Syracuse Area Health
Syracuse Area Health in Syracuse, NE publishes cash prices for 238 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Nebraska median for 225 of 233 procedures and below it for 8. By typical cash price it ranks #50 of 52 Nebraska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2731 Healthcare Dr, Syracuse, NE 68446 Collected Sep 29, 2026 Source price file (402) 269-2011
Critical access hospital (rural, 25 beds or fewer) No emergency department CCN 281309 · CMS hospital register
The price file shows no self-pay discount
For 320 of the 320 prices listed here, the cash price in Syracuse Area Health's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
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 | $389.00 | $389.00 | $342.00–$381.00 | 18% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle Complete 3+ Views Left | $389.00 | $389.00 | $342.00–$381.00 | 18% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Us Abi Complete Bilateral | $624.00 | $624.00 | $549.00–$612.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 Abi Single Charge | $624.00 | $624.00 | $549.00–$612.00 | 13% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Imaging Whole Body | $2,329.00 | $2,329.00 | $2,050.00–$2,282.00 | 34% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Left | $711.00 | $711.00 | $626.00–$697.00 | 46% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Right | $711.00 | $711.00 | $626.00–$697.00 | 46% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Left | $490.00 | $490.00 | $431.00–$480.00 | 22% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Right | $490.00 | $490.00 | $431.00–$480.00 | 22% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest Pe | $3,936.00 | $3,936.00 | $3,464.00–$3,857.00 | 20% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest | $3,936.00 | $3,936.00 | $3,464.00–$3,857.00 | 20% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Heart Calcium Scoring | $182.00 | $182.00 | $160.00–$178.00 | 35% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen And Pelvis W/o Contrast | $4,919.00 | $4,919.00 | $4,329.00–$4,821.00 | 32% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Stone Protocol | $4,919.00 | $4,919.00 | $4,329.00–$4,821.00 | 32% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Of Abdomen And Pelvis | $4,919.00 | $4,919.00 | $4,329.00–$4,821.00 | 32% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $5,601.00 | $5,601.00 | $4,929.00–$5,489.00 | 34% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen And Pelvis W/ + W/o Contrast | $6,430.00 | $6,430.00 | $5,658.00–$6,301.00 | 28% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Urogram | $6,430.00 | $6,430.00 | $5,658.00–$6,301.00 | 28% above | — |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast | $3,285.00 | $3,285.00 | $2,891.00–$3,219.00 | 27% above | — |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/o Contrast | $2,812.00 | $2,812.00 | $2,475.00–$2,756.00 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/o Contrast | $2,279.00 | $2,279.00 | $2,006.00–$2,233.00 | 24% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $2,631.00 | $2,631.00 | $2,315.00–$2,578.00 | 37% above | — |
| CT scan of the head with contrast CPT 70460 Ct Head W/ Contrast | $2,778.00 | $2,778.00 | $2,445.00–$2,722.00 | 32% above | — |
| CT scan of the head without and with contrast CPT 70470 Ct Brain/head W/ + W/o Contrast | $3,110.00 | $3,110.00 | $2,737.00–$3,048.00 | 24% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/o Contrast | $2,750.00 | $2,750.00 | $2,420.00–$2,695.00 | 21% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/o Contrast | $2,832.00 | $2,832.00 | $2,492.00–$2,775.00 | 22% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $3,083.00 | $3,083.00 | $2,713.00–$3,021.00 | 23% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 93880 Bilateral Carotid Duplex Charge | $1,657.00 | $1,657.00 | $1,458.00–$1,624.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Duplex Bilateral Eo | $1,657.00 | $1,657.00 | $1,458.00–$1,624.00 | — | — |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2 Views | $415.00 | $415.00 | $365.00–$407.00 | 37% above | — |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $325.00 | $325.00 | $286.00–$319.00 | 32% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete | $1,017.00 | $1,017.00 | $895.00–$997.00 | 28% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Aorta Complete | $1,017.00 | $1,017.00 | $895.00–$997.00 | 28% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bd Bone Density Dexa Axial Skeleton | $588.00 | $588.00 | $517.00–$576.00 | 37% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast | $2,725.00 | $2,725.00 | $2,398.00–$2,671.00 | 25% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest High Resolution | $2,725.00 | $2,725.00 | $2,398.00–$2,671.00 | 25% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest/abd/pelvis W/o Contrast | $2,725.00 | $2,725.00 | $2,398.00–$2,671.00 | 25% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Low Dose Lung Follow Up | $2,725.00 | $2,725.00 | $2,398.00–$2,671.00 | 25% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest/abd/pelvis W/ Contrast | $3,121.00 | $3,121.00 | $2,746.00–$3,059.00 | 24% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ Contrast | $3,121.00 | $3,121.00 | $2,746.00–$3,059.00 | 24% above | — |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $509.00 | $509.00 | $448.00–$499.00 | 10% above | — |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $423.00 | $423.00 | $372.00–$415.00 | 33% above | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Lower Ext Arterial Duplex Bilateral | $1,369.00 | $1,369.00 | $1,205.00–$1,342.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 Artl Dup Bil Lower Charge | $1,369.00 | $1,369.00 | $1,205.00–$1,342.00 | 22% above | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Upper Ext Venous Duplex Bilateral | $1,685.00 | $1,685.00 | $1,483.00–$1,651.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Lower Ext Venous Duplex Bilateral | $1,685.00 | $1,685.00 | $1,483.00–$1,651.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 Uv Upper Venous Bilateral Charge | $1,685.00 | $1,685.00 | $1,483.00–$1,651.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo 2d Complete W/ Contrast Eo | $2,640.00 | $2,640.00 | $2,323.00–$2,587.00 | 22% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo 2d Comp W/ Color Flow Doppler | $2,640.00 | $2,640.00 | $2,323.00–$2,587.00 | 22% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Bubble Study Eo | $2,803.00 | $2,803.00 | $2,467.00–$2,747.00 | 29% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Hepatobiliary Imaging | $2,162.00 | $2,162.00 | $1,903.00–$2,119.00 | 42% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 Home Sleep Study | $597.00 | $597.00 | $525.00–$585.00 | 23% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 Sleep Study, Unattended, Simultaneous Recording Of, Heart Rate, Oxygen Saturation | $597.00 | $597.00 | $525.00–$585.00 | 23% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Split Night Study Charge | $5,203.00 | $5,203.00 | $4,579.00–$5,099.00 | 31% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 Polysomnography; 6 Yrs Or Older, W/ C-pap Therapy Or Bilevel Ventilation, Attended By Tech | $5,203.00 | $5,203.00 | $4,579.00–$5,099.00 | 31% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 C-pap Study Charge | $5,203.00 | $5,203.00 | $4,579.00–$5,099.00 | 31% above | — |
| Knee X-ray, 3 views both sides CPT 73562 Xr Knee 3 Views Bilateral | $556.00 | $556.00 | $489.00–$545.00 | — | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Left | $456.00 | $456.00 | $401.00–$447.00 | 19% above | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Rt + 1 Or 2 View(s) Lt | $456.00 | $456.00 | $401.00–$447.00 | 19% above | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Lt + 1 Or 2 View(s) Rt | $456.00 | $456.00 | $401.00–$447.00 | 19% above | — |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 Views Right | $456.00 | $456.00 | $401.00–$447.00 | 19% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdomen Limited | $860.00 | $860.00 | $757.00–$843.00 | 49% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Lung Cancer Screening | $2,069.00 | $2,069.00 | $1,821.00–$2,028.00 | 233% above | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast W/ + W/o Contrast Bilateral | $5,325.00 | $5,325.00 | $4,686.00–$5,219.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $3,080.00 | $3,080.00 | $2,710.00–$3,018.00 | 19% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Rt | $4,389.00 | $4,389.00 | $3,862.00–$4,301.00 | 26% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Le Joint W/ + W/o Contrast Lt | $4,389.00 | $4,389.00 | $3,862.00–$4,301.00 | 26% above | — |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast | $4,084.00 | $4,084.00 | $3,594.00–$4,002.00 | 32% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/ + W/o Contrast | $4,829.00 | $4,829.00 | $4,250.00–$4,732.00 | 23% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast | $4,259.00 | $4,259.00 | $3,748.00–$4,174.00 | 27% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $4,643.00 | $4,643.00 | $4,086.00–$4,550.00 | 18% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $3,953.00 | $3,953.00 | $3,479.00–$3,874.00 | 23% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W/ + W/o Contrast | $5,073.00 | $5,073.00 | $4,464.00–$4,972.00 | 29% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/o Contrast | $4,360.00 | $4,360.00 | $3,837.00–$4,273.00 | 28% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervical W/ + W/o Contrast | $5,396.00 | $5,396.00 | $4,748.00–$5,288.00 | 34% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/o Contrast | $3,979.00 | $3,979.00 | $3,502.00–$3,899.00 | 19% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ + W/o Contrast | $5,118.00 | $5,118.00 | $4,504.00–$5,016.00 | 42% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast | $4,042.00 | $4,042.00 | $3,557.00–$3,961.00 | 37% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Lt | $2,978.00 | $2,978.00 | $2,621.00–$2,918.00 | 18% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Ue Joint W/o Contrast Rt | $2,978.00 | $2,978.00 | $2,621.00–$2,918.00 | 18% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 4100003 Nm Mult Studies Rest/stress 78452 | $5,097.00 | $5,097.00 | $4,485.00–$4,995.00 | 21% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Skull Base To Midthigh | $10,012.00 | $10,012.00 | $8,811.00–$9,812.00 | 83% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Ltd | $610.00 | $610.00 | $537.00–$598.00 | 49% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Comp W/transvag If Indicated | $1,002.00 | $1,002.00 | $882.00–$982.00 | 27% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $1,002.00 | $1,002.00 | $882.00–$982.00 | 27% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $945.00 | $945.00 | $832.00–$926.00 | 28% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob Less Than 14 Weeks Single | $845.00 | $845.00 | $744.00–$828.00 | 36% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $575.00 | $575.00 | $506.00–$564.00 | 39% above | — |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $439.00 | $439.00 | $386.00–$430.00 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Right | $422.00 | $422.00 | $371.00–$414.00 | 22% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder Complete 2+ Views Left | $422.00 | $422.00 | $371.00–$414.00 | 22% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $4,664.00 | $4,664.00 | $4,104.00–$4,571.00 | 24% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $778.00 | $778.00 | $685.00–$762.00 | 21% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal | $691.00 | $691.00 | $608.00–$677.00 | 35% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $1,083.00 | $1,083.00 | $953.00–$1,061.00 | 27% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum Contents | $791.00 | $791.00 | $696.00–$775.00 | 20% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/neck Soft Tissue | $761.00 | $761.00 | $670.00–$746.00 | 26% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Left W/ Map | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Right W/ Map | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Left | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Upper Ext Venous Duplex Right | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Upper Ext Venous Duplex Left | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 Dup-scan Xtr Veins Unilateral/limited Study | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 Us Lower Ext Venous Duplex Left | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lower Ext Venous Duplex Right | $1,222.00 | $1,222.00 | $1,075.00–$1,198.00 | 17% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Left | $379.00 | $379.00 | $334.00–$371.00 | 14% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist Complete 3+ Views Right | $379.00 | $379.00 | $334.00–$371.00 | 14% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views W/ap Pelvis Left | $431.00 | $431.00 | $379.00–$422.00 | 32% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip 2-3 Views W/ap Pelvis Right | $431.00 | $431.00 | $379.00–$422.00 | 32% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen 1 View | $376.00 | $376.00 | $331.00–$368.00 | 36% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Right | $314.00 | $314.00 | $276.00–$308.00 | 20% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 Views Left | $314.00 | $314.00 | $276.00–$308.00 | 20% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Fingers Minimum Of 2 Views | $292.00 | $292.00 | $257.00–$286.00 | 24% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(s) 2+ Views Right | $292.00 | $292.00 | $257.00–$286.00 | 24% above | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Right | $303.00 | $303.00 | $267.00–$297.00 | 32% above | — |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 Views Left | $303.00 | $303.00 | $267.00–$297.00 | 32% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Right | $402.00 | $402.00 | $354.00–$394.00 | 18% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot Complete 3+ Views Left | $702.00 | $702.00 | $618.00–$688.00 | 106% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Left | $376.00 | $376.00 | $331.00–$368.00 | 10% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand Complete 3+ Views Right | $376.00 | $376.00 | $331.00–$368.00 | 10% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Right | $383.00 | $383.00 | $337.00–$375.00 | 16% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2 View(s) Left | $383.00 | $383.00 | $337.00–$375.00 | 16% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2 View(s) Right | $383.00 | $383.00 | $337.00–$375.00 | 16% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 Views Left | $383.00 | $383.00 | $337.00–$375.00 | 16% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Spine Lumbosacral 2 Or 3 Views | $524.00 | $524.00 | $461.00–$514.00 | 22% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $611.00 | $611.00 | $538.00–$599.00 | 21% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr Spine Thoracic 2 Views | $453.00 | $453.00 | $399.00–$444.00 | 37% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones 3+ Views | $417.00 | $417.00 | $367.00–$409.00 | 36% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Spine Cervical 2 Or 3 Views | $423.00 | $423.00 | $372.00–$415.00 | 24% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis 1 Or 2 Views | $405.00 | $405.00 | $356.00–$397.00 | 38% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx 2+ Views | $402.00 | $402.00 | $354.00–$394.00 | 27% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) P5p Lc | $275.00 | $275.00 | $242.00–$270.00 | 352% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Lc | $1,302.00 | $1,302.00 | $1,146.00–$1,276.00 | 307% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens W/total Ige Area 9 Add-on | $103.00 | $103.00 | $91.00–$101.00 | 105% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Antibodies Igg/iga Lc | $649.00 | $649.00 | $571.00–$636.00 | 473% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Direct Lc | $460.00 | $460.00 | $405.00–$451.00 | 462% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana W/ Reflex Ifa Lc | $460.00 | $460.00 | $405.00–$451.00 | 462% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide | $842.00 | $842.00 | $741.00–$825.00 | 279% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $551.00 | $551.00 | $485.00–$540.00 | 285% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill Only Pathology Level 4 | $1,365.00 | $1,365.00 | $1,201.00–$1,338.00 | 590% above | — |
| Blood culture for bacteria CPT 87040 Blood Culture, Routine Lc | $1,305.00 | $1,305.00 | $1,148.00–$1,279.00 | 624% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415- Collection Of Blood Specimen From Venipuncture | $80.00 | $80.00 | $70.00–$78.00 | 189% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose (Istat) | $222.00 | $222.00 | $195.00–$218.00 | 323% above | — |
| Blood lead test CPT 83655 Lead, Blood (Adult) Lc | $324.00 | $324.00 | $285.00–$318.00 | 401% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum Qual | $504.00 | $504.00 | $444.00–$494.00 | 312% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Type And Screen Gel | $144.00 | $144.00 | $127.00–$141.00 | 145% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo | $144.00 | $144.00 | $127.00–$141.00 | 145% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $420.00 | $420.00 | $370.00–$412.00 | 310% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein Extended Range | $420.00 | $420.00 | $370.00–$412.00 | 310% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile Toxin Gene Naa Lc | $816.00 | $816.00 | $718.00–$800.00 | 374% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 Lc | $894.00 | $894.00 | $787.00–$876.00 | 395% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (Ca) 125 Lc | $802.00 | $802.00 | $706.00–$786.00 | 446% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 (Covid-19) Rna (Id Now) | $795.00 | $795.00 | $700.00–$779.00 | 503% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Sars-cov-2 (Covid-19) Rt-pcr Assay (Aries) | $810.00 | $810.00 | $713.00–$794.00 | 515% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis, Naa Lc | $581.00 | $581.00 | $511.00–$569.00 | 397% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $480.00 | $480.00 | $422.00–$470.00 | 296% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $388.00 | $388.00 | $341.00–$380.00 | 322% above | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $305.00 | $305.00 | $268.00–$299.00 | 315% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $649.00 | $649.00 | $571.00–$636.00 | 292% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer | $651.00 | $651.00 | $573.00–$638.00 | 328% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-sulfate Lc | $740.00 | $740.00 | $651.00–$725.00 | 421% above | — |
| Estradiol blood test CPT 82670 Estradiol Lc | $702.00 | $702.00 | $618.00–$688.00 | 411% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Lc | $558.00 | $558.00 | $491.00–$547.00 | 389% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal Lc | $1,781.00 | $1,781.00 | $1,567.00–$1,745.00 | 358% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum Lc | $513.00 | $513.00 | $451.00–$503.00 | 377% above | — |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid), Serum Lc | $555.00 | $555.00 | $488.00–$544.00 | 414% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3), Free Lc | $739.00 | $739.00 | $650.00–$724.00 | 354% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $423.00 | $423.00 | $372.00–$415.00 | 370% above | — |
| Free testosterone test CPT 84402 Testost Free Lc | $719.00 | $719.00 | $633.00–$705.00 | 467% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Diabetes Screen | $257.00 | $257.00 | $226.00–$252.00 | 364% above | — |
| Glucose tolerance test, 3 samples CPT 82951 .Glucose Fasting | $670.00 | $670.00 | $590.00–$657.00 | 389% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Gtt 2 Hr | $670.00 | $670.00 | $590.00–$657.00 | 389% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus By Naa Lc | $555.00 | $555.00 | $488.00–$544.00 | 371% above | — |
| H. pylori antibody blood test CPT 86677 H. Pylori, Igm Ab Lc | $356.00 | $356.00 | $313.00–$349.00 | 335% above | — |
| H. pylori stool antigen test CPT 87338 H. Pylori Stool Ag, Eia Lc | $840.00 | $840.00 | $739.00–$823.00 | 416% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ag/ab W/ Reflex To Conf Lc | $445.00 | $445.00 | $392.00–$436.00 | 440% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c W/eag | $324.00 | $324.00 | $285.00–$318.00 | 300% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab, Qual. Lc | $567.00 | $567.00 | $499.00–$556.00 | 521% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbsag Screen Lc | $422.00 | $422.00 | $371.00–$414.00 | 349% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hcv Antibody Lc | $471.00 | $471.00 | $414.00–$462.00 | 414% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 .Hcv Rt-pcr, Quant (Non-graph) Lc | $1,913.00 | $1,913.00 | $1,683.00–$1,875.00 | 467% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein, Cardiac Lc | $608.00 | $608.00 | $535.00–$596.00 | 536% above | — |
| Insulin blood test CPT 83525 Insulin Lc | $494.00 | $494.00 | $435.00–$484.00 | 353% above | — |
| Iron blood test (serum iron) CPT 83540 Iron Lc | $285.00 | $285.00 | $251.00–$279.00 | 352% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Tibc (Iron.bind.cap) Lc | $342.00 | $342.00 | $301.00–$335.00 | 335% above | — |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $604.00 | $604.00 | $532.00–$592.00 | 305% above | — |
| LH (luteinizing hormone) test CPT 83002 Lh Lc | $541.00 | $541.00 | $476.00–$530.00 | 335% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $484.00 | $484.00 | $426.00–$474.00 | 384% above | — |
| Liver function blood test panel CPT 80076 Liver function blood test | $544.00 | $544.00 | $479.00–$533.00 | 307% above | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology W/reflex Lc | $826.00 | $826.00 | $727.00–$809.00 | 507% above | — |
| Magnesium blood test CPT 83735 Magnesium Level | $343.00 | $343.00 | $302.00–$336.00 | 373% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab, Igg Lc | $495.00 | $495.00 | $436.00–$485.00 | 450% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $326.00 | $326.00 | $287.00–$319.00 | 401% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $562.00 | $562.00 | $495.00–$551.00 | 311% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $529.00 | $529.00 | $466.00–$518.00 | 388% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact Lc | $1,093.00 | $1,093.00 | $962.00–$1,071.00 | 418% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $385.00 | $385.00 | $339.00–$377.00 | 387% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Maternit21 Plus Core Lc | $4,207.00 | $4,207.00 | $3,702.00–$4,123.00 | — | — |
| Progesterone blood test CPT 84144 Progesterone Lc | $597.00 | $597.00 | $525.00–$585.00 | 417% above | — |
| Prolactin blood test CPT 84146 Prolactin Lc | $715.00 | $715.00 | $629.00–$701.00 | 473% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $254.00 | $254.00 | $224.00–$249.00 | 396% above | — |
| Rheumatoid factor (RF) test CPT 86431 Ra Latex Turbid. Lc | $298.00 | $298.00 | $262.00–$292.00 | 446% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, Igg Lc | $431.00 | $431.00 | $379.00–$422.00 | 461% above | — |
| Stool ova and parasites exam CPT 87177 .O And P Lc | $406.00 | $406.00 | $357.00–$398.00 | 380% above | — |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Status Lc | $406.00 | $406.00 | $357.00–$398.00 | 380% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphillis Test | $137.00 | $137.00 | $121.00–$134.00 | 211% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-tb Gold Plus Lc | $971.00 | $971.00 | $854.00–$952.00 | 373% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, Lc/ms Lc | $606.00 | $606.00 | $533.00–$594.00 | 414% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Lc | $606.00 | $606.00 | $533.00–$594.00 | 414% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Tpo Ab Lc | $476.00 | $476.00 | $419.00–$466.00 | 376% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $466.00 | $466.00 | $410.00–$457.00 | 312% above | — |
| Uric acid blood test CPT 84550 Ast (Sgot) P5p Lc | $253.00 | $253.00 | $223.00–$248.00 | 378% above | — |
| Uric acid blood test CPT 84550 Uric Acid | $253.00 | $253.00 | $223.00–$248.00 | 378% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $235.00 | $235.00 | $207.00–$230.00 | 305% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $170.00 | $170.00 | $150.00–$167.00 | 400% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture, Routine Lc | $355.00 | $355.00 | $312.00–$348.00 | 394% above | — |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine Qual | $352.00 | $352.00 | $310.00–$345.00 | 446% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Lc | $569.00 | $569.00 | $501.00–$558.00 | 391% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-hydroxyvitamin D Lcms D2+d3 Lc | $690.00 | $690.00 | $607.00–$676.00 | 345% above | — |
| Zinc blood test CPT 84630 Zinc, Plasma Or Serum Lc | $413.00 | $413.00 | $363.00–$405.00 | 469% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg,beta Subunit Qnt, U Lc | $561.00 | $561.00 | $494.00–$550.00 | 397% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative | $561.00 | $561.00 | $494.00–$550.00 | 397% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion Charge | $1,866.00 | $1,866.00 | $1,642.00–$1,829.00 | 30% above | — |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $9,100.00 | $9,100.00 | $8,008.00–$8,918.00 | 148% above | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $5,225.00 | $5,225.00 | $4,598.00–$5,121.00 | 171% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $4,250.00 | $4,250.00 | $3,740.00–$4,165.00 | 122% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystourethroscopy | $519.00 | $519.00 | $457.00–$509.00 | 5% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystoscopy Charge | $619.00 | $619.00 | $545.00–$607.00 | 13% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destroy Lesion 1st Charge | $187.00 | $187.00 | $165.00–$183.00 | 46% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 Tympanostomy Create Eardrum Opening Charge | $1,019.00 | $1,019.00 | $897.00–$999.00 | 130% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 Cervical Epidural | $2,301.00 | $2,301.00 | $2,025.00–$2,255.00 | 110% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 Injection Paravert Facet Lumbar Or Sacral, Single | $2,013.00 | $2,013.00 | $1,771.00–$1,973.00 | 29% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Of Abscess; Simple Or Single (Tech) | $365.00 | $365.00 | $321.00–$358.00 | 26% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Abscess Simple/single Techfee | $418.00 | $418.00 | $368.00–$410.00 | 44% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Ligament/tendon Injection Charge | $143.00 | $143.00 | $126.00–$140.00 | 27% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection Single Tendon Sheath Or Ligament (Plantar Fascia) (Tech) | $189.00 | $189.00 | $166.00–$185.00 | 3% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis Injection Into Large Joints Or Bursa Without Ultrasound Tech | $216.00 | $216.00 | $190.00–$212.00 | 13% above | — |
| 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 (Tech) | $298.00 | $298.00 | $262.00–$292.00 | 56% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis Aspir&/inj Major Jt/bursa W/o Us Techfee | $341.00 | $341.00 | $300.00–$334.00 | 78% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Intermediate Jt/bursa Injection Charge | $199.00 | $199.00 | $175.00–$195.00 | 5% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis Aspir&/inj Interm Jt/burs W/o Us Techfee | $282.00 | $282.00 | $248.00–$276.00 | 34% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis; Aspiration And/or Injection, Intermediate Joint Or Bursa (Tech) | $293.00 | $293.00 | $258.00–$287.00 | 39% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Finger/toe Injection Charge | $121.00 | $121.00 | $106.00–$119.00 | 17% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis; Aspiration And/or Injection, Small Joint Or Bursa (Tech) | $240.00 | $240.00 | $211.00–$235.00 | 64% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $11,500.00 | $11,500.00 | $10,120.00–$11,270.00 | 248% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $2,800.00 | $2,800.00 | $2,464.00–$2,744.00 | 107% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $1,687.00 | $1,687.00 | $1,485.00–$1,653.00 | 15% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/e/e/n/l/m 0.5cm/< Techfee | $1,359.00 | $1,359.00 | $1,196.00–$1,332.00 | 293% above | — |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Partial/complete Simple 1 Techfee | $318.00 | $318.00 | $280.00–$312.00 | 31% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision Nail Matrix Permanent Removal Techfee | $562.00 | $562.00 | $495.00–$551.00 | 64% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision & Removal Foreign Body Subq Tiss Simple Techfee | $502.00 | $502.00 | $442.00–$492.00 | 46% above | — |
| Short arm splint (forearm and hand) CPT 29125 29125 Ot-apply Sh Arm Stat Splnt Charge | $281.00 | $281.00 | $247.00–$275.00 | 79% above | — |
| Short arm splint (forearm and hand) CPT 29125 29125 Application Short Arm Splint Forearm-hand Static Techfee | $370.00 | $370.00 | $326.00–$363.00 | 136% above | — |
| Short leg splint (calf to foot) CPT 29515 29515 Application Of Short Leg Splint (Tech) | $241.00 | $241.00 | $212.00–$236.00 | 46% above | — |
| Short leg splint (calf to foot) CPT 29515 29515 Ot-apply Short Leg Splnt Charge | $330.00 | $330.00 | $290.00–$323.00 | 100% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using endoscope | $16,000.00 | $16,000.00 | $14,080.00–$15,680.00 | 318% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple Repair Scalp/neck/ax/genit/trunk 2.5cm/< Techfee | $388.00 | $388.00 | $341.00–$380.00 | 87% above | — |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 Techfee | $306.00 | $306.00 | $269.00–$300.00 | 57% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Smpl Repair Scalp/neck/ax/genit/trunk 2.6-7.5cm Techfee | $612.00 | $612.00 | $539.00–$600.00 | 150% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Repair F/e/e/n/l/m 2.5cm/< Techfee | $590.00 | $590.00 | $519.00–$578.00 | 151% above | — |
| Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis Asp W/imaging Charge | $1,402.00 | $1,402.00 | $1,234.00–$1,374.00 | 63% above | — |
| Thoracentesis with imaging guidance CPT 32555 32002 Thoracentesis Subsequent | $2,519.00 | $2,519.00 | $2,217.00–$2,469.00 | 193% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands, patient younger than age 12 | $12,000.00 | $12,000.00 | $10,560.00–$11,760.00 | 199% above | — |
| Trigger finger release surgery CPT 26055 26055 Tendon Sheath Incision (Trigger Finger) (Tech) | $2,474.00 | $2,474.00 | $2,177.00–$2,425.00 | 71% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection Single/mlt Trigger Point 1/2 Muscles Techfee | $329.00 | $329.00 | $290.00–$322.00 | 96% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection; Single Or Multiple Trigger Point; 1-2 Muscles (Tech) | $462.00 | $462.00 | $407.00–$453.00 | 176% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj Trigger Point 1/2 Muscle Charge | $462.00 | $462.00 | $407.00–$453.00 | 176% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $7,320.00 | $7,320.00 | $6,442.00–$7,174.00 | 416% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin Sbq Tissue <=20 Sq Cm Charge | $186.00 | $186.00 | $164.00–$182.00 | 44% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Cryoprecipitate Product | $1,027.00 | $1,027.00 | $904.00–$1,006.00 | 40% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Aerosol Treatment Initial Rn Charge | $311.00 | $311.00 | $274.00–$305.00 | 102% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Aerosol Treatment Subsequent Charge | $311.00 | $311.00 | $274.00–$305.00 | 102% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized/nonpressurized Inhalation Treatment | $311.00 | $311.00 | $274.00–$305.00 | 102% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Mdi Subsequent Charge | $311.00 | $311.00 | $274.00–$305.00 | 102% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Mdi Initial Charge | $311.00 | $311.00 | $274.00–$305.00 | 102% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 99291 Facility Level Critical Care Ill/injured Patient Init 30-74 Min | $1,935.00 | $1,935.00 | $1,703.00–$1,896.00 | 49% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $84.00 | $84.00 | $74.00–$82.00 | 8% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Ekg Rou/12l Repeat Pro Techfee | $383.00 | $383.00 | $337.00–$375.00 | 50% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Ekg Routine Charge | $383.00 | $383.00 | $337.00–$375.00 | 50% above | — |
| 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 | $248.00 | $248.00 | $218.00–$243.00 | 34% above | — |
| 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 | $393.00 | $393.00 | $346.00–$385.00 | 20% above | — |
| 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 | $611.00 | $611.00 | $538.00–$599.00 | 4% above | — |
| 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 | $962.00 | $962.00 | $847.00–$943.00 | 1% above | — |
| 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 | $1,550.00 | $1,550.00 | $1,364.00–$1,519.00 | 12% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Lexiscan Stress Test Charge | $1,367.00 | $1,367.00 | $1,203.00–$1,340.00 | 24% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Treadmill Stress Test Charge | $1,367.00 | $1,367.00 | $1,203.00–$1,340.00 | 24% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360iv Infusion Hydration Initial 31 Min-1 Hour | $396.00 | $396.00 | $348.00–$388.00 | 3% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360ed Hydration, First Hour | $457.00 | $457.00 | $402.00–$448.00 | 19% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365iv Infusion Non-hydration Each Additional Hour | $450.00 | $450.00 | $396.00–$441.00 | 17% above | — |
| IV infusion of a medicine, first hour CPT 96365 96365- Ed Iv Tx, First Hour | $450.00 | $450.00 | $396.00–$441.00 | 17% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Ed Subq/im Injection | $176.00 | $176.00 | $155.00–$172.00 | 76% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Reeducation Charges | $173.00 | $173.00 | $152.00–$170.00 | 84% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges | $173.00 | $173.00 | $152.00–$170.00 | 84% above | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $208.00 | $208.00 | $183.00–$204.00 | 1% above | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $279.00 | $279.00 | $246.00–$273.00 | 6% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office/outpatient Visitnew Patient, Level 2 15-29 Minutes | $159.00 | $159.00 | $140.00–$156.00 | 28% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Med Nutrit Ther/init Charge | $60.00 | $60.00 | $53.00–$59.00 | 19% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Low Complex Units | $227.00 | $227.00 | $200.00–$222.00 | 36% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt High Complex Units | $329.00 | $329.00 | $290.00–$322.00 | 52% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Low Complex Units | $216.00 | $216.00 | $190.00–$212.00 | 34% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Moderate Complex Units | $241.00 | $241.00 | $212.00–$236.00 | 31% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Charge Units | $154.00 | $154.00 | $136.00–$151.00 | 60% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units | $154.00 | $154.00 | $136.00–$151.00 | 60% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $272.00 | $272.00 | $239.00–$267.00 | 185% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking/ Tobacco Cessation Education Charge | $50.00 | $50.00 | $44.00–$49.00 | 69% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking/tobacco Cessation Counseling 3-10 Min | $50.00 | $50.00 | $44.00–$49.00 | 69% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99205 Office/op Visit New-5 Charge Tech | $398.00 | $398.00 | $350.00–$390.00 | 66% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Specialty Cliniclevel 3 Established Patient Tech | $186.00 | $186.00 | $164.00–$182.00 | 50% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Specialty Cliniclevel 4 Established Patient Tech | $224.00 | $224.00 | $197.00–$220.00 | 25% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Specialty Cliniclevel 2 Established Patient Tech | $153.00 | $153.00 | $135.00–$150.00 | 77% above | — |
| Speech and language evaluation CPT 92523 Speech Sound Prod W/ Language Charge | $476.00 | $476.00 | $419.00–$466.00 | 51% above | — |
| Speech therapy session, individual CPT 92507 Tx Of Speech/lang/voice/comm/auditory Chg | $347.00 | $347.00 | $305.00–$340.00 | 40% above | — |
| Spirometry (breathing test) CPT 94010 94010 Spirometry Charge | $373.00 | $373.00 | $328.00–$366.00 | 34% above | — |
| Spirometry before and after a bronchodilator CPT 94060 94060 Bronchodilation Responsiveness, Spirometry Pre And Post Interp | $779.00 | $779.00 | $686.00–$763.00 | 28% above | — |
| Spirometry before and after a bronchodilator CPT 94060 94060 Bronchospasm Evaluation | $779.00 | $779.00 | $686.00–$763.00 | 28% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge | $197.00 | $197.00 | $173.00–$193.00 | 114% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activities Charges | $197.00 | $197.00 | $173.00–$193.00 | 114% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 90679 Arexvy 50 Mg/0.5ml Im For Age 60 And Older | $605.00 | $605.00 | $532.00–$593.00 | 57% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin 1 Vac Charge | $55.00 | $55.00 | $48.00–$54.00 | 42% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Immunization Administration; Each Additional Vaccine | $31.00 | $31.00 | $27.00–$30.00 | 7% below | — |
Source file: https://secure.claraprice.net/price-transparency/QYRW-1687963942986/machine-readable