Does Boys Town National Research Hospital have an emergency room?

Medicare (CMS) data does not list emergency services at Boys Town National Research Hospital. The closest hospitals that do: Nebraska Orthopaedic Hospital (1.3 mi), CHI Health Lakeside (2.5 mi) and Children's Nebraska (4.7 mi). In a medical emergency, call 911.

Where is Boys Town National Research Hospital?

14000 Boys Town Hospital Road, Boys Town, NE 68010, in Douglas County, Nebraska.

What is the phone number of Boys Town National Research Hospital?

(531) 355-6594, as listed by Medicare (CMS).

What is the Medicare star rating of Boys Town National Research Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Boys Town National Research Hospital

Quick answers

Does Boys Town National Research Hospital have an emergency room?: Medicare (CMS) data does not list emergency services at Boys Town National Research Hospital. The closest hospitals that do: Nebraska Orthopaedic Hospital (1.3 mi), CHI Health Lakeside (2.5 mi) and Children's Nebraska (4.7 mi). In a medical emergency, call 911.
Where is Boys Town National Research Hospital?: 14000 Boys Town Hospital Road, Boys Town, NE 68010, in Douglas County, Nebraska.
What is the phone number of Boys Town National Research Hospital?: (531) 355-6594, as listed by Medicare (CMS).
What is the Medicare star rating of Boys Town National Research Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Anesthesiology
Diagnostic imaging
Pediatric critical care
Sleep disorders
Surgical services

Procedures^[4]

Programs and centers^[4]

Inpatient pediatric care
Pediatric Intensive Care Unit
Pediatric Epilepsy Monitoring Unit
Sleep Disorders Center
Child Life

Visiting and practical information

Patient portal	https://www.myboystown.org/login

Doctors and clinicians (45)

45 doctors and other clinicians list Boys Town National Research Hospital 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

And 21 more: the button below opens the full list.

Nearest emergency rooms

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

Nebraska Orthopaedic Hospital1.3 mi · Omaha, NE · Acute Care Hospital
CHI Health Lakeside2.5 mi · Omaha, NE · Acute Care Hospital
Children's Nebraska4.7 mi · Omaha, NE · Children's Hospital
The Nebraska Methodist Hospital4.7 mi · Omaha, NE · Acute Care Hospital
CHI Health Bergan Mercy5.4 mi · Omaha, NE · Acute Care Hospital

Other hospitals nearby

Madonna Rehabilitation Specialty Hospital Omaha3.0 mi · Omaha, NE · Long-Term Acute Care Hospital
Midwest Surgical Hospital LLC5.0 mi · Omaha, NE · Acute Care Hospital

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

Rose Blumkin Jewish Home0.7 mi · Omaha, NE · 5 of 5 stars
Adept Nursing & Rehab of Omaha1.1 mi · Omaha, NE · 1 of 5 stars
Hillcrest Millard LLC1.7 mi · Omaha, NE · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Angels Care Hospice1.3 mi · Omaha, NE
Endless Journey, LLC1.3 mi · Omaha, NE
St. Croix Hospice1.3 mi · Omaha, NE · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Aveanna Home Health1.3 mi · Omaha, NE · 4 of 5 stars
Caring for People Home Healthcare1.3 mi · Omaha, NE
Home Nursing With Heart1.3 mi · Omaha, NE

All home health agencies in the state →

Dialysis facilities

DaVita Omaha Home Training1.3 mi · Omaha, NE · 5 of 5 stars
DaVita Omaha West Dialysis1.3 mi · Omaha, NE · 3 of 5 stars
Fresenius Kidney Care Omaha West2.5 mi · Omaha, NE · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Miracle Hills Surgery Center1.3 mi · Omaha, NE
Omega Surgery Centers, LLC1.3 mi · Omaha, NE
Methodist Endoscopy Center, LLC2.5 mi · Omaha, NE

All outpatient surgery centers 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.

Community health centers

OneWorld Teen and Young Adult Health Center West1.3 mi · Omaha, NE · Community health center
OneWorld West2.7 mi · Omaha, NE · Community health center
Oneworld Community Health Centers Inc3.2 mi · Omaha, NE · Community health center

Clinics and urgent care

Midwest Minor Medical PC3.2 mi · Omaha, NE · Urgent care center
Millard Premier Medicine and Aesthetics, L.P.3.2 mi · Omaha, NE · Urgent care center
VWB LLC3.5 mi · Omaha, NE · Urgent care center

Pharmacies

Talawei Enterprises Inc1.3 mi · Omaha, NE · Community/retail pharmacy
Walgreen Co1.3 mi · Omaha, NE · Pharmacy
Atlas RX LLC1.3 mi · Omaha, NE · Community/retail pharmacy

Assisted living nearby

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

The Heritage at Sterling Ridge1.3 mi · Omaha, NE
An Angel's Touch1.3 mi · Omaha, NE
Bailey Pointe at Miracle Hills1.3 mi · Omaha, NE
Ovation Heartwood Preserve1.3 mi · Omaha, NE

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 Boys Town National Research Hospital 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.

Not reported to Medicare

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 surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not 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 patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
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 replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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 attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
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.

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.

ER wait times in Nebraska Best hospitals in Nebraska

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Boys Town National Research Hospital 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OP VISIT LEVEL III EST PT	$208	$166.40	$104 – $201.76
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $153.92 BCBS — ALL PRODUCTS: $166.40 BCBS — BLUE SELECT: $201.76 BCBS — BLUEPRINT: $201.76 BCBS — WELLMARK: $176.80 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $114.40 FIRST HEALTH — ALL PRODUCTS: $153.92 HEALTH PARTNERS — ALL PRODUCTS: $166.40 MEDICA — ALL PRODUCTS: $104 MEDICA — CHI HEALTH NETWORK: $104
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG OP VISIT LEVEL III EST PT	$208	$166.40	$104 – $201.76
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $176.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OP VISIT LEVEL IV EST PT	$307	$245.60	$153.50 – $297.79
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates AETNA — ALL PRODUCTS: $227.18 BCBS — ALL PRODUCTS: $245.60 BCBS — BLUE SELECT: $297.79 BCBS — BLUEPRINT: $297.79 BCBS — WELLMARK: $260.95 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $168.85 FIRST HEALTH — ALL PRODUCTS: $227.18 HEALTH PARTNERS — ALL PRODUCTS: $245.60 MEDICA — ALL PRODUCTS: $153.50 MEDICA — CHI HEALTH NETWORK: $153.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG OP VISIT LEVEL IV EST PT	$307	$245.60	$153.50 – $297.79
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $260.95
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM	Not listed in the file	Not listed in the file	$214.04
Emergency room visit (moderate): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $214.04
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	Not listed in the file	Not listed in the file	$333.34
Emergency room visit (moderately high): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $333.34
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	Not listed in the file	Not listed in the file	$478.79
Emergency room visit (high): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $478.79

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG BASIC METABOLIC PNL CALCIUM TOTAL	$85	$68	$46.75 – $82.45
Basic metabolic panel (blood test): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $62.90 BCBS — ALL PRODUCTS: $68 BCBS — BLUE SELECT: $82.45 BCBS — BLUEPRINT: $82.45 BCBS — WELLMARK: $72.25 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $46.75 FIRST HEALTH — ALL PRODUCTS: $62.90 HEALTH PARTNERS — ALL PRODUCTS: $68 MEDICA — ALL PRODUCTS: $17.39 MEDICA — CHI HEALTH NETWORK: $17.39
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG BASIC METABOLIC PNL CALCIUM TOTAL	$85	$68	$46.75 – $82.45
Basic metabolic panel (blood test): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $72.25
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$17.39 – $33.84
Basic metabolic panel (blood test): rates for 4 insurance plans MEDICA — ALL PRODUCTS: $17.39 MEDICA — CHI HEALTH NETWORK: $17.39 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $33.84 UHC — ALL PRODUCTS: $33.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$106	$84.80	$58.30 – $102.82
Comprehensive metabolic panel (blood test): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $78.44 BCBS — ALL PRODUCTS: $84.80 BCBS — BLUE SELECT: $102.82 BCBS — BLUEPRINT: $102.82 BCBS — WELLMARK: $90.10 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $58.30 FIRST HEALTH — ALL PRODUCTS: $78.44 HEALTH PARTNERS — ALL PRODUCTS: $84.80 MEDICA — ALL PRODUCTS: $21.71 MEDICA — CHI HEALTH NETWORK: $21.71
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$106	$84.80	$58.30 – $102.82
Comprehensive metabolic panel (blood test): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $90.10
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$21.71 – $42.24
Comprehensive metabolic panel (blood test): rates for 4 insurance plans MEDICA — ALL PRODUCTS: $21.71 MEDICA — CHI HEALTH NETWORK: $21.71 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $42.24 UHC — ALL PRODUCTS: $42.24
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$98.30 – $191.24
Obstetric blood test panel: rates for 4 insurance plans MEDICA — ALL PRODUCTS: $98.30 MEDICA — CHI HEALTH NETWORK: $98.30 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $191.24 UHC — ALL PRODUCTS: $191.24
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG LIPID PANEL	$53	$42.40	$29.15 – $51.41
Cholesterol panel (lipid panel): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $39.22 BCBS — ALL PRODUCTS: $42.40 BCBS — BLUE SELECT: $51.41 BCBS — BLUEPRINT: $51.41 BCBS — WELLMARK: $45.05 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $29.15 FIRST HEALTH — ALL PRODUCTS: $39.22 HEALTH PARTNERS — ALL PRODUCTS: $42.40 MEDICA — ALL PRODUCTS: $27.53 MEDICA — CHI HEALTH NETWORK: $27.53
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG LIPID PANEL	$53	$42.40	$29.15 – $51.41
Cholesterol panel (lipid panel): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $45.05
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$27.53 – $53.56
Cholesterol panel (lipid panel): rates for 4 insurance plans MEDICA — ALL PRODUCTS: $27.53 MEDICA — CHI HEALTH NETWORK: $27.53 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $53.56 UHC — ALL PRODUCTS: $53.56
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG RENAL FUNCTION PANEL	$87	$69.60	$47.85 – $84.39
Kidney function panel: 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $64.38 BCBS — ALL PRODUCTS: $69.60 BCBS — BLUE SELECT: $84.39 BCBS — BLUEPRINT: $84.39 BCBS — WELLMARK: $73.95 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $47.85 FIRST HEALTH — ALL PRODUCTS: $64.38 HEALTH PARTNERS — ALL PRODUCTS: $69.60 MEDICA — ALL PRODUCTS: $17.85 MEDICA — CHI HEALTH NETWORK: $17.85
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG RENAL FUNCTION PANEL	$87	$69.60	$47.85 – $84.39
Kidney function panel: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $73.95
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$17.85 – $34.72
Kidney function panel: rates for 4 insurance plans MEDICA — ALL PRODUCTS: $17.85 MEDICA — CHI HEALTH NETWORK: $17.85 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $34.72 UHC — ALL PRODUCTS: $34.72
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG HEPATIC FUNCTION PANEL	$82	$65.60	$45.10 – $79.54
Liver function panel: 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $60.68 BCBS — ALL PRODUCTS: $65.60 BCBS — BLUE SELECT: $79.54 BCBS — BLUEPRINT: $79.54 BCBS — WELLMARK: $69.70 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $45.10 FIRST HEALTH — ALL PRODUCTS: $60.68 HEALTH PARTNERS — ALL PRODUCTS: $65.60 MEDICA — ALL PRODUCTS: $16.80 MEDICA — CHI HEALTH NETWORK: $16.80
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG HEPATIC FUNCTION PANEL	$82	$65.60	$45.10 – $79.54
Liver function panel: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $69.70
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG URINALYSIS AUTOMATED W MICRO	$32	$25.60	$17.60 – $31.04
Urine test (automated, with microscope): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $23.68 BCBS — ALL PRODUCTS: $26 BCBS — BLUE SELECT: $25.22 BCBS — BLUEPRINT: $31.04 BCBS — WELLMARK: $27.20 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $17.60 FIRST HEALTH — ALL PRODUCTS: $23.68 HEALTH PARTNERS — ALL PRODUCTS: $25.60 MEDICA — ALL PRODUCTS: $6.52 MEDICA — CHI HEALTH NETWORK: $6.52
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG URINALYSIS AUTOMATED W MICRO	$32	$25.60	$17.60 – $31.04
Urine test (automated, with microscope): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $27.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$7.15 – $13.92
Urine test (manual, without microscope): rates for 4 insurance plans MEDICA — ALL PRODUCTS: $7.15 MEDICA — CHI HEALTH NETWORK: $7.15 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $13.92 UHC — ALL PRODUCTS: $13.92
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG SPECIFIC GRAVITY URINE AUTOMATED	$23	$18.40	$12.65 – $22.31
Urine test (automated, without microscope): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $17.02 BCBS — ALL PRODUCTS: $18.40 BCBS — BLUE SELECT: $22.31 BCBS — BLUEPRINT: $22.31 BCBS — WELLMARK: $19.55 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $12.65 FIRST HEALTH — ALL PRODUCTS: $17.02 HEALTH PARTNERS — ALL PRODUCTS: $18.40 MEDICA — ALL PRODUCTS: $4.63 MEDICA — CHI HEALTH NETWORK: $4.63
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG URINALYSIS AUTOMATED W/O MICRO	$23	$18.40	$12.65 – $22.31
Urine test (automated, without microscope): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $17.02 BCBS — ALL PRODUCTS: $18.40 BCBS — BLUE SELECT: $22.31 BCBS — BLUEPRINT: $22.31 BCBS — WELLMARK: $19.55 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $12.65 FIRST HEALTH — ALL PRODUCTS: $17.02 HEALTH PARTNERS — ALL PRODUCTS: $18.40 MEDICA — ALL PRODUCTS: $4.63 MEDICA — CHI HEALTH NETWORK: $4.63
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG URINE KETONES AUTOMATED	$23	$18.40	$12.65 – $22.31
Urine test (automated, without microscope): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $17.02 BCBS — ALL PRODUCTS: $18.40 BCBS — BLUE SELECT: $22.31 BCBS — BLUEPRINT: $22.31 BCBS — WELLMARK: $19.55 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $12.65 FIRST HEALTH — ALL PRODUCTS: $17.02 HEALTH PARTNERS — ALL PRODUCTS: $18.40 MEDICA — ALL PRODUCTS: $4.63 MEDICA — CHI HEALTH NETWORK: $4.63
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG PSA TOTAL DIAGNOSTIC	$184	$147.20	$101.20 – $178.48
PSA (prostate specific antigen) blood test: 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $136.16 BCBS — ALL PRODUCTS: $147.20 BCBS — BLUE SELECT: $178.48 BCBS — BLUEPRINT: $178.48 BCBS — WELLMARK: $156.40 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $101.20 FIRST HEALTH — ALL PRODUCTS: $136.16 HEALTH PARTNERS — ALL PRODUCTS: $147.20 MEDICA — ALL PRODUCTS: $37.81 MEDICA — CHI HEALTH NETWORK: $37.81
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG PSA TOTAL DIAGNOSTIC	$184	$147.20	$101.20 – $178.48
PSA (prostate specific antigen) blood test: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $156.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG TSH THYROID STIMULATING HORMONE	$120	$96	$66 – $116.40
Thyroid stimulating hormone (TSH) test: 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $88.80 BCBS — ALL PRODUCTS: $96 BCBS — BLUE SELECT: $116.40 BCBS — BLUEPRINT: $116.40 BCBS — WELLMARK: $102 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $66 FIRST HEALTH — ALL PRODUCTS: $88.80 HEALTH PARTNERS — ALL PRODUCTS: $96 MEDICA — ALL PRODUCTS: $34.54 MEDICA — CHI HEALTH NETWORK: $34.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG TSH THYROID STIMULATING HORMONE	$120	$96	$66 – $116.40
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $102
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$34.54 – $67.20
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans MEDICA — ALL PRODUCTS: $34.54 MEDICA — CHI HEALTH NETWORK: $34.54 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $67.20 UHC — ALL PRODUCTS: $67.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG CBC W AUTO DIFF	$78	$62.40	$42.90 – $75.66
Complete blood count (CBC) with differential: 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $57.72 BCBS — ALL PRODUCTS: $62.40 BCBS — BLUE SELECT: $75.66 BCBS — BLUEPRINT: $75.66 BCBS — WELLMARK: $66.30 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $42.90 FIRST HEALTH — ALL PRODUCTS: $57.72 HEALTH PARTNERS — ALL PRODUCTS: $62.40 MEDICA — ALL PRODUCTS: $15.98 MEDICA — CHI HEALTH NETWORK: $15.98
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG CBC W AUTO DIFF	$78	$62.40	$42.90 – $75.66
Complete blood count (CBC) with differential: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $66.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$15.98 – $31.08
Complete blood count (CBC) with differential: rates for 4 insurance plans MEDICA — ALL PRODUCTS: $15.98 MEDICA — CHI HEALTH NETWORK: $15.98 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $31.08 UHC — ALL PRODUCTS: $31.08
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG CBC AUTOMATED WO DIFF	$65	$52	$35.75 – $63.05
Complete blood count (CBC), automated: 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $48.10 BCBS — ALL PRODUCTS: $52 BCBS — BLUE SELECT: $63.05 BCBS — BLUEPRINT: $63.05 BCBS — WELLMARK: $55.25 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $35.75 FIRST HEALTH — ALL PRODUCTS: $48.10 HEALTH PARTNERS — ALL PRODUCTS: $52 MEDICA — ALL PRODUCTS: $13.30 MEDICA — CHI HEALTH NETWORK: $13.30
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG CBC AUTOMATED WO DIFF	$65	$52	$35.75 – $63.05
Complete blood count (CBC), automated: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $55.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG PROTHROMBIN TIME	$43	$34.40	$23.65 – $41.71
Blood clotting time test (prothrombin time, PT): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $31.82 BCBS — ALL PRODUCTS: $27 BCBS — BLUE SELECT: $26.19 BCBS — BLUEPRINT: $41.71 BCBS — WELLMARK: $36.55 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $23.65 FIRST HEALTH — ALL PRODUCTS: $31.82 HEALTH PARTNERS — ALL PRODUCTS: $34.40 MEDICA — ALL PRODUCTS: $8.82 MEDICA — CHI HEALTH NETWORK: $8.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG PROTHROMBIN TIME	$43	$34.40	$23.65 – $41.71
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $36.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$8.82 – $17.16
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans MEDICA — ALL PRODUCTS: $8.82 MEDICA — CHI HEALTH NETWORK: $8.82 NFM PARAMOUNT — NE MED EMPLOYEE PLAN: $17.16 UHC — ALL PRODUCTS: $17.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHG PTT PARTIAL THROMBOPLASTIN TIME	$61	$48.80	$33.55 – $59.17
Blood clotting test (partial thromboplastin time, PTT): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $45.14 BCBS — ALL PRODUCTS: $48.80 BCBS — BLUE SELECT: $59.17 BCBS — BLUEPRINT: $59.17 BCBS — WELLMARK: $51.85 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $33.55 FIRST HEALTH — ALL PRODUCTS: $45.14 HEALTH PARTNERS — ALL PRODUCTS: $48.80 MEDICA — ALL PRODUCTS: $12.36 MEDICA — CHI HEALTH NETWORK: $12.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHG PTT PARTIAL THROMBOPLASTIN TIME	$61	$48.80	$33.55 – $59.17
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $51.85

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT HEAD/BRAIN WO CONT	$1,362	$1,089.60	$749.10 – $1,321.14
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $1,007.88 AMERIGROUP — IA MEDICAID: $93.36 BCBS — ALL PRODUCTS: $1,089.60 BCBS — BLUE SELECT: $1,321.14 BCBS — BLUEPRINT: $1,321.14 BCBS — WELLMARK: $1,157.70 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $749.10 FIRST HEALTH — ALL PRODUCTS: $1,007.88 HEALTH PARTNERS — ALL PRODUCTS: $1,089.60 MEDICA — ALL PRODUCTS: $731
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT HEAD/BRAIN WO CONT	$1,362	$1,089.60	$749.10 – $1,321.14
CT scan of the head or brain, without contrast: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,157.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W/WO CONT	$4,764	$3,811.20	$2,620.20 – $4,621.08
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $3,525.36 AMERIGROUP — IA MEDICAID: $321.83 BCBS — ALL PRODUCTS: $3,811.20 BCBS — BLUE SELECT: $4,621.08 BCBS — BLUEPRINT: $4,621.08 BCBS — WELLMARK: $4,049.40 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $2,620.20 FIRST HEALTH — ALL PRODUCTS: $3,525.36 HEALTH PARTNERS — ALL PRODUCTS: $3,811.20 MEDICA — ALL PRODUCTS: $1,097
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W/WO CONT	$4,764	$3,811.20	$2,620.20 – $4,621.08
MRI of the brain, before and after contrast: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $4,049.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR CHEST 2 VIEWS	$519	$415.20	$259.50 – $503.43
Chest X-ray, 2 views: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $384.06 AMERIGROUP — IA MEDICAID: $75.89 BCBS — ALL PRODUCTS: $415.20 BCBS — BLUE SELECT: $503.43 BCBS — BLUEPRINT: $503.43 BCBS — WELLMARK: $441.15 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $285.45 FIRST HEALTH — ALL PRODUCTS: $384.06 HEALTH PARTNERS — ALL PRODUCTS: $415.20 MEDICA — ALL PRODUCTS: $259.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR CHEST 2 VIEWS	$519	$415.20	$259.50 – $503.43
Chest X-ray, 2 views: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $441.15
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR SPINE LUMBAR MIN 4 VIEWS	$629	$503.20	$314.50 – $610.13
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $465.46 AMERIGROUP — IA MEDICAID: $93.36 BCBS — ALL PRODUCTS: $503.20 BCBS — BLUE SELECT: $610.13 BCBS — BLUEPRINT: $610.13 BCBS — WELLMARK: $534.65 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $345.95 FIRST HEALTH — ALL PRODUCTS: $465.46 HEALTH PARTNERS — ALL PRODUCTS: $503.20 MEDICA — ALL PRODUCTS: $314.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR SPINE LUMBAR MIN 4 VIEWS	$629	$503.20	$314.50 – $610.13
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $534.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI LUMBAR SPINE WO CONT	$3,036	$2,428.80	$1,669.80 – $2,944.92
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $2,246.64 AMERIGROUP — IA MEDICAID: $203.98 BCBS — ALL PRODUCTS: $2,428.80 BCBS — BLUE SELECT: $2,944.92 BCBS — BLUEPRINT: $2,944.92 BCBS — WELLMARK: $2,580.60 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $1,669.80 FIRST HEALTH — ALL PRODUCTS: $2,246.64 HEALTH PARTNERS — ALL PRODUCTS: $2,428.80 MEDICA — ALL PRODUCTS: $1,097
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI LUMBAR SPINE WO CONT	$3,036	$2,428.80	$1,669.80 – $2,944.92
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $2,580.60
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONT	$2,276	$1,820.80	$1,251.80 – $2,207.72
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $1,684.24 AMERIGROUP — IA MEDICAID: $157.53 BCBS — ALL PRODUCTS: $1,820.80 BCBS — BLUE SELECT: $2,207.72 BCBS — BLUEPRINT: $2,207.72 BCBS — WELLMARK: $1,934.60 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $1,251.80 FIRST HEALTH — ALL PRODUCTS: $1,684.24 HEALTH PARTNERS — ALL PRODUCTS: $1,820.80 MEDICA — ALL PRODUCTS: $731
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONT	$2,276	$1,820.80	$1,251.80 – $2,207.72
CT scan of the pelvis, with contrast: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,934.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI EXTR LWR JT WO CONT LT	$3,036	$2,428.80	$1,669.80 – $2,944.92
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $2,580.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI EXTR LWR JT WO CONT RT	$3,036	$2,428.80	$1,669.80 – $2,944.92
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $2,580.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$203.98
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $203.98
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT ABD PELVIS WITH CONTRAST	$4,764	$3,811.20	$2,620.20 – $4,621.08
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $3,525.36 AMERIGROUP — IA MEDICAID: $321.83 BCBS — ALL PRODUCTS: $3,811.20 BCBS — BLUE SELECT: $4,621.08 BCBS — BLUEPRINT: $4,621.08 BCBS — WELLMARK: $4,049.40 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $2,620.20 FIRST HEALTH — ALL PRODUCTS: $3,525.36 HEALTH PARTNERS — ALL PRODUCTS: $3,811.20 MEDICA — ALL PRODUCTS: $731
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT ABD PELVIS WITH CONTRAST	$4,764	$3,811.20	$2,620.20 – $4,621.08
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $4,049.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN COMPLETE	$629	$503.20	$314.50 – $610.13
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $465.46 AMERIGROUP — IA MEDICAID: $93.36 BCBS — ALL PRODUCTS: $503.20 BCBS — BLUE SELECT: $610.13 BCBS — BLUEPRINT: $610.13 BCBS — WELLMARK: $534.65 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $345.95 FIRST HEALTH — ALL PRODUCTS: $465.46 HEALTH PARTNERS — ALL PRODUCTS: $503.20 MEDICA — ALL PRODUCTS: $314.50
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN COMPLETE	$629	$503.20	$314.50 – $610.13
Ultrasound of the abdomen, complete: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $534.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US PREG UTER 14 WKS OR>	$629	$503.20	$314.50 – $610.13
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $465.46 AMERIGROUP — IA MEDICAID: $93.36 BCBS — ALL PRODUCTS: $503.20 BCBS — BLUE SELECT: $610.13 BCBS — BLUEPRINT: $610.13 BCBS — WELLMARK: $534.65 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $345.95 FIRST HEALTH — ALL PRODUCTS: $465.46 HEALTH PARTNERS — ALL PRODUCTS: $503.20 MEDICA — ALL PRODUCTS: $314.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US PREG UTER 14 WKS OR>	$629	$503.20	$314.50 – $610.13
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $534.65
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US TRANSVAGINAL NON OB	$629	$503.20	$314.50 – $610.13
Transvaginal ultrasound: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $465.46 AMERIGROUP — IA MEDICAID: $93.36 BCBS — ALL PRODUCTS: $503.20 BCBS — BLUE SELECT: $610.13 BCBS — BLUEPRINT: $610.13 BCBS — WELLMARK: $534.65 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $345.95 FIRST HEALTH — ALL PRODUCTS: $465.46 HEALTH PARTNERS — ALL PRODUCTS: $503.20 MEDICA — ALL PRODUCTS: $314.50
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US TRANSVAGINAL NON OB	$629	$503.20	$314.50 – $610.13
Transvaginal ultrasound: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $534.65

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$2,584.27
Left heart catheterization (diagnostic): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $2,584.27
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$12,923.40
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans MOLINA OF NEBRASKA — MANAGED MEDICAID: $12,923.40 NEBRASKA TOTAL CARE — MANAGED MEDICAID: $12,923.40 UHC — COMMUNITY MEDICAID: $12,923.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$5,881.18
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $5,881.18
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib	Not listed in the file	Not listed in the file	$35,452.33
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans MOLINA OF NEBRASKA — MANAGED MEDICAID: $35,452.33 NEBRASKA TOTAL CARE — MANAGED MEDICAID: $35,452.33 UHC — COMMUNITY MEDICAID: $35,452.33
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$20,511.32
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $20,511.32
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POLYSOM ATTENDED >3 CHN 6/> YRS	$2,844	$2,275.20	$1,422 – $2,758.68
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $2,104.56 AMERIGROUP — IA MEDICAID: $816.20 BCBS — ALL PRODUCTS: $2,275.20 BCBS — BLUE SELECT: $2,758.68 BCBS — BLUEPRINT: $2,758.68 BCBS — WELLMARK: $2,417.40 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $1,564.20 FIRST HEALTH — ALL PRODUCTS: $2,104.56 HEALTH PARTNERS — ALL PRODUCTS: $2,275.20 MEDICA — ALL PRODUCTS: $1,422
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG POLYSOM ATTENDED >3 CHN 6/> YRS	$2,844	$2,275.20	$1,422 – $2,758.68
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $2,417.40

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT THER EXER 1 OR > AREA EA 15M	$145	$116	$79.75 – $140.65
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $123.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG OT THER EXER 1 OR > AREA EA 15M	$144	$115.20	$79.20 – $139.68
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $122.40
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT THER EXER 1 OR > AREA EA 15M	$145	$116	$79.75 – $140.65
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 20 insurance plan rates AETNA — ALL PRODUCTS: $107.30 BCBS — ALL PRODUCTS: $116 BCBS — BLUE SELECT: $140.65 BCBS — BLUEPRINT: $140.65 BCBS — WELLMARK: $123.25 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $79.75 FIRST HEALTH — ALL PRODUCTS: $107.30 HEALTH PARTNERS — ALL PRODUCTS: $116 MEDICA — ALL PRODUCTS: $138 MEDICA — CHI HEALTH NETWORK: $138
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL I 15 MIN	$493	$394.40	$271.15 – $478.21
Physical therapy evaluation (low complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $419.05
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL I 30 MIN	$986	$788.80	$542.30 – $956.42
Physical therapy evaluation (low complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $838.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL I 45 MIN	$1,478	$1,182.40	$812.90 – $1,433.66
Physical therapy evaluation (low complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,256.30
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL II 30 MIN	$986	$788.80	$542.30 – $956.42
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $838.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL II 45 MIN	$1,478	$1,182.40	$812.90 – $1,433.66
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,256.30
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL II 60 MIN	$1,971	$1,576.80	$1,084.05 – $1,911.87
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,675.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL III 30 MIN	$986	$788.80	$542.30 – $956.42
Physical therapy evaluation (high complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $838.10
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL III 45 MIN	$1,478	$1,182.40	$812.90 – $1,433.66
Physical therapy evaluation (high complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,256.30
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVAL LEVEL III 60 MIN	$1,971	$1,576.80	$1,084.05 – $1,911.87
Physical therapy evaluation (high complexity): rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,675.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$127.27
Psychotherapy, 30 minutes: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $127.27
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$127.27
Psychotherapy, 45 minutes: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $127.27
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$127.27
Psychotherapy, 60 minutes: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $127.27
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$127.27
Family psychotherapy, without the patient: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $127.27
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$127.27
Family psychotherapy, with the patient: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $127.27
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$66.26
Group psychotherapy: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $66.26

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,002.98
Removal of breast growth (open surgery): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $3,002.98
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$19,245.25
Total hip replacement: rates for 3 insurance plans MOLINA OF NEBRASKA — MANAGED MEDICAID: $19,245.25 NEBRASKA TOTAL CARE — MANAGED MEDICAID: $19,245.25 UHC — COMMUNITY MEDICAID: $19,245.25
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$11,397.73
Total hip replacement: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $11,397.73
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$19,245.25
Total knee replacement: rates for 3 insurance plans MOLINA OF NEBRASKA — MANAGED MEDICAID: $19,245.25 NEBRASKA TOTAL CARE — MANAGED MEDICAID: $19,245.25 UHC — COMMUNITY MEDICAID: $19,245.25
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$11,397.73
Total knee replacement: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $11,397.73
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$2,600.17
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $2,600.17
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$4,664.30
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $4,664.30
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$721.10
Upper GI endoscopy (diagnostic): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $721.10
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$721.10
Upper GI endoscopy with biopsy: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $721.10
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$725.93
Colonoscopy (diagnostic): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $725.93
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$945.93
Colonoscopy with biopsy: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $945.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$945.93
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $945.93
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$945.93
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $945.93
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$725.93
Screening colonoscopy (not high risk): rates for 4 insurance plans AMERIGROUP — IA MEDICAID: $725.93 MOLINA OF NEBRASKA — MANAGED MEDICAID: $1,999.10 NEBRASKA TOTAL CARE — MANAGED MEDICAID: $1,999.10 UHC — COMMUNITY MEDICAID: $1,999.10
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$4,552.91
Gallbladder removal by laparoscope: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $4,552.91
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,093.93
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $3,093.93
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,620.27
Prostate biopsy: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $1,620.27
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$7,937.92
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $7,937.92
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$4,714.51
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans MOLINA OF NEBRASKA — MANAGED MEDICAID: $4,714.51 NEBRASKA TOTAL CARE — MANAGED MEDICAID: $4,714.51 UHC — COMMUNITY MEDICAID: $4,714.51
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$2,469.82
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $2,469.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJECT INTERLAMINAR LUMBAR OR SACRAL W IMAG	$1,785	$1,428	$892.50 – $1,731.45
Spinal injection, lower back (epidural), with imaging guidance: 10 of 21 insurance plan rates AETNA — ALL PRODUCTS: $1,320.90 AMERIGROUP — IA MEDICAID: $562.84 BCBS — ALL PRODUCTS: $1,428 BCBS — BLUE SELECT: $1,731.45 BCBS — BLUEPRINT: $1,731.45 BCBS — WELLMARK: $1,517.25 ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: $981.75 FIRST HEALTH — ALL PRODUCTS: $1,320.90 HEALTH PARTNERS — ALL PRODUCTS: $1,428 MEDICA — ALL PRODUCTS: $892.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJECT INTERLAMINAR LUMBAR OR SACRAL W IMAG	$1,785	$1,428	$892.50 – $1,731.45
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan PHCS-MULTIPLAN — ALL PRODUCTS: $1,517.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$744.40
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $744.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,731.24
Carpal tunnel release: rates for 3 insurance plans MOLINA OF NEBRASKA — MANAGED MEDICAID: $2,731.24 NEBRASKA TOTAL CARE — MANAGED MEDICAID: $2,731.24 UHC — COMMUNITY MEDICAID: $2,731.24
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,570.17
Carpal tunnel release: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $1,570.17
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$463.64
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $463.64
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,886.30
Cataract removal with lens implant: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $1,886.30

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$11,330 – $16,200
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates MEDICA — ALL PRODUCTS: $11,330 MEDICA — CHI HEALTH NETWORK: $11,330 UHC — ALL PRODUCTS: $16,200 AETNA — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount) BCBS — ALL PRODUCTS: 80% (a percentage in the contract, not a dollar amount) BCBS — BLUE SELECT: 97% (a percentage in the contract, not a dollar amount) BCBS — BLUEPRINT: 97% (a percentage in the contract, not a dollar amount) BCBS — WELLMARK: 85% (a percentage in the contract, not a dollar amount) ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: 55% (a percentage in the contract, not a dollar amount) FIRST HEALTH — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve and Other Major Cardiothoracic Procedures With Cardiac Catheterization With MCC	Not listed in the file	Not listed in the file	$68,670.80
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $68,670.80
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$11,330 – $16,200
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates MEDICA — ALL PRODUCTS: $11,330 MEDICA — CHI HEALTH NETWORK: $11,330 UHC — ALL PRODUCTS: $16,200 AETNA — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount) BCBS — ALL PRODUCTS: 80% (a percentage in the contract, not a dollar amount) BCBS — BLUE SELECT: 97% (a percentage in the contract, not a dollar amount) BCBS — BLUEPRINT: 97% (a percentage in the contract, not a dollar amount) BCBS — WELLMARK: 85% (a percentage in the contract, not a dollar amount) ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: 55% (a percentage in the contract, not a dollar amount) FIRST HEALTH — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity Without MCC	Not listed in the file	Not listed in the file	$12,037.83
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $12,037.83
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,330 – $16,200
Neck (cervical) spinal fusion, without complications: 10 of 17 insurance plan rates MEDICA — ALL PRODUCTS: $11,330 MEDICA — CHI HEALTH NETWORK: $11,330 UHC — ALL PRODUCTS: $16,200 AETNA — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount) BCBS — ALL PRODUCTS: 80% (a percentage in the contract, not a dollar amount) BCBS — BLUE SELECT: 97% (a percentage in the contract, not a dollar amount) BCBS — BLUEPRINT: 97% (a percentage in the contract, not a dollar amount) BCBS — WELLMARK: 85% (a percentage in the contract, not a dollar amount) ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: 55% (a percentage in the contract, not a dollar amount) FIRST HEALTH — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without CC/MCC	Not listed in the file	Not listed in the file	$11,476.49
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $11,476.49
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,330 – $16,200
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates MEDICA — ALL PRODUCTS: $11,330 MEDICA — CHI HEALTH NETWORK: $11,330 UHC — ALL PRODUCTS: $16,200 AETNA — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount) BCBS — ALL PRODUCTS: 80% (a percentage in the contract, not a dollar amount) BCBS — BLUE SELECT: 97% (a percentage in the contract, not a dollar amount) BCBS — BLUEPRINT: 97% (a percentage in the contract, not a dollar amount) BCBS — WELLMARK: 85% (a percentage in the contract, not a dollar amount) ELAP OMAHA FIREFIGHTERS — ALL PRODUCTS: 55% (a percentage in the contract, not a dollar amount) FIRST HEALTH — ALL PRODUCTS: 74% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine and Adnexa Procedures for Non-malignancy Without CC/MCC	Not listed in the file	Not listed in the file	$5,440.66
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan AMERIGROUP — IA MEDICAID: $5,440.66

Source: Boys Town National Research Hospital’s standard charges file (media.boystown.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 29, 2025; 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 type	Children's Hospital
Address	14000 Boys Town Hospital Road, Boys Town, NE 68010
County	Douglas County
State	Nebraska
Phone	(531) 355‑6594
Emergency services	Not listed
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	283300
Name in Medicare records	BOYS TOWN NATIONAL RESEARCH HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(531) 355‑1234^[4]
Official website	boystownhospital.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Boys Town National Research Hospital — boystownhospital.org