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Critical Access Hospital

Boone County Health Center

Albion, Nebraska · Boone County · Emergency services listed

Summary

Boone County Health Center is a critical access hospital in Albion, Nebraska. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 73 services, specialties and programs. Medicare lists 87 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
73Services listed

Quick answers

Does Boone County Health Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Boone County Health Center. In a medical emergency, call 911.
Where is Boone County Health Center?
P O Box 151, 723 West Fairview St, Albion, NE 68620, in Boone County, Nebraska.
What is the phone number of Boone County Health Center?
(402) 395-2191, as listed by Medicare (CMS).
What is the Medicare star rating of Boone County Health Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][7][8][12][14][17][18]

Conditions treated[17][18]

Treatments[4][11][13][19]

Procedures[4][12][14]

Programs and centers[4][5][11][12][18]

  • Senior Life Solutions
  • Dementia Program
  • Diabetes Management
  • Cancer Management
  • Oncology and Outpatient Infusion
  • Out in Front orthopedic surgery program
  • Emergency care (trauma team)
  • Pediatric therapy program

Emergency care (hospital website)[5][15]

Emergency roomYes
Open 24/7Yes

Recognition[13]

  • American College of Radiology certification (MRI and digital mammography)

Doctors and clinicians (87)

87 doctors and other clinicians list Boone County Health Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (87)

And 63 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Clinics and urgent care

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Boone County Health Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 5 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well5 of 5 stars
Staff explained medicines5 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1099%National average: 72%
Would definitely recommend the hospital94%National average: 71%
Nurses “always” communicated well94%National average: 80%
Doctors “always” communicated well97%National average: 80%
Staff “always” explained medicines before giving them73%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean91%National average: 74%
Area around the room “always” quiet at night74%National average: 60%
Completed surveys118Response rate: 45%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients11.5%
Deaths within 30 days: pneumonia patients17.1%
Deaths within 30 days: COPD patients8.1%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD20.3%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)111 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 67 common services exactly as Boone County Health Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit, 30 min $231 $231 $98 – $291
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $98
  • Ambetter — Commercial - Exchange: $224
  • Blue Cross Blue Shield — Commercial: $219
  • Blue Cross Blue Shield — Medicare Advantage: $146
  • Bryan Health Connect — Commercial: $291
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $146
  • Medica — Commercial: $222
  • Midlands Choice — Commercial: $226
  • Nebraska Total Care — Medicare Advantage: $150
  • Oscar Health — Commercial: $262
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit, 45 min $345 $345 $146 – $435
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $146
  • Ambetter — Commercial - Exchange: $335
  • Blue Cross Blue Shield — Commercial: $328
  • Blue Cross Blue Shield — Medicare Advantage: $217
  • Bryan Health Connect — Commercial: $435
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $217
  • Medica — Commercial: $331
  • Midlands Choice — Commercial: $338
  • Nebraska Total Care — Medicare Advantage: $224
  • Oscar Health — Commercial: $391
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit, 60 min $455 $455 $193 – $573
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $193
  • Ambetter — Commercial - Exchange: $441
  • Blue Cross Blue Shield — Commercial: $432
  • Blue Cross Blue Shield — Medicare Advantage: $287
  • Bryan Health Connect — Commercial: $573
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $287
  • Medica — Commercial: $437
  • Midlands Choice — Commercial: $446
  • Nebraska Total Care — Medicare Advantage: $295
  • Oscar Health — Commercial: $516
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventative medicine evaluation (18-39 years) $270 $270 $122 – $340
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
  • Aetna — Commercial: $122
  • Ambetter — Commercial - Exchange: $262
  • Blue Cross Blue Shield — Commercial: $257
  • Blue Cross Blue Shield — Medicare Advantage: $170
  • Bryan Health Connect — Commercial: $340
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $170
  • Medica — Commercial: $259
  • Midlands Choice — Commercial: $265
  • Nebraska Total Care — Medicare Advantage: $175
  • Oscar Health — Commercial: $306
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventative medicine evaluation (40-64 years) $311 $311 $140 – $392
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates
  • Aetna — Commercial: $140
  • Ambetter — Commercial - Exchange: $302
  • Blue Cross Blue Shield — Commercial: $295
  • Blue Cross Blue Shield — Medicare Advantage: $196
  • Bryan Health Connect — Commercial: $392
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $196
  • Medica — Commercial: $299
  • Midlands Choice — Commercial: $305
  • Nebraska Total Care — Medicare Advantage: $202
  • Oscar Health — Commercial: $353
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: 99283 Facil Ed Visit, Lvl 3 Low Dec Making $610 $610 $63 – $769
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — Commercial: $63
  • Ambetter — Commercial - Exchange: $592
  • Blue Cross Blue Shield — Commercial: $580
  • Blue Cross Blue Shield — Medicare Advantage: $384
  • Bryan Health Connect — Commercial: $769
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $384
  • Medica — Commercial: $586
  • Midlands Choice — Commercial: $598
  • Nebraska Total Care — Medicare Advantage: $396
  • Oscar Health — Commercial: $692
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: 99284 Facil Ed Visit, Lvl 4 Moderate Dec Making $940 $940 $106 – $1,184
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — Commercial: $106
  • Ambetter — Commercial - Exchange: $912
  • Blue Cross Blue Shield — Commercial: $893
  • Blue Cross Blue Shield — Medicare Advantage: $592
  • Bryan Health Connect — Commercial: $1,184
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $592
  • Medica — Commercial: $902
  • Midlands Choice — Commercial: $921
  • Nebraska Total Care — Medicare Advantage: $610
  • Oscar Health — Commercial: $1,066
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: 99285 Facil Ed Visit, Lvl 5, High Dec Making $1,480 $1,480 $154 – $1,865
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — Commercial: $154
  • Ambetter — Commercial - Exchange: $1,436
  • Blue Cross Blue Shield — Commercial: $1,406
  • Blue Cross Blue Shield — Medicare Advantage: $932
  • Bryan Health Connect — Commercial: $1,865
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $932
  • Medica — Commercial: $1,421
  • Midlands Choice — Commercial: $1,450
  • Nebraska Total Care — Medicare Advantage: $960
  • Oscar Health — Commercial: $1,678

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel $150 $150 $5 – $189
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $6
  • Ambetter — Commercial - Exchange: $146
  • Blue Cross Blue Shield — Commercial: $143
  • Blue Cross Blue Shield — Medicare Advantage: $95
  • Bryan Health Connect — Commercial: $189
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $95
  • Medica — Commercial: $144
  • Midlands Choice — Commercial: $147
  • Nebraska Total Care — Medicare Advantage: $97
  • Oscar Health — Commercial: $170
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $176 $176 $6 – $222
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $7
  • Ambetter — Commercial - Exchange: $171
  • Blue Cross Blue Shield — Commercial: $167
  • Blue Cross Blue Shield — Medicare Advantage: $111
  • Bryan Health Connect — Commercial: $222
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $111
  • Medica — Commercial: $169
  • Midlands Choice — Commercial: $172
  • Nebraska Total Care — Medicare Advantage: $114
  • Oscar Health — Commercial: $200
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel $261 $261 $29 – $329
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $32
  • Ambetter — Commercial - Exchange: $253
  • Blue Cross Blue Shield — Commercial: $248
  • Blue Cross Blue Shield — Medicare Advantage: $164
  • Bryan Health Connect — Commercial: $329
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $164
  • Medica — Commercial: $251
  • Midlands Choice — Commercial: $256
  • Nebraska Total Care — Medicare Advantage: $169
  • Oscar Health — Commercial: $296
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids $140 $140 $8 – $176
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — Commercial: $9
  • Ambetter — Commercial - Exchange: $136
  • Blue Cross Blue Shield — Commercial: $133
  • Blue Cross Blue Shield — Medicare Advantage: $88
  • Bryan Health Connect — Commercial: $176
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $88
  • Medica — Commercial: $134
  • Midlands Choice — Commercial: $137
  • Nebraska Total Care — Medicare Advantage: $91
  • Oscar Health — Commercial: $159
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function panel test $161 $161 $5 – $203
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $6
  • Ambetter — Commercial - Exchange: $156
  • Blue Cross Blue Shield — Commercial: $153
  • Blue Cross Blue Shield — Medicare Advantage: $101
  • Bryan Health Connect — Commercial: $203
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $101
  • Medica — Commercial: $155
  • Midlands Choice — Commercial: $158
  • Nebraska Total Care — Medicare Advantage: $104
  • Oscar Health — Commercial: $183
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test $150 $150 $5 – $189
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $5
  • Ambetter — Commercial - Exchange: $146
  • Blue Cross Blue Shield — Commercial: $143
  • Blue Cross Blue Shield — Medicare Advantage: $95
  • Bryan Health Connect — Commercial: $189
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $95
  • Medica — Commercial: $144
  • Midlands Choice — Commercial: $147
  • Nebraska Total Care — Medicare Advantage: $97
  • Oscar Health — Commercial: $170
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis test using microscope $63 $63 $2 – $79
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $2
  • Ambetter — Commercial - Exchange: $61
  • Blue Cross Blue Shield — Commercial: $60
  • Blue Cross Blue Shield — Medicare Advantage: $40
  • Bryan Health Connect — Commercial: $79
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $40
  • Medica — Commercial: $60
  • Midlands Choice — Commercial: $62
  • Nebraska Total Care — Medicare Advantage: $41
  • Oscar Health — Commercial: $71
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis test $32 $32 $2 – $40
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $2
  • Ambetter — Commercial - Exchange: $31
  • Blue Cross Blue Shield — Commercial: $30
  • Blue Cross Blue Shield — Medicare Advantage: $20
  • Bryan Health Connect — Commercial: $40
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $20
  • Medica — Commercial: $31
  • Midlands Choice — Commercial: $31
  • Nebraska Total Care — Medicare Advantage: $21
  • Oscar Health — Commercial: $36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis test $42 $42 $1 – $53
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $1
  • Ambetter — Commercial - Exchange: $41
  • Blue Cross Blue Shield — Commercial: $40
  • Blue Cross Blue Shield — Medicare Advantage: $26
  • Bryan Health Connect — Commercial: $53
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $26
  • Medica — Commercial: $40
  • Midlands Choice — Commercial: $41
  • Nebraska Total Care — Medicare Advantage: $27
  • Oscar Health — Commercial: $48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Total prostate-specific antigen (PSA) test $140 $140 $11 – $176
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $12
  • Ambetter — Commercial - Exchange: $136
  • Blue Cross Blue Shield — Commercial: $133
  • Blue Cross Blue Shield — Medicare Advantage: $88
  • Bryan Health Connect — Commercial: $176
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $88
  • Medica — Commercial: $134
  • Midlands Choice — Commercial: $137
  • Nebraska Total Care — Medicare Advantage: $91
  • Oscar Health — Commercial: $159
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $130 $130 $10 – $164
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $11
  • Ambetter — Commercial - Exchange: $126
  • Blue Cross Blue Shield — Commercial: $124
  • Blue Cross Blue Shield — Medicare Advantage: $82
  • Bryan Health Connect — Commercial: $164
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $82
  • Medica — Commercial: $125
  • Midlands Choice — Commercial: $127
  • Nebraska Total Care — Medicare Advantage: $84
  • Oscar Health — Commercial: $147
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (CBC), with differential white blood cells, automated $98 $98 $5 – $123
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Aetna — Commercial: $5
  • Ambetter — Commercial - Exchange: $95
  • Blue Cross Blue Shield — Commercial: $93
  • Blue Cross Blue Shield — Medicare Advantage: $62
  • Bryan Health Connect — Commercial: $123
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $62
  • Medica — Commercial: $94
  • Midlands Choice — Commercial: $96
  • Nebraska Total Care — Medicare Advantage: $64
  • Oscar Health — Commercial: $111
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (CBC), automated $79 $79 $4 – $100
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — Commercial: $4
  • Ambetter — Commercial - Exchange: $77
  • Blue Cross Blue Shield — Commercial: $75
  • Blue Cross Blue Shield — Medicare Advantage: $50
  • Bryan Health Connect — Commercial: $100
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $50
  • Medica — Commercial: $76
  • Midlands Choice — Commercial: $77
  • Nebraska Total Care — Medicare Advantage: $51
  • Oscar Health — Commercial: $90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $57 $57 $3 – $72
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — Commercial: $3
  • Ambetter — Commercial - Exchange: $55
  • Blue Cross Blue Shield — Commercial: $54
  • Blue Cross Blue Shield — Medicare Advantage: $36
  • Bryan Health Connect — Commercial: $72
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $36
  • Medica — Commercial: $55
  • Midlands Choice — Commercial: $56
  • Nebraska Total Care — Medicare Advantage: $37
  • Oscar Health — Commercial: $65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier QW In the file: Blood test, clotting time $57 $57 $3 – $72
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — Commercial: $3
  • Ambetter — Commercial - Exchange: $55
  • Blue Cross Blue Shield — Commercial: $54
  • Blue Cross Blue Shield — Medicare Advantage: $36
  • Bryan Health Connect — Commercial: $72
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $36
  • Medica — Commercial: $55
  • Midlands Choice — Commercial: $56
  • Nebraska Total Care — Medicare Advantage: $37
  • Oscar Health — Commercial: $65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test $88 $88 $4 – $111
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — Commercial: $4
  • Ambetter — Commercial - Exchange: $85
  • Blue Cross Blue Shield — Commercial: $84
  • Blue Cross Blue Shield — Medicare Advantage: $55
  • Bryan Health Connect — Commercial: $111
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $55
  • Medica — Commercial: $84
  • Midlands Choice — Commercial: $86
  • Nebraska Total Care — Medicare Advantage: $57
  • Oscar Health — Commercial: $100

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan $2,170 $2,170 $64 – $2,734
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $64
  • Ambetter — Commercial - Exchange: $2,105
  • Blue Cross Blue Shield — Commercial: $2,062
  • Blue Cross Blue Shield — Medicare Advantage: $1,367
  • Bryan Health Connect — Commercial: $2,734
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,367
  • Medica — Commercial: $2,083
  • Midlands Choice — Commercial: $2,127
  • Nebraska Total Care — Medicare Advantage: $1,408
  • Oscar Health — Commercial: $2,461
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Scan $4,238 $4,238 $207 – $5,340
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $207
  • Ambetter — Commercial - Exchange: $4,111
  • Blue Cross Blue Shield — Commercial: $4,026
  • Blue Cross Blue Shield — Medicare Advantage: $2,670
  • Bryan Health Connect — Commercial: $5,340
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,670
  • Medica — Commercial: $4,068
  • Midlands Choice — Commercial: $4,153
  • Nebraska Total Care — Medicare Advantage: $2,750
  • Oscar Health — Commercial: $4,806
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Xr Chest 2 Views $338 $338 $21 – $426
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $21
  • Ambetter — Commercial - Exchange: $328
  • Blue Cross Blue Shield — Commercial: $321
  • Blue Cross Blue Shield — Medicare Advantage: $213
  • Bryan Health Connect — Commercial: $426
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $213
  • Medica — Commercial: $324
  • Midlands Choice — Commercial: $331
  • Nebraska Total Care — Medicare Advantage: $219
  • Oscar Health — Commercial: $383
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-Ray of lower back $383 $383 $36 – $483
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $36
  • Ambetter — Commercial - Exchange: $372
  • Blue Cross Blue Shield — Commercial: $364
  • Blue Cross Blue Shield — Medicare Advantage: $241
  • Bryan Health Connect — Commercial: $483
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $241
  • Medica — Commercial: $368
  • Midlands Choice — Commercial: $375
  • Nebraska Total Care — Medicare Advantage: $249
  • Oscar Health — Commercial: $434
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal $3,409 $3,409 $119 – $4,295
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $119
  • Ambetter — Commercial - Exchange: $3,307
  • Blue Cross Blue Shield — Commercial: $3,239
  • Blue Cross Blue Shield — Medicare Advantage: $2,148
  • Bryan Health Connect — Commercial: $4,295
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,148
  • Medica — Commercial: $3,273
  • Midlands Choice — Commercial: $3,341
  • Nebraska Total Care — Medicare Advantage: $2,212
  • Oscar Health — Commercial: $3,866
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast $2,687 $2,687 $164 – $3,386
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $164
  • Ambetter — Commercial - Exchange: $2,606
  • Blue Cross Blue Shield — Commercial: $2,553
  • Blue Cross Blue Shield — Medicare Advantage: $1,693
  • Bryan Health Connect — Commercial: $3,386
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,693
  • Medica — Commercial: $2,580
  • Midlands Choice — Commercial: $2,633
  • Nebraska Total Care — Medicare Advantage: $1,744
  • Oscar Health — Commercial: $3,047
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint $2,688 $2,688 $133 – $3,387
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $135
  • Ambetter — Commercial - Exchange: $2,607
  • Blue Cross Blue Shield — Commercial: $2,554
  • Blue Cross Blue Shield — Medicare Advantage: $1,693
  • Bryan Health Connect — Commercial: $3,387
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,693
  • Medica — Commercial: $2,580
  • Midlands Choice — Commercial: $2,634
  • Nebraska Total Care — Medicare Advantage: $1,744
  • Oscar Health — Commercial: $3,048
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint $2,688 $2,688 $133 – $3,387
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $135
  • Ambetter — Commercial - Exchange: $2,607
  • Blue Cross Blue Shield — Commercial: $2,554
  • Blue Cross Blue Shield — Medicare Advantage: $1,693
  • Bryan Health Connect — Commercial: $3,387
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,693
  • Medica — Commercial: $2,580
  • Midlands Choice — Commercial: $2,634
  • Nebraska Total Care — Medicare Advantage: $1,744
  • Oscar Health — Commercial: $3,048
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast $4,754 $4,754 $177 – $5,990
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $214
  • Ambetter — Commercial - Exchange: $4,611
  • Blue Cross Blue Shield — Commercial: $4,516
  • Blue Cross Blue Shield — Medicare Advantage: $2,995
  • Bryan Health Connect — Commercial: $5,990
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,995
  • Medica — Commercial: $4,564
  • Midlands Choice — Commercial: $4,659
  • Nebraska Total Care — Medicare Advantage: $3,085
  • Oscar Health — Commercial: $5,391
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound of abdomen $901 $901 $73 – $1,135
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Aetna — Commercial: $73
  • Ambetter — Commercial - Exchange: $874
  • Blue Cross Blue Shield — Commercial: $856
  • Blue Cross Blue Shield — Medicare Advantage: $568
  • Bryan Health Connect — Commercial: $1,135
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $568
  • Medica — Commercial: $865
  • Midlands Choice — Commercial: $883
  • Nebraska Total Care — Medicare Advantage: $585
  • Oscar Health — Commercial: $1,022
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Abdomial ultrasound of pregnant uterus $773 $773 $82 – $974
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • Aetna — Commercial: $82
  • Ambetter — Commercial - Exchange: $750
  • Blue Cross Blue Shield — Commercial: $734
  • Blue Cross Blue Shield — Medicare Advantage: $487
  • Bryan Health Connect — Commercial: $974
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $487
  • Medica — Commercial: $742
  • Midlands Choice — Commercial: $758
  • Nebraska Total Care — Medicare Advantage: $502
  • Oscar Health — Commercial: $877
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound pelvis through vagina $569 $569 $81 – $717
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Aetna — Commercial: $81
  • Ambetter — Commercial - Exchange: $552
  • Blue Cross Blue Shield — Commercial: $541
  • Blue Cross Blue Shield — Medicare Advantage: $358
  • Bryan Health Connect — Commercial: $717
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $358
  • Medica — Commercial: $546
  • Midlands Choice — Commercial: $558
  • Nebraska Total Care — Medicare Advantage: $369
  • Oscar Health — Commercial: $645
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: Mammography of one breast $402 $402 $79 – $507
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $81
  • Ambetter — Commercial - Exchange: $390
  • Blue Cross Blue Shield — Commercial: $382
  • Blue Cross Blue Shield — Medicare Advantage: $253
  • Bryan Health Connect — Commercial: $507
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $253
  • Medica — Commercial: $386
  • Midlands Choice — Commercial: $394
  • Nebraska Total Care — Medicare Advantage: $261
  • Oscar Health — Commercial: $456
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: Mammography of one breast $402 $402 $79 – $507
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $81
  • Ambetter — Commercial - Exchange: $390
  • Blue Cross Blue Shield — Commercial: $382
  • Blue Cross Blue Shield — Medicare Advantage: $253
  • Bryan Health Connect — Commercial: $507
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $253
  • Medica — Commercial: $386
  • Midlands Choice — Commercial: $394
  • Nebraska Total Care — Medicare Advantage: $261
  • Oscar Health — Commercial: $456
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammography of both breasts $464 $464 $103 – $585
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $103
  • Ambetter — Commercial - Exchange: $450
  • Blue Cross Blue Shield — Commercial: $441
  • Blue Cross Blue Shield — Medicare Advantage: $292
  • Bryan Health Connect — Commercial: $585
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $292
  • Medica — Commercial: $445
  • Midlands Choice — Commercial: $455
  • Nebraska Total Care — Medicare Advantage: $301
  • Oscar Health — Commercial: $526
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammography, screening, bilateral $402 $402 $74 – $507
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $85
  • Ambetter — Commercial - Exchange: $390
  • Blue Cross Blue Shield — Commercial: $382
  • Blue Cross Blue Shield — Medicare Advantage: $253
  • Bryan Health Connect — Commercial: $507
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $253
  • Medica — Commercial: $386
  • Midlands Choice — Commercial: $394
  • Nebraska Total Care — Medicare Advantage: $261
  • Oscar Health — Commercial: $456
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: Mammography, screening, bilateral $402 $402 $74 – $507
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $85
  • Ambetter — Commercial - Exchange: $390
  • Blue Cross Blue Shield — Commercial: $382
  • Blue Cross Blue Shield — Medicare Advantage: $253
  • Bryan Health Connect — Commercial: $507
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $253
  • Medica — Commercial: $386
  • Midlands Choice — Commercial: $394
  • Nebraska Total Care — Medicare Advantage: $261
  • Oscar Health — Commercial: $456

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine, with interpretation and report $421 $421 $13 – $530
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
  • Aetna — Commercial: $13
  • Ambetter — Commercial - Exchange: $408
  • Blue Cross Blue Shield — Commercial: $400
  • Blue Cross Blue Shield — Medicare Advantage: $265
  • Bryan Health Connect — Commercial: $530
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $265
  • Medica — Commercial: $404
  • Midlands Choice — Commercial: $413
  • Nebraska Total Care — Medicare Advantage: $273
  • Oscar Health — Commercial: $477
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study $4,100 $4,100 $451 – $5,166
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — Commercial: $451
  • Ambetter — Commercial - Exchange: $3,977
  • Blue Cross Blue Shield — Commercial: $3,895
  • Blue Cross Blue Shield — Medicare Advantage: $2,583
  • Bryan Health Connect — Commercial: $5,166
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,583
  • Medica — Commercial: $3,936
  • Midlands Choice — Commercial: $4,018
  • Nebraska Total Care — Medicare Advantage: $2,660
  • Oscar Health — Commercial: $4,649

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Physical therapy, therapeutic exercise $105 $105 $25 – $132
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $29
  • Ambetter — Commercial - Exchange: $102
  • Blue Cross Blue Shield — Commercial: $100
  • Blue Cross Blue Shield — Medicare Advantage: $66
  • Bryan Health Connect — Commercial: $132
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $66
  • Medica — Commercial: $101
  • Midlands Choice — Commercial: $103
  • Nebraska Total Care — Medicare Advantage: $68
  • Oscar Health — Commercial: $119
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Physical therapy, therapeutic exercise $105 $105 $25 – $132
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — Commercial: $29
  • Ambetter — Commercial - Exchange: $102
  • Blue Cross Blue Shield — Commercial: $100
  • Blue Cross Blue Shield — Medicare Advantage: $66
  • Bryan Health Connect — Commercial: $132
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $66
  • Medica — Commercial: $101
  • Midlands Choice — Commercial: $103
  • Nebraska Total Care — Medicare Advantage: $68
  • Oscar Health — Commercial: $119
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: 97161 Pt Evaluation Low Complexity $170 $170 $86 – $214
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $98
  • Ambetter — Commercial - Exchange: $165
  • Blue Cross Blue Shield — Commercial: $162
  • Blue Cross Blue Shield — Medicare Advantage: $107
  • Bryan Health Connect — Commercial: $214
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $107
  • Medica — Commercial: $163
  • Midlands Choice — Commercial: $167
  • Nebraska Total Care — Medicare Advantage: $110
  • Oscar Health — Commercial: $193
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: 97161 Pt Eval Low Complexity Units $170 $170 $86 – $214
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $98
  • Ambetter — Commercial - Exchange: $165
  • Blue Cross Blue Shield — Commercial: $162
  • Blue Cross Blue Shield — Medicare Advantage: $107
  • Bryan Health Connect — Commercial: $214
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $107
  • Medica — Commercial: $163
  • Midlands Choice — Commercial: $167
  • Nebraska Total Care — Medicare Advantage: $110
  • Oscar Health — Commercial: $193
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: 97162 Pt Evaluation Moderate Complexity $201 $201 $86 – $253
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $98
  • Ambetter — Commercial - Exchange: $195
  • Blue Cross Blue Shield — Commercial: $191
  • Blue Cross Blue Shield — Medicare Advantage: $127
  • Bryan Health Connect — Commercial: $253
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $127
  • Medica — Commercial: $193
  • Midlands Choice — Commercial: $197
  • Nebraska Total Care — Medicare Advantage: $130
  • Oscar Health — Commercial: $228
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: 97162 Pt Evaluation Moderate Complex Units $201 $201 $86 – $253
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $98
  • Ambetter — Commercial - Exchange: $195
  • Blue Cross Blue Shield — Commercial: $191
  • Blue Cross Blue Shield — Medicare Advantage: $127
  • Bryan Health Connect — Commercial: $253
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $127
  • Medica — Commercial: $193
  • Midlands Choice — Commercial: $197
  • Nebraska Total Care — Medicare Advantage: $130
  • Oscar Health — Commercial: $228
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: 97163 Pt Evaluation High Complexity $265 $265 $86 – $334
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $98
  • Ambetter — Commercial - Exchange: $257
  • Blue Cross Blue Shield — Commercial: $252
  • Blue Cross Blue Shield — Medicare Advantage: $167
  • Bryan Health Connect — Commercial: $334
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $167
  • Medica — Commercial: $254
  • Midlands Choice — Commercial: $260
  • Nebraska Total Care — Medicare Advantage: $172
  • Oscar Health — Commercial: $301
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: 97163 Pt Evaluation High Complex Units $265 $265 $86 – $334
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — Commercial: $98
  • Ambetter — Commercial - Exchange: $257
  • Blue Cross Blue Shield — Commercial: $252
  • Blue Cross Blue Shield — Medicare Advantage: $167
  • Bryan Health Connect — Commercial: $334
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $167
  • Medica — Commercial: $254
  • Midlands Choice — Commercial: $260
  • Nebraska Total Care — Medicare Advantage: $172
  • Oscar Health — Commercial: $301
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 min $535 $535 $76 – $674
Psychotherapy, 30 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $76
  • Ambetter — Commercial - Exchange: $519
  • Blue Cross Blue Shield — Commercial: $508
  • Blue Cross Blue Shield — Medicare Advantage: $337
  • Bryan Health Connect — Commercial: $674
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $337
  • Medica — Commercial: $514
  • Midlands Choice — Commercial: $524
  • Nebraska Total Care — Medicare Advantage: $347
  • Oscar Health — Commercial: $607
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 min $700 $700 $100 – $882
Psychotherapy, 45 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $100
  • Ambetter — Commercial - Exchange: $679
  • Blue Cross Blue Shield — Commercial: $665
  • Blue Cross Blue Shield — Medicare Advantage: $441
  • Bryan Health Connect — Commercial: $882
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $441
  • Medica — Commercial: $672
  • Midlands Choice — Commercial: $686
  • Nebraska Total Care — Medicare Advantage: $454
  • Oscar Health — Commercial: $794
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 min $855 $855 $148 – $1,077
Psychotherapy, 60 minutes: 10 of 11 insurance plan rates
  • Aetna — Commercial: $148
  • Ambetter — Commercial - Exchange: $829
  • Blue Cross Blue Shield — Commercial: $812
  • Blue Cross Blue Shield — Medicare Advantage: $539
  • Bryan Health Connect — Commercial: $1,077
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $539
  • Medica — Commercial: $821
  • Midlands Choice — Commercial: $838
  • Nebraska Total Care — Medicare Advantage: $555
  • Oscar Health — Commercial: $970
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy, not including patient, 50 min $755 $755 $97 – $951
Family psychotherapy, without the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $97
  • Ambetter — Commercial - Exchange: $732
  • Blue Cross Blue Shield — Commercial: $717
  • Blue Cross Blue Shield — Medicare Advantage: $476
  • Bryan Health Connect — Commercial: $951
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $476
  • Medica — Commercial: $725
  • Midlands Choice — Commercial: $740
  • Nebraska Total Care — Medicare Advantage: $490
  • Oscar Health — Commercial: $856
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy, including patient, 50 min $800 $800 $101 – $1,008
Family psychotherapy, with the patient: 10 of 11 insurance plan rates
  • Aetna — Commercial: $101
  • Ambetter — Commercial - Exchange: $776
  • Blue Cross Blue Shield — Commercial: $760
  • Blue Cross Blue Shield — Medicare Advantage: $504
  • Bryan Health Connect — Commercial: $1,008
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $504
  • Medica — Commercial: $768
  • Midlands Choice — Commercial: $784
  • Nebraska Total Care — Medicare Advantage: $519
  • Oscar Health — Commercial: $907
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy $845 $845 $27 – $1,065
Group psychotherapy: 10 of 11 insurance plan rates
  • Aetna — Commercial: $27
  • Ambetter — Commercial - Exchange: $820
  • Blue Cross Blue Shield — Commercial: $803
  • Blue Cross Blue Shield — Medicare Advantage: $532
  • Bryan Health Connect — Commercial: $1,065
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $532
  • Medica — Commercial: $811
  • Midlands Choice — Commercial: $828
  • Nebraska Total Care — Medicare Advantage: $548
  • Oscar Health — Commercial: $958

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of one or more breast growth, open procedure $1,044 $1,044 $469 – $1,315
Removal of breast growth (open surgery): 10 of 11 insurance plan rates
  • Aetna — Commercial: $469
  • Ambetter — Commercial - Exchange: $1,013
  • Blue Cross Blue Shield — Commercial: $992
  • Blue Cross Blue Shield — Medicare Advantage: $658
  • Bryan Health Connect — Commercial: $1,315
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $658
  • Medica — Commercial: $1,002
  • Midlands Choice — Commercial: $1,023
  • Nebraska Total Care — Medicare Advantage: $677
  • Oscar Health — Commercial: $1,184
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of shoulder bone using endoscope $12,169 $12,169 $154 – $15,333
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates
  • Aetna — Commercial: $154
  • Ambetter — Commercial - Exchange: $11,804
  • Blue Cross Blue Shield — Commercial: $11,561
  • Blue Cross Blue Shield — Medicare Advantage: $7,666
  • Bryan Health Connect — Commercial: $15,333
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $7,666
  • Medica — Commercial: $11,682
  • Midlands Choice — Commercial: $11,926
  • Nebraska Total Care — Medicare Advantage: $7,896
  • Oscar Health — Commercial: $13,800
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of one knee cartilage using an endoscope $10,165 $10,165 $496 – $12,808
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates
  • Aetna — Commercial: $496
  • Ambetter — Commercial - Exchange: $9,860
  • Blue Cross Blue Shield — Commercial: $9,657
  • Blue Cross Blue Shield — Medicare Advantage: $6,404
  • Bryan Health Connect — Commercial: $12,808
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $6,404
  • Medica — Commercial: $9,758
  • Midlands Choice — Commercial: $9,962
  • Nebraska Total Care — Medicare Advantage: $6,596
  • Oscar Health — Commercial: $11,527
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands, patient younger than age 12 $4,065 $4,065 $271 – $5,122
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates
  • Aetna — Commercial: $271
  • Ambetter — Commercial - Exchange: $3,943
  • Blue Cross Blue Shield — Commercial: $3,862
  • Blue Cross Blue Shield — Medicare Advantage: $2,561
  • Bryan Health Connect — Commercial: $5,122
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,561
  • Medica — Commercial: $3,902
  • Midlands Choice — Commercial: $3,984
  • Nebraska Total Care — Medicare Advantage: $2,638
  • Oscar Health — Commercial: $4,610
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope $2,127 $2,127 $237 – $2,680
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Commercial: $268
  • Ambetter — Commercial - Exchange: $2,063
  • Blue Cross Blue Shield — Commercial: $2,021
  • Blue Cross Blue Shield — Medicare Advantage: $1,340
  • Bryan Health Connect — Commercial: $2,680
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,340
  • Medica — Commercial: $2,042
  • Midlands Choice — Commercial: $2,084
  • Nebraska Total Care — Medicare Advantage: $1,380
  • Oscar Health — Commercial: $2,412
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope $3,133 $3,133 $268 – $3,948
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Commercial: $352
  • Ambetter — Commercial - Exchange: $3,039
  • Blue Cross Blue Shield — Commercial: $2,976
  • Blue Cross Blue Shield — Medicare Advantage: $1,974
  • Bryan Health Connect — Commercial: $3,948
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,974
  • Medica — Commercial: $3,008
  • Midlands Choice — Commercial: $3,070
  • Nebraska Total Care — Medicare Advantage: $2,033
  • Oscar Health — Commercial: $3,553
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using an endoscope $3,006 $3,006 $158 – $3,788
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Commercial: $158
  • Ambetter — Commercial - Exchange: $2,916
  • Blue Cross Blue Shield — Commercial: $2,856
  • Blue Cross Blue Shield — Medicare Advantage: $1,894
  • Bryan Health Connect — Commercial: $3,788
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,894
  • Medica — Commercial: $2,886
  • Midlands Choice — Commercial: $2,946
  • Nebraska Total Care — Medicare Advantage: $1,951
  • Oscar Health — Commercial: $3,409
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy exam of large bowel using an endoscope $3,404 $3,404 $387 – $4,289
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Commercial: $404
  • Ambetter — Commercial - Exchange: $3,302
  • Blue Cross Blue Shield — Commercial: $3,234
  • Blue Cross Blue Shield — Medicare Advantage: $2,145
  • Bryan Health Connect — Commercial: $4,289
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,145
  • Medica — Commercial: $3,268
  • Midlands Choice — Commercial: $3,336
  • Nebraska Total Care — Medicare Advantage: $2,209
  • Oscar Health — Commercial: $3,860
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope $3,362 $3,362 $423 – $4,236
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • Aetna — Commercial: $423
  • Ambetter — Commercial - Exchange: $3,261
  • Blue Cross Blue Shield — Commercial: $3,194
  • Blue Cross Blue Shield — Medicare Advantage: $2,118
  • Bryan Health Connect — Commercial: $4,236
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,118
  • Medica — Commercial: $3,228
  • Midlands Choice — Commercial: $3,295
  • Nebraska Total Care — Medicare Advantage: $2,182
  • Oscar Health — Commercial: $3,813
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: G0121 Or Minor Colonoscopy, Low Risk, Mdcr $2,468 $2,468 $158 – $3,110
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
  • Aetna — Commercial: $158
  • Ambetter — Commercial - Exchange: $2,394
  • Blue Cross Blue Shield — Commercial: $2,345
  • Blue Cross Blue Shield — Medicare Advantage: $1,555
  • Bryan Health Connect — Commercial: $3,110
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,555
  • Medica — Commercial: $2,369
  • Midlands Choice — Commercial: $2,419
  • Nebraska Total Care — Medicare Advantage: $1,601
  • Oscar Health — Commercial: $2,799
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: G0121 Pf Colonoscopy, Low Risk, Mdcr $703 $703 $153 – $689
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • Aetna — Commercial: $682
  • Ambetter — Commercial - Exchange: $682
  • Blue Cross Blue Shield — Commercial: $668
  • Blue Cross Blue Shield — Medicare Advantage: $153
  • Bryan Health Connect — Commercial: $306
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $153
  • Medica — Commercial: $675
  • Midlands Choice — Commercial: $689
  • Nebraska Total Care — Medicare Advantage: $157
  • Oscar Health — Commercial: $275
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope $9,919 $9,919 $586 – $12,498
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates
  • Aetna — Commercial: $586
  • Ambetter — Commercial - Exchange: $9,621
  • Blue Cross Blue Shield — Commercial: $9,423
  • Blue Cross Blue Shield — Medicare Advantage: $6,249
  • Bryan Health Connect — Commercial: $12,498
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $6,249
  • Medica — Commercial: $9,522
  • Midlands Choice — Commercial: $9,721
  • Nebraska Total Care — Medicare Advantage: $6,436
  • Oscar Health — Commercial: $11,248
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia patient age 5 years or older $13,809 $13,809 $467 – $17,399
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates
  • Aetna — Commercial: $467
  • Ambetter — Commercial - Exchange: $13,395
  • Blue Cross Blue Shield — Commercial: $13,119
  • Blue Cross Blue Shield — Medicare Advantage: $8,700
  • Bryan Health Connect — Commercial: $17,399
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $8,700
  • Medica — Commercial: $13,257
  • Midlands Choice — Commercial: $13,533
  • Nebraska Total Care — Medicare Advantage: $8,961
  • Oscar Health — Commercial: $15,659
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate gland $835 $835 $224 – $1,052
Prostate biopsy: rates for 10 insurance plans
  • Aetna — Commercial: $224
  • Ambetter — Commercial - Exchange: $810
  • Blue Cross Blue Shield — Commercial: $793
  • Blue Cross Blue Shield — Medicare Advantage: $526
  • Bryan Health Connect — Commercial: $1,052
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $526
  • Medica — Commercial: $802
  • Midlands Choice — Commercial: $818
  • Nebraska Total Care — Medicare Advantage: $542
  • Oscar Health — Commercial: $947
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s) of therapeutic substance $1,396 $1,396 $195 – $1,759
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — Commercial: $241
  • Ambetter — Commercial - Exchange: $1,354
  • Blue Cross Blue Shield — Commercial: $1,326
  • Blue Cross Blue Shield — Medicare Advantage: $879
  • Bryan Health Connect — Commercial: $1,759
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $879
  • Medica — Commercial: $1,340
  • Midlands Choice — Commercial: $1,368
  • Nebraska Total Care — Medicare Advantage: $906
  • Oscar Health — Commercial: $1,583
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s) of anesthetic into lower spine using imaging guidance $1,803 $1,803 $219 – $2,272
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — Commercial: $229
  • Ambetter — Commercial - Exchange: $1,749
  • Blue Cross Blue Shield — Commercial: $1,713
  • Blue Cross Blue Shield — Medicare Advantage: $1,136
  • Bryan Health Connect — Commercial: $2,272
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $1,136
  • Medica — Commercial: $1,731
  • Midlands Choice — Commercial: $1,767
  • Nebraska Total Care — Medicare Advantage: $1,170
  • Oscar Health — Commercial: $2,045
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using laser $972 $972 $311 – $1,225
Laser treatment of clouding after cataract surgery: 10 of 11 insurance plan rates
  • Aetna — Commercial: $311
  • Ambetter — Commercial - Exchange: $943
  • Blue Cross Blue Shield — Commercial: $923
  • Blue Cross Blue Shield — Medicare Advantage: $612
  • Bryan Health Connect — Commercial: $1,225
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $612
  • Medica — Commercial: $933
  • Midlands Choice — Commercial: $953
  • Nebraska Total Care — Medicare Advantage: $631
  • Oscar Health — Commercial: $1,102

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetric care, planned vaginal delivery $4,714 $4,714 $2,117 – $5,940
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates
  • Aetna — Commercial: $2,117
  • Ambetter — Commercial - Exchange: $4,573
  • Blue Cross Blue Shield — Commercial: $4,478
  • Blue Cross Blue Shield — Medicare Advantage: $2,970
  • Bryan Health Connect — Commercial: $5,940
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $2,970
  • Medica — Commercial: $4,525
  • Midlands Choice — Commercial: $4,620
  • Nebraska Total Care — Medicare Advantage: $3,059
  • Oscar Health — Commercial: $5,346
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Obstetric care, planned cesarean delivery $11,356 $11,356 $2,318 – $14,309
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates
  • Aetna — Commercial: $2,318
  • Ambetter — Commercial - Exchange: $11,015
  • Blue Cross Blue Shield — Commercial: $10,788
  • Blue Cross Blue Shield — Medicare Advantage: $7,154
  • Bryan Health Connect — Commercial: $14,309
  • Good Samaritan Insurance Plan of Nebraska — Commercial: $7,154
  • Medica — Commercial: $10,902
  • Midlands Choice — Commercial: $11,129
  • Nebraska Total Care — Medicare Advantage: $7,369
  • Oscar Health — Commercial: $12,878

Source: Boone County Health Center’s standard charges file (secure.claraprice.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeCritical Access Hospital
AddressP O Box 151, 723 West Fairview St, Albion, NE 68620
CountyBoone County
StateNebraska
Phone(402) 395‑2191
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number281334
Name in Medicare recordsBOONE COUNTY HEALTH CENTER
Profile levelMedicare data + hospital website
Official websiteboonecohealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Albion, NE - Dedicated. Caring. - Boone County Health Center — boonecohealth.org
  2. Boone County Health Center Emergency Care — boonecohealth.org
  3. Departments - Boone County Health Center — boonecohealth.org
  4. Specialty Clinics - Boone County Health Center — boonecohealth.org
  5. Oncology and Outpatient Infusion - Boone County Health Center — boonecohealth.org
  6. Orthopedics - Boone County Health Center — boonecohealth.org
  7. Radiology - Boone County Health Center — boonecohealth.org
  8. Surgery - Boone County Health Center — boonecohealth.org
  9. Boone County Health Center - Boone County Health Center — boonecohealth.org
  10. Behavioral Health - Boone County Health Center — boonecohealth.org
  11. Pediatric Occupational, Physical, and Speech Therapy - Boone County Health Center — boonecohealth.org
  12. Laboratory - Boone County Health Center — boonecohealth.org