00 | $320.00–$712.00 | 17% below | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 Xr Ugi Single Contrast | $510.00 | $729.00 | $327.00–$729.00 | 3% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 Us Extremity Venousbil-ltd | $860.00 | $1,228.00 | $551.00–$1,228.00 | 17% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Right | $860.00 | $1,228.00 | $551.00–$1,228.00 | 17% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Upper Ext Venous Duplex Left | $860.00 | $1,228.00 | $551.00–$1,228.00 | 17% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Left | $860.00 | $1,228.00 | $551.00–$1,228.00 | 17% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Upper Ext Venous Duplex Right | $860.00 | $1,228.00 | $551.00–$1,228.00 | 17% below | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Right | $255.00 | $364.00 | $163.00–$364.00 | 23% below | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Left | $255.00 | $364.00 | $163.00–$364.00 | 23% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Left | $259.00 | $370.00 | $166.00–$370.00 | 12% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views Right | $259.00 | $370.00 | $166.00–$370.00 | 12% below | 30% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 View | $250.00 | $357.00 | $160.00–$357.00 | 9% below | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left | $209.00 | $299.00 | $134.00–$299.00 | 19% below | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Right | $209.00 | $299.00 | $134.00–$299.00 | 19% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(5th Digit) 2+ Views Left | $176.00 | $252.00 | $113.00–$252.00 | 24% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(2nd Digit) 2+ Views Right | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(1st Digit) 2+ Views Left | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(1st Digit) 2+ Views Right | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(2nd Digit) 2+ Views Left | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(3rd Digit) 2+ Views Left | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(3rd Digit) 2+ Views Right | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(4th Digit) 2+ Views Left | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(4th Digit) 2+ Views Right | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(5th Digit) 2+ Views Right | $190.00 | $271.00 | $122.00–$271.00 | 18% below | 30% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left | $207.00 | $295.00 | $132.00–$295.00 | 5% below | 30% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Right | $207.00 | $295.00 | $132.00–$295.00 | 5% below | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Right | $275.00 | $393.00 | $176.00–$393.00 | 16% below | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Left | $275.00 | $393.00 | $176.00–$393.00 | 16% below | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Left | $267.00 | $381.00 | $171.00–$381.00 | 22% below | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Right | $267.00 | $381.00 | $171.00–$381.00 | 22% below | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Left | $261.00 | $373.00 | $167.00–$373.00 | 19% below | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Right | $261.00 | $373.00 | $167.00–$373.00 | 19% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Or 3 Views | $352.00 | $503.00 | $226.00–$503.00 | 17% below | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $431.00 | $616.00 | $276.00–$616.00 | 12% below | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views | $296.00 | $423.00 | $190.00–$423.00 | 4% below | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Views | $266.00 | $380.00 | $171.00–$380.00 | 9% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Chad Xr Spine Cervical 2 Or 3 Views | $284.00 | $405.00 | $182.00–$405.00 | 11% below | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views | $258.00 | $369.00 | $166.00–$369.00 | 8% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx 2+ Views | $258.00 | $369.00 | $166.00–$369.00 | 9% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $53.00 | $75.00 | $34.00–$75.00 | 13% below | 29% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $53.00 | $76.00 | $34.00–$76.00 | 7% below | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $244.00 | $349.00 | $157.00–$349.00 | 24% below | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel Rw | $265.00 | $379.00 | $170.00–$379.00 | 17% below | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana , Ige Rw | $59.00 | $84.00 | $38.00–$84.00 | 17% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food-nut Panel # 2 Rw | $64.00 | $92.00 | $41.00–$92.00 | 27% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Panel Rw | $64.00 | $92.00 | $41.00–$92.00 | 27% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Panel 2, Ige Rw | $78.00 | $112.00 | $50.00–$112.00 | 55% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibodies Igg/iga Lc | $108.00 | $154.00 | $69.00–$154.00 | 5% below | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab Rw | $133.00 | $190.00 | $85.00–$190.00 | 17% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab Rw | $92.00 | $131.00 | $59.00–$131.00 | 12% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen, Ifa Rw | $95.00 | $136.00 | $61.00–$136.00 | 16% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Scr Ifa W/rfl Tit/pat/lupus 4-q Rw | $757.00 | $1,082.00 | $486.00–$1,082.00 | 824% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-term. Pro B-type Natriuretic Peptid Rw | $228.00 | $326.00 | $146.00–$326.00 | 3% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-probnp Ii | $228.00 | $326.00 | $146.00–$326.00 | 3% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-pro Bnp | $228.00 | $326.00 | $146.00–$326.00 | 3% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $110.00 | $157.00 | $70.00–$157.00 | 23% below | 30% |
| Blood culture for bacteria CPT 87040 Culture, Blood Wcl | $211.00 | $302.00 | $136.00–$302.00 | 17% above | 30% |
| Blood culture for bacteria CPT 87040 Culture Blood 2 Mb Rw | $211.00 | $302.00 | $136.00–$302.00 | 17% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only Venipuncture | $26.00 | $37.00 | $17.00–$37.00 | 6% below | 30% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $46.00 | $66.00 | $30.00–$66.00 | 12% below | 30% |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hour Post Prandial | $46.00 | $66.00 | $30.00–$66.00 | 12% below | 30% |
| Blood lead test CPT 83655 Lead Rw | $64.00 | $92.00 | $41.00–$92.00 | 1% below | 30% |
| Blood lead test CPT 83655 Zzlead, Capillary W/demo Rw | $64.00 | $92.00 | $41.00–$92.00 | 1% below | 30% |
| Blood lead test CPT 83655 Lead, Blood (Peds) Capillary Lc | $67.00 | $96.00 | $43.00–$96.00 | 4% above | 30% |
| Blood lead test CPT 83655 Lead, Venous W/demo Rw | $70.00 | $100.00 | $45.00–$100.00 | 8% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum Qual | $105.00 | $150.00 | $67.00–$150.00 | 14% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord Abo/rh 2 | $58.00 | $83.00 | $37.00–$83.00 | 1% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900abo/rh Add On | $58.00 | $83.00 | $37.00–$83.00 | 1% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $88.00 | $125.00 | $56.00–$125.00 | 14% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. Difficile Toxin Pcr, Rw | $152.00 | $217.00 | $97.00–$217.00 | 12% below | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 Lc | $136.00 | $194.00 | $87.00–$194.00 | 25% below | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 Carbohydrate Ag 19-9 Rw | $177.00 | $253.00 | $114.00–$253.00 | 2% below | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 Rw | $160.00 | $229.00 | $103.00–$229.00 | 9% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 (Covid-19) Rna (Id Now) | $114.00 | $163.00 | $68.00–$163.00 | 13% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Rw | $120.00 | $171.00 | $77.00–$171.00 | 3% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/gonorrhea Amplified Rw | $210.00 | $300.00 | $135.00–$300.00 | 80% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $97.00 | $138.00 | $62.00–$138.00 | 20% below | 30% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $78.00 | $111.00 | $50.00–$111.00 | 15% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $60.00 | $86.00 | $39.00–$86.00 | 18% below | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $130.00 | $186.00 | $83.00–$186.00 | 21% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer, P Rw | $132.00 | $189.00 | $85.00–$189.00 | 13% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer Quantitative Rw | $132.00 | $189.00 | $85.00–$189.00 | 13% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 D-dimer | $132.00 | $189.00 | $85.00–$189.00 | 13% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-sulfate Lc | $134.00 | $192.00 | $86.00–$192.00 | 6% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate Rw | $144.00 | $206.00 | $92.00–$206.00 | 1% above | 30% |
| Estradiol blood test CPT 82670 Estradiol Level | $132.00 | $188.00 | $84.00–$188.00 | 4% below | 30% |
| Estradiol blood test CPT 82670 Estradiol Rw | $147.00 | $210.00 | $94.00–$210.00 | 7% above | 30% |
| Estradiol blood test CPT 82670 Estradiol Level Rw | $147.00 | $210.00 | $94.00–$210.00 | 7% above | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Level Rw | $114.00 | $163.00 | $73.00–$163.00 | at median | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Feces Rw | $342.00 | $488.00 | $219.00–$488.00 | 12% below | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal Lc | $342.00 | $488.00 | $219.00–$488.00 | 12% below | 30% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $98.00 | $140.00 | $63.00–$140.00 | 9% below | 30% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Rw | $108.00 | $154.00 | $69.00–$154.00 | at median | 30% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $108.00 | $154.00 | $69.00–$154.00 | at median | 30% |
| Folate (folic acid) blood test CPT 82746 Folate Level Rw | $115.00 | $164.00 | $74.00–$164.00 | 6% above | 30% |
| Free T3 thyroid hormone test CPT 84481 T3, Free Rw | $148.00 | $212.00 | $95.00–$212.00 | 9% below | 30% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3), Free Lc | $148.00 | $212.00 | $95.00–$212.00 | 9% below | 30% |
| Free T3 thyroid hormone test CPT 84481 T3 (Triiodothyronine), Free Rw | $149.00 | $213.00 | $96.00–$213.00 | 9% below | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $86.00 | $123.00 | $55.00–$123.00 | 4% below | 30% |
| Free testosterone test CPT 84402 Testos Fr/tot By Ed/lc-ms/ms Rw | $146.00 | $208.00 | $93.00–$208.00 | 15% above | 30% |
| Free testosterone test CPT 84402 Testosterone,free And Total Lc | $231.00 | $330.00 | $148.00–$330.00 | 82% above | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1hr 50 Gm Ob | $50.00 | $72.00 | $32.00–$72.00 | 10% below | 31% |
| Glucose tolerance test, 3 samples CPT 82951 .Gtt Fasting Ob | $137.00 | $195.00 | $88.00–$195.00 | at median | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea Rw | $115.00 | $164.00 | $74.00–$164.00 | 2% below | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Detect / Quant Rw | $354.00 | $506.00 | $227.00–$506.00 | 31% below | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv Antibody 1/2 Rw | $82.00 | $117.00 | $53.00–$117.00 | 12% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1/-2 Ag And Ab Screen Rw | $95.00 | $136.00 | $61.00–$136.00 | 15% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papillomavirus High Risk Rw | $119.00 | $170.00 | $76.00–$170.00 | 3% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c W/eag | $65.00 | $93.00 | $42.00–$93.00 | 20% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $111.00 | $158.00 | $71.00–$158.00 | 22% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B S Ab | $111.00 | $158.00 | $71.00–$158.00 | 22% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Rw | $111.00 | $158.00 | $71.00–$158.00 | 22% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen Rw | $88.00 | $126.00 | $57.00–$126.00 | 6% below | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340hepatitis B Surface Antigen Add On | $88.00 | $126.00 | $57.00–$126.00 | 6% below | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $88.00 | $126.00 | $57.00–$126.00 | 6% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $97.00 | $138.00 | $62.00–$138.00 | 6% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Rw | $97.00 | $138.00 | $62.00–$138.00 | 6% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Detec/quant Rflx Geno Rw | $373.00 | $533.00 | $239.00–$533.00 | 11% above | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Ab, Igg Rw | $85.00 | $121.00 | $54.00–$121.00 | 15% below | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1, Pcr Rw | $181.00 | $259.00 | $116.00–$259.00 | 81% above | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Ab, Igg Rw | $88.00 | $125.00 | $56.00–$125.00 | 18% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2, Pcr Rw | $181.00 | $259.00 | $116.00–$259.00 | 69% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein High Sensitivity | $101.00 | $144.00 | $65.00–$144.00 | 6% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein High Sensitivity Rw | $101.00 | $144.00 | $65.00–$144.00 | 6% above | 30% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine Lc | $172.00 | $246.00 | $110.00–$246.00 | 7% above | 30% |
| Homocysteine blood test CPT 83090 Homocysteine, Total, P Rw | $194.00 | $277.00 | $124.00–$277.00 | 21% above | 30% |
| Insulin blood test CPT 83525 Insulin Rw | $97.00 | $138.00 | $62.00–$138.00 | 11% below | 30% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $60.00 | $86.00 | $39.00–$86.00 | 5% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity Rw | $74.00 | $105.00 | $47.00–$105.00 | 6% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $74.00 | $105.00 | $47.00–$105.00 | 6% below | 30% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $126.00 | $180.00 | $81.00–$180.00 | 15% below | 30% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $92.00 | $131.00 | $59.00–$131.00 | 26% below | 30% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone Rw | $105.00 | $150.00 | $67.00–$150.00 | 16% below | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $99.00 | $141.00 | $63.00–$141.00 | 1% below | 30% |
| Liver function blood test panel CPT 80076 Liver function blood test | $114.00 | $163.00 | $73.00–$163.00 | 15% below | 30% |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology, S Rw | $177.00 | $253.00 | $114.00–$253.00 | 30% above | 30% |
| Magnesium blood test CPT 83735 Rbc Magnesium Rw | $71.00 | $101.00 | $45.00–$101.00 | 2% below | 30% |
| Magnesium blood test CPT 83735 Magnesium Level | $71.00 | $101.00 | $45.00–$101.00 | 2% below | 30% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Igg Antibody Rw | $105.00 | $150.00 | $67.00–$150.00 | 17% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $68.00 | $97.00 | $44.00–$97.00 | 4% above | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $123.00 | $176.00 | $79.00–$176.00 | 10% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $111.00 | $158.00 | $71.00–$158.00 | 2% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Gyn Request | $92.00 | $132.00 | $59.00–$132.00 | 35% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Gyn Request Rw | $92.00 | $132.00 | $59.00–$132.00 | 35% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Rw | $208.00 | $297.00 | $133.00–$297.00 | 1% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $80.00 | $114.00 | $51.00–$114.00 | 1% above | 30% |
| Progesterone blood test CPT 84144 Progesterone Level | $102.00 | $145.00 | $65.00–$145.00 | 12% below | 30% |
| Progesterone blood test CPT 84144 Progesterone Level Rw | $114.00 | $163.00 | $73.00–$163.00 | 1% below | 30% |
| Prolactin blood test CPT 84146 Prolactin Lc | $120.00 | $172.00 | $77.00–$172.00 | 4% below | 30% |
| Prolactin blood test CPT 84146 Prolactin Rw | $146.00 | $209.00 | $94.00–$209.00 | 17% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $53.00 | $75.00 | $32.00–$75.00 | 3% above | 29% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg Antibody Rw | $87.00 | $124.00 | $56.00–$124.00 | 13% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 86762rubella Igg Add On | $87.00 | $124.00 | $56.00–$124.00 | 13% above | 30% |
| Stool ova and parasites exam CPT 87177 Parasitic Specimen Type: Rw | $85.00 | $121.00 | $54.00–$121.00 | 1% above | 30% |
| Stool ova and parasites exam CPT 87177 Ova And Parasite Exam, Fecal Rw | $89.00 | $127.00 | $57.00–$127.00 | 5% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $46.00 | $65.00 | $29.00–$65.00 | 4% above | 29% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Rw | $46.00 | $65.00 | $29.00–$65.00 | 4% above | 29% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592rpr Rw Add On | $46.00 | $65.00 | $29.00–$65.00 | 4% above | 29% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-tb Gold Plus Lc | $190.00 | $271.00 | $122.00–$271.00 | 7% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-tb Gold Plus Rw | $206.00 | $294.00 | $132.00–$294.00 | at median | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total (Adult Male) Rw | $115.00 | $165.00 | $74.00–$165.00 | 3% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total Rw | $115.00 | $165.00 | $74.00–$165.00 | 3% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total And Free Rw | $115.00 | $165.00 | $74.00–$165.00 | 3% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Serum Lc | $115.00 | $165.00 | $74.00–$165.00 | 3% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testos F/t W/shbg Fem/child Rw | $115.00 | $165.00 | $74.00–$165.00 | 3% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Bio, Free (Male) Rw | $115.00 | $165.00 | $74.00–$165.00 | 3% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 86376 Add-on Charge Lc | $47.00 | $67.00 | $30.00–$67.00 | 53% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroperoxidase Ab Rw | $102.00 | $145.00 | $65.00–$145.00 | 2% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $94.00 | $134.00 | $60.00–$134.00 | 17% below | 30% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Rw | $74.00 | $106.00 | $48.00–$106.00 | 22% below | 30% |
| Uric acid blood test CPT 84550 Uric Acid | $51.00 | $73.00 | $33.00–$73.00 | 4% below | 30% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $49.00 | $70.00 | $31.00–$70.00 | 16% below | 30% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $32.00 | $46.00 | $21.00–$46.00 | 6% below | 30% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $23.00 | $33.00 | $15.00–$33.00 | 7% above | 30% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Qual | $67.00 | $96.00 | $43.00–$96.00 | 4% above | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $108.00 | $154.00 | $69.00–$154.00 | 7% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level Rw | $113.00 | $162.00 | $73.00–$162.00 | 3% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $50.00 | $72.00 | $32.00–$72.00 | 68% below | 31% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin D Lcms D2+d3 Lc | $141.00 | $202.00 | $91.00–$202.00 | 9% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin D2 And D3 Rw | $141.00 | $202.00 | $91.00–$202.00 | 9% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level Rw | $141.00 | $202.00 | $91.00–$202.00 | 9% below | 30% |
| Zinc blood test CPT 84630 Zinc, Plasma Or Serum Lc | $81.00 | $116.00 | $52.00–$116.00 | 12% above | 30% |
| Zinc blood test CPT 84630 Zinc Rw | $81.00 | $116.00 | $52.00–$116.00 | 12% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative | $113.00 | $162.00 | $73.00–$162.00 | at median | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hcg, Quantitative Rw | $113.00 | $162.00 | $73.00–$162.00 | at median | 30% |
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 27786-distal Fibular W/o Manipulation | $529.00 | $756.00 | $236.00–$756.00 | 22% above | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Closed Treatment Of Distal Fibular Fracture (Lateral Malleolus); Without Manipulation | $569.00 | $813.00 | $365.00–$813.00 | 31% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960cardioversion; Elective | $1,238.00 | $1,769.00 | $794.00–$1,769.00 | 14% below | 30% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $4,620.00 | $6,600.00 | $2,962.00–$6,600.00 | 26% above | 30% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Charge | $260.00 | $371.00 | $167.00–$371.00 | 67% below | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-distal Radial W/o Manipulation | $498.00 | $712.00 | $275.00–$712.00 | 2% above | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed Treatment Of Distal Radial Fracture Without Manipulation | $627.00 | $896.00 | $402.00–$896.00 | 28% above | 30% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $7,140.00 | $10,200.00 | $4,578.00–$10,200.00 | 270% above | 30% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $7,070.00 | $10,100.00 | $4,533.00–$10,100.00 | 236% above | 30% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $6,860.00 | $9,800.00 | $4,398.00–$9,800.00 | 258% above | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruction (Eg, Laser Surgery, Electrosurgery, Cryosurgery, Chemosurgery, Surgical Curettemen | $119.00 | $170.00 | $76.00–$170.00 | 7% below | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Ear Irrigation Poc | $31.00 | $45.00 | $20.00–$45.00 | 40% below | 31% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209-cerumen Irrigation/lavage | $39.00 | $55.00 | $25.00–$55.00 | 25% below | 29% |
| Earwax removal with instruments, one ear CPT 69210 69210-cerumen W/ Instrumentation | $92.00 | $132.00 | $59.00–$132.00 | 3% above | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral | $84.00 | $120.00 | $54.00–$120.00 | 6% below | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial Sampling (Biopsy) With Or Without Endocervical Sampling (Biopsy), Without Profee | $87.00 | $124.00 | $44.00–$124.00 | 59% below | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial Biopsy With Or W/o Endocer Biopsy, W/o Cervical Dilation, Any Method | $140.00 | $200.00 | $90.00–$200.00 | 34% below | 30% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $17,640.00 | $25,200.00 | $11,310.00–$25,200.00 | 323% above | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Insertion Of Intrauterine Device. | $195.00 | $279.00 | $265.00–$279.00 | at median | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Insertion Of Intrauterine Device (Iud) | $195.00 | $279.00 | $125.00–$279.00 | at median | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision And Drainage Of Abscess Simple Or Single | $227.00 | $324.00 | $145.00–$324.00 | 22% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060-i&d Abscess/cyst/hematoma Simple | $227.00 | $324.00 | $145.00–$324.00 | 22% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 I&d, Abcess, Simple Wound | $302.00 | $432.00 | $194.00–$432.00 | 4% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection(s); Single Tendon Sheath, Or Ligament, Aponeurosis (Eg, Plantar "Fascia") | $158.00 | $226.00 | $101.00–$226.00 | 19% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis Aspiration And/or Injection Major Joint Or Bursa Without Ultrasound Guidance | $137.00 | $196.00 | $88.00–$196.00 | 28% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-major Joint Aspirate/inject W/o Us | $454.00 | $649.00 | $291.00–$649.00 | 138% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, Aspiration And/or Injection, Intermediate Joint Or Bursa | $116.00 | $166.00 | $75.00–$166.00 | 43% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-intermediate Aspiration/inj W/o Us | $486.00 | $695.00 | $312.00–$695.00 | 137% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis, Aspiration And/or Injection, Small Joint Or Bursa (Eg, Fingers, Toes) | $76.00 | $109.00 | $49.00–$109.00 | 48% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-small Joint Aspirate/inject W/o Us | $558.00 | $797.00 | $358.00–$797.00 | 282% above | 30% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $9,800.00 | $14,000.00 | $6,283.00–$14,000.00 | 197% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Repair, Intermediate; Wounds Of Scalp, Axillae, Trunk, Extremities; <2.5cm | $389.00 | $555.00 | $249.00–$555.00 | 8% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-scalp/trunk/extremity Less Than/equal To 2.5 Cm | $491.00 | $702.00 | $109.00–$702.00 | 16% above | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Excision, Benign Lesion Including Margins; Trunk, Arms Or Legs; < 0.5cm | $190.00 | $272.00 | $122.00–$272.00 | 37% below | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-excision Lesion Benign Trunk/extremity <= 0.5 Cm | $330.00 | $471.00 | $211.00–$471.00 | 10% above | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Excision, Benign Lesion Including Margins; Face, Ears, Eyelids, Nose, Lips; < 0.5cm | $212.00 | $303.00 | $136.00–$303.00 | 39% below | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440-excise Lesion Benign Face Less Than/equal To 0.5 Cm | $507.00 | $724.00 | $325.00–$724.00 | 47% above | 30% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Of Nail Plate, Partial Or Complete, Simple Single | $176.00 | $252.00 | $113.00–$252.00 | 26% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 11730-avulsion Nail Plate Single | $397.00 | $567.00 | $254.00–$567.00 | 66% above | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 64405-inject Nerve Block Great Occipital | $293.00 | $418.00 | $188.00–$418.00 | 29% below | 30% |
| Paracentesis with imaging guidance CPT 49083 49083paracentesis W/guidance Charge | $1,198.00 | $1,712.00 | $768.00–$1,712.00 | 19% above | 30% |
| Paracentesis with imaging guidance CPT 49083 49083 Paracentesis W/guidance Charge | $1,198.00 | $1,712.00 | $768.00–$1,712.00 | 19% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal | $307.00 | $439.00 | $197.00–$439.00 | 10% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-excision Nail & Matrix | $972.00 | $1,388.00 | $623.00–$1,388.00 | 184% above | 30% |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $5,460.00 | $7,800.00 | $3,501.00–$7,800.00 | 320% above | 30% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $5,740.00 | $8,200.00 | $3,680.00–$8,200.00 | 324% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 10120-subcutaneous Tissue Simple | $250.00 | $357.00 | $83.00–$357.00 | 27% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple | $284.00 | $405.00 | $182.00–$405.00 | 17% below | 30% |
| Short arm cast (elbow to hand) CPT 29075 29075 Application, Cast; Elbow To Finger (Short Arm) | $230.00 | $328.00 | $147.00–$328.00 | 16% above | 30% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application Of Short Arm Splint (Forearm To Hand) Static | $142.00 | $203.00 | $91.00–$203.00 | 10% below | 30% |
| Short arm splint (forearm and hand) CPT 29125 29125-short Arm | $168.00 | $240.00 | $108.00–$240.00 | 7% above | 30% |
| Short leg splint (calf to foot) CPT 29515 29515 Application Of Short Leg Splint (Calf To Foot) | $60.00 | $86.00 | $39.00–$86.00 | 64% below | 30% |
| Short leg splint (calf to foot) CPT 29515 29515-short Leg | $161.00 | $230.00 | $103.00–$230.00 | 2% below | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $12,040.00 | $17,200.00 | $7,719.00–$17,200.00 | 215% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; <2.5cm | $188.00 | $269.00 | $121.00–$269.00 | 10% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-scalp/neck/trunk/genital/extremity <= 2.5 Cm | $536.00 | $765.00 | $343.00–$765.00 | 158% above | 30% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion | $204.00 | $292.00 | $131.00–$292.00 | 20% below | 30% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy Of Skin, Single Lesion Wound | $209.00 | $299.00 | $134.00–$299.00 | 18% below | 30% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; < 0.5cm | $267.00 | $382.00 | $171.00–$382.00 | 34% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions | $146.00 | $208.00 | $93.00–$208.00 | 25% below | 30% |
| Skin tag removal, up to 15 tags CPT 11200 11200-removal Skin Tag Up To 15 | $183.00 | $262.00 | $118.00–$262.00 | 6% below | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270-lumbar Puncture Diagnostic | $564.00 | $805.00 | $361.00–$805.00 | 42% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Simple Repair Of Wounds; Scalp, Neck, Axillae, Genitalia, Trunk, Extremeties; 2.6-7.5cm | $222.00 | $317.00 | $142.00–$317.00 | 9% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-scalp/neck/trunk/genital/extremity 2.6-7.5 Cm | $337.00 | $482.00 | $216.00–$482.00 | 38% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Repair Of Wounds Of Face, Ears, Eyelids, Nose, Lips, Mucous Membra; <2.5cm | $221.00 | $316.00 | $142.00–$316.00 | 6% below | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-face/ear/eyelid/nose/lip Less Than/equal To 2.5 Cm | $361.00 | $516.00 | $232.00–$516.00 | 54% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential Biopsy Skin Single Lesion(shave, Scoop, Saucerize, Curette) | $177.00 | $253.00 | $114.00–$253.00 | 7% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential Biopsy Of Skin, 1 Lesion | $181.00 | $258.00 | $116.00–$258.00 | 5% below | 30% |
| Thoracentesis with imaging guidance CPT 32555 32555-thoracentesis W/ Imaging Guidance | $895.00 | $1,278.00 | $574.00–$1,278.00 | 4% above | 30% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 | $5,810.00 | $8,300.00 | $3,725.00–$8,300.00 | 45% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection(s); Single Or Multiple Trigger Point(s), 1 Or 2 Muscle(s) | $158.00 | $226.00 | $101.00–$226.00 | 6% below | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552-inject Trigger Point 1-2 Muscles | $375.00 | $535.00 | $240.00–$535.00 | 124% above | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $4,970.00 | $7,100.00 | $3,186.00–$7,100.00 | 158% above | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $4,270.00 | $6,100.00 | $2,738.00–$6,100.00 | 201% above | 30% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction Of Benign Lesions 1-14 Lesions | $193.00 | $276.00 | $124.00–$276.00 | 1% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement, Subcutaneous Tissue; First 20 Sq Cm Or Less | $142.00 | $203.00 | $91.00–$203.00 | 54% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcutaneous Tissue (Includes Epidermis And Dermis If Performed); First 20 Sq Cm Or Les | $524.00 | $749.00 | $336.00–$749.00 | 69% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-sq Tissue Less Than/equal To 1st 20 Sq Cm | $1,221.00 | $1,744.00 | $783.00–$1,744.00 | 294% above | 30% |
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 Administration < 2 Hour Charge | $1,019.00 | $1,456.00 | $653.00–$1,456.00 | 39% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 2-4 Hour Charge | $1,060.00 | $1,514.00 | $679.00–$1,514.00 | 44% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration > 4 Hour Charge | $1,299.00 | $1,856.00 | $833.00–$1,856.00 | 77% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized Or Nonpressurized Inhalation Treatment For Acute Airway Obstruction | $29.00 | $42.00 | $19.00–$42.00 | 80% below | 31% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rt Aerosol Initial Charge | $251.00 | $359.00 | $161.00–$359.00 | 70% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Hand Held Nebulizer Tx Charge | $251.00 | $359.00 | $161.00–$359.00 | 70% above | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo Admin Iv Up To 1 Hr Charge | $419.00 | $599.00 | $269.00–$599.00 | 24% below | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 Facility Level Critical Care Ill/injured Patient Init 30 To 74 Min | $1,334.00 | $1,905.00 | $855.00–$1,905.00 | 3% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Ekg W/ 12+ Leads; Tracing Only | $221.00 | $316.00 | $142.00–$316.00 | 13% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-ed Ekg | $255.00 | $364.00 | $163.00–$364.00 | at median | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Electrocardiogram 12 Lead | $255.00 | $364.00 | $163.00–$364.00 | at median | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281-e&m That May Not Require The Presence Of A Physician Or Other Qualified Healthcare Prof. | $162.00 | $232.00 | $9.00–$232.00 | 4% below | 30% |
| 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 | $162.00 | $232.00 | $104.00–$232.00 | 4% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282-e&m Req. A Medically Appropriate Hx And/or Exam And Straightforward Medical Decision Making | $36.00 | $52.00 | $33.00–$52.00 | 87% below | 31% |
| 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 | $256.00 | $366.00 | $164.00–$366.00 | 5% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283-e&m Req. A Medically Appropriate Hx And/or Exam And Low Level Medical Decision Making | $62.00 | $89.00 | $57.00–$89.00 | 85% below | 30% |
| 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 | $401.00 | $573.00 | $257.00–$573.00 | 2% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284-e&m Req. A Medically Appropriate Hx And/or Exam And Moderate Level Of Medical Decision Making | $106.00 | $152.00 | $97.00–$152.00 | 83% below | 30% |
| 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 | $600.00 | $857.00 | $385.00–$857.00 | 6% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285-e&m Req. A Medically Appropriate Hx And/or Exam And High Level Of Medical Decision Making | $153.00 | $219.00 | $141.00–$219.00 | 85% below | 30% |
| 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 | $1,007.00 | $1,439.00 | $646.00–$1,439.00 | 1% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Nuclear Stress Test, Lexiscan | $831.00 | $1,187.00 | $533.00–$1,187.00 | 24% below | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $249.00 | $356.00 | $160.00–$356.00 | 4% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $249.00 | $356.00 | $160.00–$356.00 | 21% above | 30% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $734.00 | $1,048.00 | $470.00–$1,048.00 | 196% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360ed Hydration, First Hour | $296.00 | $423.00 | $190.00–$423.00 | 22% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-59 Iv Hydration Initial Addl Site W/ Modification | $296.00 | $423.00 | $190.00–$423.00 | 22% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 96365-59 Infusion Initial Addl Site W/ Modification | $305.00 | $435.00 | $195.00–$435.00 | 20% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 96365- Ed Iv Tx, First Hour | $305.00 | $435.00 | $195.00–$435.00 | 20% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, Prophylactic, Or Diagnostic Injection; Subcutaneous Or Intramuscular: | $34.00 | $49.00 | $22.00–$49.00 | 66% below | 31% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ed Subq/im Injection | $115.00 | $165.00 | $74.00–$165.00 | 15% above | 30% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psychiatric Diagnostic Evaluationno Medical Services Charge | $156.00 | $223.00 | $100.00–$223.00 | 25% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Charges | $87.00 | $124.00 | $56.00–$124.00 | 7% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges | $87.00 | $124.00 | $56.00–$124.00 | 7% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $174.00 | $249.00 | $112.00–$249.00 | 16% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $266.00 | $380.00 | $155.00–$380.00 | 10% below | 30% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $244.00 | $348.00 | $156.00–$348.00 | 34% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Ov Pro Level 2 New Pt (Ortho) | $93.00 | $133.00 | $34.00–$133.00 | 25% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Clinic Visit; New; Straightforward/15 Min (Swfpc) | $93.00 | $133.00 | $60.00–$133.00 | 25% below | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Low Complex Units | $148.00 | $212.00 | $95.00–$212.00 | 11% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt High Complex Units | $208.00 | $297.00 | $133.00–$297.00 | 4% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Low Complex Units | $137.00 | $195.00 | $88.00–$195.00 | 15% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Moderate Complex Units | $167.00 | $238.00 | $107.00–$238.00 | 10% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units | $90.00 | $129.00 | $58.00–$129.00 | 6% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Charge Units | $90.00 | $129.00 | $58.00–$129.00 | 6% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140 Wound Care Manual Therapy Charge | $92.00 | $132.00 | $59.00–$132.00 | 4% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pro-manual Therapy | $92.00 | $132.00 | $23.00–$132.00 | 4% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $153.00 | $219.00 | $75.00–$219.00 | 60% above | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $223.00 | $318.00 | $143.00–$318.00 | 9% below | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $232.00 | $332.00 | $149.00–$332.00 | 17% below | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Preventive Evaluation, Established Pt 18 To 39 Yrs | $180.00 | $257.00 | $115.00–$257.00 | 17% below | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Preventive Evaluation, Established Pt 40t To 64 Yrs | $192.00 | $274.00 | $123.00–$274.00 | 17% below | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Spi Physical 65+ | $207.00 | $295.00 | $280.00–$295.00 | 15% below | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Evaluation, Established Pt; 65+ Yrs | $207.00 | $295.00 | $132.00–$295.00 | 15% below | 30% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/ Med Services | $289.00 | $413.00 | $185.00–$413.00 | 24% above | 30% |
| Psychiatric evaluation with medical services CPT 90792 90792 Psychiatric Diagnostic Evaluationwith Medical Services Charge | $289.00 | $413.00 | $185.00–$413.00 | 24% above | 30% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Psychotherapy For Crisis, 1st 60 Min. Charge | $230.00 | $328.00 | $147.00–$328.00 | 7% above | 30% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $262.00 | $374.00 | $168.00–$374.00 | 65% above | 30% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $262.00 | $374.00 | $168.00–$374.00 | 23% above | 30% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $247.00 | $353.00 | $158.00–$353.00 | at median | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking/tobacco Cessation Counseling 3-10 Min | $15.00 | $22.00 | $10.00–$22.00 | 49% below | 32% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 E&m Estab Pt (Complex) Wound | $125.00 | $178.00 | $80.00–$199.00 | 48% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Specialty Cliniclevel 5 Established Patient Tech | $125.00 | $178.00 | $80.00–$199.00 | 48% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Office/outpatient Visitestablished Patient, Level 5 (40-54 Min). | $267.00 | $382.00 | $171.00–$382.00 | 11% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 E&m Estab Pt (Intermediate) Wound | $72.00 | $103.00 | $46.00–$109.00 | 42% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Specialty Cliniclevel 3 Established Patient Tech | $72.00 | $103.00 | $46.00–$109.00 | 42% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office/outpatient Visitestablished Patient, Level 3 | $133.00 | $190.00 | $85.00–$190.00 | 7% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 E&m Estab Pt (Extended) Wound | $96.00 | $137.00 | $61.00–$147.00 | 46% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Specialty Cliniclevel 4 Established Patient Tech | $96.00 | $137.00 | $61.00–$147.00 | 46% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office/outpatient Visitestablished Patient, Level 4 | $189.00 | $270.00 | $121.00–$270.00 | 6% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Established Patient- Problem Focused | $56.00 | $80.00 | $36.00–$80.00 | 35% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Specialty Cliniclevel 2 Established Patient Tech | $56.00 | $80.00 | $36.00–$80.00 | 35% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office/outpatient Visitestablished Patient, Level 2 | $82.00 | $117.00 | $53.00–$117.00 | 5% below | 30% |
| Speech and language evaluation CPT 92523 Speech Sound Prod W/ Language Charge | $293.00 | $418.00 | $188.00–$418.00 | 7% below | 30% |
| Speech and language evaluation CPT 92523 92523 Eval Languange Only Charge | $293.00 | $418.00 | $188.00–$418.00 | 7% below | 30% |
| Speech therapy session, individual CPT 92507 Tx Of Speech/lang/voice/comm/auditory Chg | $241.00 | $344.00 | $154.00–$344.00 | 3% below | 30% |
| Spirometry (breathing test) CPT 94010 94010 Spirometry, W/ Graphic Record, Total/timed Vital Capacity, Expiratory Flow Rate Measurement(s) | $62.00 | $88.00 | $39.00–$88.00 | 78% below | 30% |
| Spirometry (breathing test) CPT 94010 94010 Pulmonary/spirometry Screen Charge | $271.00 | $387.00 | $174.00–$387.00 | 3% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function Testcomplete | $534.00 | $763.00 | $342.00–$763.00 | 9% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge | $110.00 | $157.00 | $70.00–$157.00 | 20% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Charges | $110.00 | $157.00 | $70.00–$157.00 | 20% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomytherapeutic | $159.00 | $227.00 | $102.00–$227.00 | 17% below | 30% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 Stress Test Charge | $847.00 | $1,210.00 | $543.00–$1,210.00 | 178% above | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Amb Measles-mumps-rubella Vaccine Charge -> 0.5 Ml Mmr | $134.00 | $192.00 | $86.00–$192.00 | 16% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-vaccine Administration | $57.00 | $82.00 | $22.00–$82.00 | 47% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Administration First Vaccine. | $60.00 | $86.00 | $22.00–$86.00 | 55% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Im Adm Prq Id Subq Im Njxs 1 Vaccine Techfee | $60.00 | $86.00 | $22.00–$86.00 | 55% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Administration; Each Additional Vaccine | $17.00 | $24.00 | $11.00–$24.00 | 49% below | 29% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472â Â Im Adm Prq Id Subq/im Njxs Ea Vaccine Techfee | $37.00 | $53.00 | $24.00–$53.00 | 11% above | 30% |