Madonna Rehabilitation Hospital
Madonna Rehabilitation Hospital in Omaha, NE publishes cash prices for 244 common procedures listed here, from its own machine-readable price file updated Sep 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Nebraska median for 11 of 11 procedures. Select a procedure to compare it with other hospitals nearby.
17500 BURKE STREET OMAHA NE 68118 Collected Oct 27, 2026 Source price file Check a bill from this hospital
Some prices here are not compared
Madonna Rehabilitation Hospital is an inpatient rehabilitation hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its physical, occupational and speech therapy prices are compared.
The price file shows no self-pay discount
For 244 of the 244 prices listed here, the cash price in Madonna Rehabilitation Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT scan of abdomen before and after contrast | $6,058.00 | $6,058.00 | $1,817.40–$5,149.30 | — | — |
| Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen, 2 views | $647.00 | $647.00 | $194.10–$549.95 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views | $647.00 | $647.00 | $194.10–$549.95 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries | $208.00 | $208.00 | $62.40–$176.80 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT scan of arm without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast | $1,479.00 | $1,479.00 | $443.70–$1,257.15 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $1,037.00 | $1,037.00 | $311.10–$881.45 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast | $5,321.00 | $5,321.00 | $1,596.30–$4,522.85 | — | — |
| CT angiography (CTA) of the head CPT 70496 CT scan of blood vessels of head with contrast | $5,763.00 | $5,763.00 | $1,728.90–$4,898.55 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CT scan of blood vessels of neck with contrast | $5,763.00 | $5,763.00 | $1,728.90–$4,898.55 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $5,763.00 | $5,763.00 | $1,728.90–$4,898.55 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $5,227.00 | $5,227.00 | $1,568.10–$4,442.95 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $7,691.00 | $7,691.00 | $2,307.30–$6,537.35 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $8,031.00 | $8,031.00 | $2,409.30–$6,826.35 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $5,319.00 | $5,319.00 | $1,595.70–$4,521.15 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $4,877.00 | $4,877.00 | $1,463.10–$4,145.45 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $5,467.00 | $5,467.00 | $1,640.10–$4,646.95 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $6,206.00 | $6,206.00 | $1,861.80–$5,275.10 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $5,319.00 | $5,319.00 | $1,595.70–$4,521.15 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $2,318.00 | $2,318.00 | $695.40–$1,970.30 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT scan of chest before and after contrast | $6,206.00 | $6,206.00 | $1,861.80–$5,275.10 | — | — |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $608.00 | $608.00 | $182.40–$516.80 | — | — |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $453.00 | $453.00 | $135.90–$385.05 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-ray of collar bone | $590.00 | $590.00 | $177.00–$501.50 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $1,479.00 | $1,479.00 | $443.70–$1,257.15 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $4,581.00 | $4,581.00 | $1,374.30–$3,893.85 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $5,467.00 | $5,467.00 | $1,640.10–$4,646.95 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts | $2,105.00 | $2,105.00 | $631.50–$1,789.25 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $2,543.00 | $2,543.00 | $762.90–$2,161.55 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $3,519.00 | $3,519.00 | $1,055.70–$2,991.15 | — | — |
| Elbow X-ray, 2 views CPT 73070 X-ray of elbow, 2 views | $590.00 | $590.00 | $177.00–$501.50 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-ray of elbow, minimum of 3 views | $708.00 | $708.00 | $212.40–$601.80 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT scan of cranial cavity without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray of face bones, minimum of 3 views | $933.00 | $933.00 | $279.90–$793.05 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray of forearm, 2 views | $604.00 | $604.00 | $181.20–$513.40 | — | — |
| Hand X-ray, 2 views CPT 73120 X-ray of hand, 2 views | $780.00 | $780.00 | $234.00–$663.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray of heel, minimum of 2 views | $453.00 | $453.00 | $135.90–$385.05 | — | — |
| Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views | $768.00 | $768.00 | $230.40–$652.80 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-ray of knee, 4 or more views | $813.00 | $813.00 | $243.90–$691.05 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT scan of leg without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $1,080.00 | $1,080.00 | $324.00–$918.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $1,037.00 | $1,037.00 | $311.10–$881.45 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray of lower leg, 2 views | $604.00 | $604.00 | $181.20–$513.40 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray of upper spine, 4-5 views | $879.00 | $879.00 | $263.70–$747.15 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT scan of soft tissue of neck with contrast | $5,467.00 | $5,467.00 | $1,640.10–$4,646.95 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT scan of soft tissue of neck without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT scan of pelvis without contrast | $4,877.00 | $4,877.00 | $1,463.10–$4,145.45 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $1,037.00 | $1,037.00 | $311.10–$881.45 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $1,479.00 | $1,479.00 | $443.70–$1,257.15 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray of ribs on side of body, minimum of 3 views | $690.00 | $690.00 | $207.00–$586.50 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $700.00 | $700.00 | $210.00–$595.00 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, minimum of 3 views | $824.00 | $824.00 | $247.20–$700.40 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray of skull, 1-3 views | $597.00 | $597.00 | $179.10–$507.45 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $1,257.00 | $1,257.00 | $377.10–$1,068.45 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of thigh bone, minimum 2 views | $1,102.00 | $1,102.00 | $330.60–$936.70 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine without contrast | $4,727.00 | $4,727.00 | $1,418.10–$4,017.95 | — | — |
| Toe X-ray, 2 or more views CPT 73660 X-ray of toe, minimum of 2 views | $453.00 | $453.00 | $135.90–$385.05 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $1,479.00 | $1,479.00 | $443.70–$1,257.15 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $1,509.00 | $1,509.00 | $452.70–$1,282.65 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $1,479.00 | $1,479.00 | $443.70–$1,257.15 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $1,479.00 | $1,479.00 | $443.70–$1,257.15 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-ray of upper arm, minimum of 2 views | $616.00 | $616.00 | $184.80–$523.60 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $2,026.00 | $2,026.00 | $607.80–$1,722.10 | — | — |
| Wrist X-ray, 2 views CPT 73100 X-ray of wrist, 2 views | $590.00 | $590.00 | $177.00–$501.50 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views | $635.00 | $635.00 | $190.50–$539.75 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views | $987.00 | $987.00 | $296.10–$838.95 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $590.00 | $590.00 | $177.00–$501.50 | — | — |
| X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views | $590.00 | $590.00 | $177.00–$501.50 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views | $453.00 | $453.00 | $135.90–$385.05 | — | — |
| X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views | $481.00 | $481.00 | $144.30–$408.85 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views | $664.00 | $664.00 | $199.20–$564.40 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $653.00 | $653.00 | $195.90–$555.05 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views | $699.00 | $699.00 | $209.70–$594.15 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $908.00 | $908.00 | $272.40–$771.80 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $1,132.00 | $1,132.00 | $339.60–$962.20 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $624.00 | $624.00 | $187.20–$530.40 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $700.00 | $700.00 | $210.00–$595.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $619.00 | $619.00 | $185.70–$526.15 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $590.00 | $590.00 | $177.00–$501.50 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $623.00 | $623.00 | $186.90–$529.55 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) level | $462.12 | $462.12 | $138.64–$392.80 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $89.59 | $89.59 | $26.88–$76.15 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $472.50 | $472.50 | $141.75–$401.63 | — | — |
| Albumin blood test CPT 82040 Albumin (protein) level | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Aldosterone blood test CPT 82088 Aldosterone hormone level | $323.52 | $323.52 | $97.06–$274.99 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level, alkaline | $104.83 | $104.83 | $31.45–$89.11 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each | $94.84 | $94.84 | $28.45–$80.61 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level, serum | $123.44 | $123.44 | $37.03–$104.92 | — | — |
| Ammonia blood test CPT 82140 Ammonia level | $277.76 | $277.76 | $83.33–$236.10 | — | — |
| Amylase blood test CPT 82150 Amylase (enzyme) level | $103.71 | $103.71 | $31.11–$88.15 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $462.12 | $462.12 | $138.64–$392.80 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder | $118.46 | $118.46 | $35.54–$100.69 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $182.26 | $182.26 | $54.68–$154.92 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic | $129.24 | $129.24 | $38.77–$109.85 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $139.69 | $139.69 | $41.91–$118.74 | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin level, total | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity | $118.46 | $118.46 | $35.54–$100.69 | — | — |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $176.03 | $176.03 | $52.81–$149.63 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $41.33 | $41.33 | $12.40–$35.13 | — | — |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Blood lead test CPT 83655 Lead level | $165.36 | $165.36 | $49.61–$140.56 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $145.22 | $145.22 | $43.57–$123.44 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $96.09 | $96.09 | $28.83–$81.68 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function, quantitative | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| C-peptide blood test CPT 84681 C-peptide (protein) level | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation | $132.47 | $132.47 | $39.74–$112.60 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique | $290.77 | $290.77 | $87.23–$247.15 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $323.52 | $323.52 | $97.06–$274.99 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 | $328.10 | $328.10 | $98.43–$278.89 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $301.51 | $301.51 | $90.45–$256.28 | — | — |
| Calcium blood test, total CPT 82310 Calcium level, total | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox) | $249.57 | $249.57 | $74.87–$212.13 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $148.21 | $148.21 | $44.46–$125.98 | — | — |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $148.83 | $148.83 | $44.65–$126.51 | — | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $129.78 | $129.78 | $38.93–$110.31 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $155.24 | $155.24 | $46.57–$131.95 | — | — |
| Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement, total | $145.22 | $145.22 | $43.57–$123.44 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level, total | $100.93 | $100.93 | $30.28–$85.79 | — | — |
| Creatinine blood test CPT 82565 Blood creatinine level | $81.45 | $81.45 | $24.44–$69.23 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV) | $193.61 | $193.61 | $58.08–$164.57 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $118.39 | $118.39 | $35.52–$100.63 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level | $277.29 | $277.29 | $83.19–$235.70 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug, by chemistry analyzers | $168.86 | $168.86 | $50.66–$143.53 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $118.55 | $118.55 | $35.57–$100.77 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid | $79.08 | $79.08 | $23.72–$67.22 | — | — |
| Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) | $323.52 | $323.52 | $97.06–$274.99 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level | $672.99 | $672.99 | $201.90–$572.04 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $150.92 | $150.92 | $45.28–$128.28 | — | — |
| Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement | $193.61 | $193.61 | $58.08–$164.57 | — | — |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $145.22 | $145.22 | $43.57–$123.44 | — | — |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $323.52 | $323.52 | $97.06–$274.99 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $206.83 | $206.83 | $62.05–$175.81 | — | — |
| Free testosterone test CPT 84402 Testosterone (hormone) level, free | $304.99 | $304.99 | $91.50–$259.24 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level | $100.93 | $100.93 | $30.28–$85.79 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel | $429.84 | $429.84 | $128.95–$365.36 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | $123.44 | $123.44 | $37.03–$104.92 | — | — |
| H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) | $154.93 | $154.93 | $46.48–$131.69 | — | — |
| H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool | $472.50 | $472.50 | $141.75–$401.63 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification | $413.70 | $413.70 | $124.11–$351.65 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $40.64 | $40.64 | $12.19–$34.54 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $173.05 | $173.05 | $51.92–$147.09 | — | — |
| Hemoglobin blood test CPT 85018 Blood count, hemoglobin | $68.00 | $68.00 | $20.40–$57.80 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody measurement | $323.52 | $323.52 | $97.06–$274.99 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement | $134.60 | $134.60 | $40.38–$114.41 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen | $143.73 | $143.73 | $43.12–$122.17 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement | $148.02 | $148.02 | $44.41–$125.82 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification | $1,339.23 | $1,339.23 | $401.77–$1,138.35 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 | $102.10 | $102.10 | $30.63–$86.79 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 | $102.10 | $102.10 | $30.63–$86.79 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity | $277.29 | $277.29 | $83.19–$235.70 | — | — |
| Homocysteine blood test CPT 83090 Homocysteine (amino acid) level | $472.50 | $472.50 | $141.75–$401.63 | — | — |
| Insulin blood test CPT 83525 Insulin measurement, total | $207.94 | $207.94 | $62.38–$176.75 | — | — |
| Iron blood test (serum iron) CPT 83540 Iron level | $100.93 | $100.93 | $30.28–$85.79 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $115.33 | $115.33 | $34.60–$98.03 | — | — |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $139.69 | $139.69 | $41.91–$118.74 | — | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level | $240.28 | $240.28 | $72.08–$204.24 | — | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic acid level | $249.57 | $249.57 | $74.87–$212.13 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level | $72.99 | $72.99 | $21.90–$62.04 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $136.88 | $136.88 | $41.06–$116.35 | — | — |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $139.69 | $139.69 | $41.91–$118.74 | — | — |
| Magnesium blood test CPT 83735 Magnesium level | $113.15 | $113.15 | $33.95–$96.18 | — | — |
| Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $131.02 | $131.02 | $39.31–$111.37 | — | — |
| Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus | $277.29 | $277.29 | $83.19–$235.70 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $254.18 | $254.18 | $76.25–$216.05 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $133.27 | $133.27 | $39.98–$113.28 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level | $215.41 | $215.41 | $64.62–$183.10 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $155.62 | $155.62 | $46.69–$132.28 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphate level | $100.93 | $100.93 | $30.28–$85.79 | — | — |
| Potassium blood test CPT 84132 Blood potassium level | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level | $286.56 | $286.56 | $85.97–$243.58 | — | — |
| Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level | $200.47 | $200.47 | $60.14–$170.40 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $323.52 | $323.52 | $97.06–$274.99 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus | $256.23 | $256.23 | $76.87–$217.80 | — | — |
| Renin blood test CPT 84244 Renin (kidney enzyme) level | $323.52 | $323.52 | $97.06–$274.99 | — | — |
| Rh blood typing CPT 86901 Blood typing for Rh (D) antigen | $78.97 | $78.97 | $23.69–$67.12 | — | — |
| Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated | $109.08 | $109.08 | $32.72–$92.72 | — | — |
| Sodium blood test CPT 84295 Blood sodium level | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Stool ova and parasites exam CPT 87177 Smear for parasites | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay | $44.68 | $44.68 | $13.40–$37.98 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody, Treponema pallidum | $217.81 | $217.81 | $65.34–$185.14 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test | $51.06 | $51.06 | $15.32–$43.40 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon | $415.92 | $415.92 | $124.78–$353.53 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total | $304.99 | $304.99 | $91.50–$259.24 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement | $355.60 | $355.60 | $106.68–$302.26 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $125.77 | $125.77 | $37.73–$106.90 | — | — |
| Total IgE blood test CPT 82785 IgE (immune system protein) level | $247.10 | $247.10 | $74.13–$210.04 | — | — |
| Total cholesterol blood test CPT 82465 Cholesterol level | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical), total | $102.69 | $102.69 | $30.81–$87.29 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone, T3 measurement, total | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Transferrin blood test CPT 84466 Transferrin (iron binding protein) level | $145.22 | $145.22 | $43.57–$123.44 | — | — |
| Triglycerides blood test CPT 84478 Triglycerides level | $86.51 | $86.51 | $25.95–$73.53 | — | — |
| Troponin test, quantitative CPT 84484 Troponin (protein) analysis, quantitative | $448.67 | $448.67 | $134.60–$381.37 | — | — |
| Uric acid blood test CPT 84550 Uric acid level, blood | $100.93 | $100.93 | $30.28–$85.79 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $112.65 | $112.65 | $33.80–$95.75 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $86.92 | $86.92 | $26.08–$73.88 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $71.89 | $71.89 | $21.57–$61.11 | — | — |
| Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level | $231.04 | $231.04 | $69.31–$196.38 | — | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $145.22 | $145.22 | $43.57–$123.44 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $145.22 | $145.22 | $43.57–$123.44 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $462.12 | $462.12 | $138.64–$392.80 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D, 1, 25 level | $277.29 | $277.29 | $83.19–$235.70 | — | — |
| Zinc blood test CPT 84630 Zinc level | $314.23 | $314.23 | $94.27–$267.10 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $231.04 | $231.04 | $69.31–$196.38 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $11,382.00 | $11,382.00 | $3,414.60–$9,674.70 | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an endoscope | $344.60 | $344.60 | $103.38–$292.91 | — | — |
| Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast | $400.00 | $400.00 | $120.00–$340.00 | — | — |
| Short leg cast (below the knee) CPT 29405 Application of short leg cast | $610.00 | $610.00 | $150.00–$518.50 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Nebraska | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $346.62 | $346.62 | $103.99–$294.63 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report | $417.00 | $417.00 | $125.10–$354.45 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $828.22 | $828.22 | $248.47–$703.99 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes | $584.00 | $584.00 | $175.20–$496.40 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes | $564.00 | $564.00 | $169.20–$479.40 | — | — |
| Group psychotherapy session CPT 90853 Group psychotherapy | $236.00 | $236.00 | $70.80–$200.60 | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Electrocardiogram (ECG) 2-day continuous with review and report by health care professional | $1,830.00 | $1,830.00 | $549.00–$1,555.50 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation | $721.00 | $721.00 | $216.30–$612.85 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $141.00 | $141.00 | $42.30–$150.00 | 44% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $65.00 | $65.00 | $19.50–$73.00 | 25% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes | $384.00 | $384.00 | $115.20–$326.40 | 122% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes | $749.00 | $749.00 | $150.00–$636.65 | 220% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes | $749.00 | $749.00 | $150.00–$636.65 | 343% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes | $749.00 | $749.00 | $150.00–$636.65 | 288% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes | $144.00 | $144.00 | $43.20–$150.00 | 38% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $141.00 | $141.00 | $42.30–$150.00 | 40% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Evaluation of psychological test, first hour | $434.00 | $434.00 | $130.20–$368.90 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first hour | $729.00 | $729.00 | $218.70–$619.65 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $351.00 | $351.00 | $105.30–$298.35 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $465.00 | $465.00 | $139.50–$395.25 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $699.00 | $699.00 | $209.70–$594.15 | — | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression | $532.00 | $532.00 | $125.00–$452.20 | 63% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder | $349.00 | $349.00 | $104.70–$296.65 | 38% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $434.00 | $434.00 | $130.20–$368.90 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $138.00 | $138.00 | $41.40–$150.00 | 37% above | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMRHOOMAHANE&type=CDMWithoutLabel&fileType=CSV