Does Great Plains Health have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Great Plains Health. In a medical emergency, call 911.

Where is Great Plains Health?

601 West Leota St, North Platte, NE 69101, in Lincoln County, Nebraska.

What is the phone number of Great Plains Health?

(308) 568-8000, as listed by Medicare (CMS).

What is the Medicare star rating of Great Plains Health?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Great Plains Health — North Platte, NE

Quick answers

Does Great Plains Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Great Plains Health. In a medical emergency, call 911.
Where is Great Plains Health?: 601 West Leota St, North Platte, NE 69101, in Lincoln County, Nebraska.
What is the phone number of Great Plains Health?: (308) 568-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Great Plains Health?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][6][7][9][12][13][14][15][16]}

Cardiology
General surgery
Neurosciences
Cancer care
Diagnostic imaging
Interventional radiology
Emergency medicine
Women's and children's services
Neonatal intensive care
Stroke care

Conditions treated^[6][15][16]

Stroke
Acid reflux
Appendicitis
Hemorrhoids
Colon polyps
Diverticulosis
GERD
Epilepsy
Multiple sclerosis
Parkinson's disease
Alzheimer's disease
Migraine headaches
Traumatic brain injury
Myasthenia gravis
ALS

Treatments^{[7][8][12][15][16]}

Cardiac rehabilitation
Pulmonary rehabilitation
Stroke rehabilitation
Minimally invasive surgery
Bariatric surgery
Trauma surgery
Medical oncology
Radiation oncology
Palliative care
Therapeutic botox treatments

Procedures^{[7][13][14][15][16]}

Angioplasty and stents
Cardiac catheterization
Pacemaker surgery
Device implantation
Colonoscopy
EGD
Capsule endoscopy
Hemorrhoidal banding
Esophageal manometry
IVC filter placement
Vertebroplasty
Kyphoplasty
CT-guided biopsy
MRI
PET scan
3-D mammography
Bone density testing
Electroencephalogram (EEG)
Nerve conduction studies (EMG)

Programs and centers^{[4][6][7][9][10][12][16]}

Heart Institute
Callahan Cancer Center
Stroke Center
Level II NICU
Headache Center
Breast Center
LifeNet air ambulance

Emergency care (hospital website)^[5][6][11]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	CIHQ-certified Primary Stroke Center

Visiting and practical information

Visiting	NICU: parents only, 24/7. ER: one or two visitors at a time^[9][11]

Recognition^[5][6][12]

CIHQ Primary Stroke Center certification
Commission on Cancer accreditation (community cancer center)

Doctors and clinicians (361)

361 doctors and other clinicians list Great Plains Health 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 (361)

Aaron I. Salomon, PAPhysician Assistant
Aaron M. Morgenstein, MDOrthopedic Surgery
Aaron O. PetersonPhysician Assistant
Abbey L. Fingeret, MDSurgical Oncology
Abel Alfonso, DOEndocrinology
Abraham R. AndersonCertified Registered Nurse Anesthetist (CRNA)
Adam C. Sutton, CNAMicrographic Dermatologic Surgery (MDS)
Aerie K. Chung, MDInfectious Disease
Ahmed AwaisHematology/Oncology
Aleeta Somers-DehaneyPain Management
Alexander D. Lucci, CNACertified Registered Nurse Anesthetist (CRNA)
Alexander Kaganas, MDInternal Medicine
Alexandra G. Nunez Garbin, MDInternal Medicine
Alexi N. PetersonPhysician Assistant
Ali A. AldamenInternal Medicine
Ali J. Piper, MDPulmonary Disease
Allison A. EvermanNurse Practitioner
Allison M. CasperPhysician Assistant
Allyson M. JablonskiNurse Practitioner
Alyssa S. FranzenNurse Practitioner
Amal El Gharamti, MDHospitalist
Amanda D. MillerNurse Practitioner
Amanda K. Kramer, PAPhysician Assistant
Amanda M. Raube-MiceliPhysician Assistant

And 337 more: the button below opens the full list.

Other emergency rooms nearby

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

Gothenburg Health34 mi · Gothenburg, NE · Critical Access Hospital
Cozad Community Hospital45 mi · Cozad, NE · Critical Access Hospital
Callaway District Hospital45 mi · Callaway, NE · Critical Access Hospital
Ogallala Community Hospital50 mi · Ogallala, NE · Critical Access Hospital
Perkins County Health Services53 mi · Grant, NE · Critical Access Hospital

Other hospitals nearby

Lexington Regional Health Center58 mi · Lexington, NE · Critical Access 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

Adept Nursing & Rehab of North Platte0.1 mi · North Platte, NE · 2 of 5 stars
Accura HealthCare of North Platte1.8 mi · North Platte, NE · 4 of 5 stars
Linden Court2.2 mi · North Platte, NE · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Brookestone Home Health & Hospice2.8 mi · North Platte, NE

All hospice providers in the state →

Home health agencies

Brookestone Home Health & Hospice2.8 mi · North Platte, NE · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC - North Platte2.8 mi · North Platte, NE · 2 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.

North Platte Surgery Center, LLC2.8 mi · North Platte, 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.

Pharmacies

North Platte Nebraska Hospital Corporation2.8 mi · North Platte, NE · Pharmacy
Walgreen Co2.8 mi · North Platte, NE · Pharmacy
Walmart Inc.2.8 mi · North Platte, NE · Community/retail pharmacy

Assisted living nearby

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

Accura HealthCare of North Platte2.8 mi · North Platte, NE
Adept Nursing & Rehab of North Platte2.8 mi · North Platte, NE
Liberty House2.8 mi · North Platte, NE
Linden Estates2.8 mi · North Platte, 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 Great Plains Health 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)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	1 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	60%National average: 72%
Would definitely recommend the hospital	58%National average: 71%
Nurses “always” communicated well	69%National average: 80%
Doctors “always” communicated well	75%National average: 80%
Staff “always” explained medicines before giving them	51%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	71%National average: 74%
Area around the room “always” quiet at night	58%National average: 60%
Completed surveys	715Response rate: 24%

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	0.856No different from the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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	11.5%
Deaths within 30 days: heart failure patients	11.3%
Deaths within 30 days: pneumonia patients	14.2%
Deaths within 30 days: COPD patients	8.3%
Deaths within 30 days: stroke patients	13.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.82No different from the national rate
Complications after hip or knee replacement	3%

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 attack	13.9%
Readmitted within 30 days: heart failure	20.4%
Readmitted within 30 days: pneumonia	18.2%
Readmitted within 30 days: COPD	20.8%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	4.9%

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	128 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	58%National average: 65%

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.

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 74 common services exactly as Great Plains Health 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)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 30 min	$178	$107	$90 – $169
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $164 Blue Cross and Blue Shield of Nebraska — Commercial: $158 Coventry — HMO: $167 Coventry — PPO: $169 GEHA — Commercial: $167 Medica — Commercial: $164 Midlands Choice — Commercial: $166 Midwest Network Alliance — Non-Owner: $155 Midwest Network Alliance — Owner: $150 Molina — Medicare Advantage: $98
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: New patient office or other outpatient visit, 30 min	$249	$149	$74 – $237
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $155 Blue Cross and Blue Shield of Nebraska — Commercial: $220 Coventry — HMO: $234 Coventry — PPO: $237 GEHA — Commercial: $234 Medica — Commercial: $175 Midlands Choice — Commercial: $157 Midwest Network Alliance — Non-Owner: $164 Midwest Network Alliance — Owner: $159 Molina — Medicare Advantage: $81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 45 min	$297	$178	$150 – $282
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $273 Blue Cross and Blue Shield of Nebraska — Commercial: $263 Coventry — HMO: $279 Coventry — PPO: $282 GEHA — Commercial: $279 Medica — Commercial: $273 Midlands Choice — Commercial: $276 Midwest Network Alliance — Non-Owner: $259 Midwest Network Alliance — Owner: $250 Molina — Medicare Advantage: $164
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: New patient office or other outpatient visit, 45 min	$372	$223	$121 – $353
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $265 Blue Cross and Blue Shield of Nebraska — Commercial: $329 Coventry — HMO: $350 Coventry — PPO: $353 GEHA — Commercial: $350 Medica — Commercial: $286 Midlands Choice — Commercial: $255 Midwest Network Alliance — Non-Owner: $267 Midwest Network Alliance — Owner: $259 Molina — Medicare Advantage: $132
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 60 min	$410	$246	$207 – $390
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $377 Blue Cross and Blue Shield of Nebraska — Commercial: $363 Coventry — HMO: $385 Coventry — PPO: $390 GEHA — Commercial: $385 Medica — Commercial: $377 Midlands Choice — Commercial: $381 Midwest Network Alliance — Non-Owner: $357 Midwest Network Alliance — Owner: $345 Molina — Medicare Advantage: $226
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: New patient office or other outpatient visit, 60 min	$491	$295	$165 – $466
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $346 Blue Cross and Blue Shield of Nebraska — Commercial: $435 Coventry — HMO: $462 Coventry — PPO: $466 GEHA — Commercial: $462 Medica — Commercial: $388 Midlands Choice — Commercial: $346 Midwest Network Alliance — Non-Owner: $362 Midwest Network Alliance — Owner: $351 Molina — Medicare Advantage: $181
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Clinic Visit Est Lvl 3	$147	$88	$74 – $140
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $135 Blue Cross and Blue Shield of Nebraska — Commercial: $130 Coventry — HMO: $138 Coventry — PPO: $140 GEHA — Commercial: $138 Medica — Commercial: $135 Midlands Choice — Commercial: $137 Midwest Network Alliance — Non-Owner: $128 Midwest Network Alliance — Owner: $124 Molina — Medicare Advantage: $81
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pr Office/outpatient Established Low Mdm 20 Min	$202	$121	$60 – $192
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $105 Blue Cross and Blue Shield of Nebraska — Commercial: $179 Coventry — HMO: $190 Coventry — PPO: $192 GEHA — Commercial: $190 Medica — Commercial: $142 Midlands Choice — Commercial: $126 Midwest Network Alliance — Non-Owner: $133 Midwest Network Alliance — Owner: $129 Molina — Medicare Advantage: $66
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Clinic Visit Est Lvl 4	$214	$128	$108 – $203
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $197 Blue Cross and Blue Shield of Nebraska — Commercial: $189 Coventry — HMO: $201 Coventry — PPO: $203 GEHA — Commercial: $201 Medica — Commercial: $197 Midlands Choice — Commercial: $199 Midwest Network Alliance — Non-Owner: $187 Midwest Network Alliance — Owner: $180 Molina — Medicare Advantage: $118
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pr Office/outpatient Established Mod Mdm 30 Min	$287	$172	$88 – $273
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $162 Blue Cross and Blue Shield of Nebraska — Commercial: $254 Coventry — HMO: $270 Coventry — PPO: $273 GEHA — Commercial: $270 Medica — Commercial: $209 Midlands Choice — Commercial: $184 Midwest Network Alliance — Non-Owner: $196 Midwest Network Alliance — Owner: $190 Molina — Medicare Advantage: $96
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · both In the file: Patient office consultation, 40 min	$218	$131	$110 – $207
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates Ambetter — Commercial: $201 Blue Cross and Blue Shield of Nebraska — Commercial: $193 Coventry — HMO: $205 Coventry — PPO: $207 GEHA — Commercial: $205 Medica — Commercial: $191 Midlands Choice — Commercial: $203 Midwest Network Alliance — Non-Owner: $180 Midwest Network Alliance — Owner: $174 Molina — Medicare Advantage: $120
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · both In the file: Patient office consultation, 60 min	$350	$210	$177 – $333
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates Ambetter — Commercial: $322 Blue Cross and Blue Shield of Nebraska — Commercial: $310 Coventry — HMO: $329 Coventry — PPO: $333 GEHA — Commercial: $329 Medica — Commercial: $290 Midlands Choice — Commercial: $326 Midwest Network Alliance — Non-Owner: $274 Midwest Network Alliance — Owner: $266 Molina — Medicare Advantage: $193
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · both In the file: Initial new patient preventative medicine evaluation (18-39 years)	$224	$134	$113 – $213
Preventive checkup, new patient, age 18–39: 10 of 14 insurance plan rates Ambetter — Commercial: $206 Blue Cross and Blue Shield of Nebraska — Commercial: $198 Coventry — HMO: $211 Coventry — PPO: $213 GEHA — Commercial: $211 Medica — Commercial: $203 Midlands Choice — Commercial: $182 Midwest Network Alliance — Non-Owner: $191 Midwest Network Alliance — Owner: $185 Molina — Medicare Advantage: $124
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · both In the file: Initial new patient preventative medicine evaluation (40-64 years)	$272	$163	$138 – $258
Preventive checkup, new patient, age 40–64: 10 of 14 insurance plan rates Ambetter — Commercial: $250 Blue Cross and Blue Shield of Nebraska — Commercial: $241 Coventry — HMO: $256 Coventry — PPO: $258 GEHA — Commercial: $256 Medica — Commercial: $246 Midlands Choice — Commercial: $221 Midwest Network Alliance — Non-Owner: $231 Midwest Network Alliance — Owner: $224 Molina — Medicare Advantage: $150
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cc Hc Level 3 Trauma Lvl 3 Full Act Wo/ntc	$2,176	$1,306	$1,101 – $2,067
Emergency room visit (moderate): 10 of 14 insurance plan rates Ambetter — Commercial: $2,002 Blue Cross and Blue Shield of Nebraska — Commercial: $1,926 Coventry — HMO: $2,045 Coventry — PPO: $2,067 GEHA — Commercial: $2,045 Medica — Commercial: $2,002 Midlands Choice — Commercial: $2,024 Midwest Network Alliance — Non-Owner: $1,897 Midwest Network Alliance — Owner: $1,832 Molina — Medicare Advantage: $1,201
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cc Hc Level 3 Trauma Lvl 3 Mod Act Wo/ntc	$1,523	$914	$771 – $1,447
Emergency room visit (moderate): 10 of 14 insurance plan rates Ambetter — Commercial: $1,401 Blue Cross and Blue Shield of Nebraska — Commercial: $1,348 Coventry — HMO: $1,432 Coventry — PPO: $1,447 GEHA — Commercial: $1,432 Medica — Commercial: $1,401 Midlands Choice — Commercial: $1,416 Midwest Network Alliance — Non-Owner: $1,328 Midwest Network Alliance — Owner: $1,282 Molina — Medicare Advantage: $841
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Er Visit Mod Complex Expanded Lev Iii	$1,176	$706	$595 – $1,117
Emergency room visit (moderate): 10 of 14 insurance plan rates Ambetter — Commercial: $1,082 Blue Cross and Blue Shield of Nebraska — Commercial: $1,041 Coventry — HMO: $1,105 Coventry — PPO: $1,117 GEHA — Commercial: $1,105 Medica — Commercial: $1,082 Midlands Choice — Commercial: $1,094 Midwest Network Alliance — Non-Owner: $1,025 Midwest Network Alliance — Owner: $990 Molina — Medicare Advantage: $649
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cc Hc Level 4 Trauma Lvl 3 Full Act Wo/ntc	$2,956	$1,774	$1,496 – $2,808
Emergency room visit (moderately high): 10 of 14 insurance plan rates Ambetter — Commercial: $2,720 Blue Cross and Blue Shield of Nebraska — Commercial: $2,616 Coventry — HMO: $2,779 Coventry — PPO: $2,808 GEHA — Commercial: $2,779 Medica — Commercial: $2,720 Midlands Choice — Commercial: $2,749 Midwest Network Alliance — Non-Owner: $2,577 Midwest Network Alliance — Owner: $2,488 Molina — Medicare Advantage: $1,632
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cc Hc Level 4 Trauma Lvl 3 Mod Act Wo/ntc	$2,365	$1,419	$1,197 – $2,247
Emergency room visit (moderately high): 10 of 14 insurance plan rates Ambetter — Commercial: $2,176 Blue Cross and Blue Shield of Nebraska — Commercial: $2,093 Coventry — HMO: $2,223 Coventry — PPO: $2,247 GEHA — Commercial: $2,223 Medica — Commercial: $2,176 Midlands Choice — Commercial: $2,199 Midwest Network Alliance — Non-Owner: $2,062 Midwest Network Alliance — Owner: $1,991 Molina — Medicare Advantage: $1,305
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Er Visit Mod Complex Detailed Lev Iv	$1,809	$1,085	$915 – $1,719
Emergency room visit (moderately high): 10 of 14 insurance plan rates Ambetter — Commercial: $1,664 Blue Cross and Blue Shield of Nebraska — Commercial: $1,601 Coventry — HMO: $1,700 Coventry — PPO: $1,719 GEHA — Commercial: $1,700 Medica — Commercial: $1,664 Midlands Choice — Commercial: $1,682 Midwest Network Alliance — Non-Owner: $1,577 Midwest Network Alliance — Owner: $1,523 Molina — Medicare Advantage: $999
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cc Hc Level 5 Trauma Lvl 3 Full Act Wo/ntc	$4,286	$2,572	$2,169 – $4,072
Emergency room visit (high): 10 of 14 insurance plan rates Ambetter — Commercial: $3,943 Blue Cross and Blue Shield of Nebraska — Commercial: $3,793 Coventry — HMO: $4,029 Coventry — PPO: $4,072 GEHA — Commercial: $4,029 Medica — Commercial: $3,943 Midlands Choice — Commercial: $3,986 Midwest Network Alliance — Non-Owner: $3,736 Midwest Network Alliance — Owner: $3,608 Molina — Medicare Advantage: $2,366
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cc Hc Level 5 Trauma Lvl 3 Mod Act Wo/ntc	$3,429	$2,057	$1,735 – $3,258
Emergency room visit (high): 10 of 14 insurance plan rates Ambetter — Commercial: $3,155 Blue Cross and Blue Shield of Nebraska — Commercial: $3,035 Coventry — HMO: $3,223 Coventry — PPO: $3,258 GEHA — Commercial: $3,223 Medica — Commercial: $3,155 Midlands Choice — Commercial: $3,189 Midwest Network Alliance — Non-Owner: $2,989 Midwest Network Alliance — Owner: $2,886 Molina — Medicare Advantage: $1,893
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Er Visit Hi Complex Med Emerg Lev V	$2,604	$1,562	$1,318 – $2,474
Emergency room visit (high): 10 of 14 insurance plan rates Ambetter — Commercial: $2,396 Blue Cross and Blue Shield of Nebraska — Commercial: $2,305 Coventry — HMO: $2,448 Coventry — PPO: $2,474 GEHA — Commercial: $2,448 Medica — Commercial: $2,396 Midlands Choice — Commercial: $2,422 Midwest Network Alliance — Non-Owner: $2,270 Midwest Network Alliance — Owner: $2,192 Molina — Medicare Advantage: $1,437

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: Basic metabolic panel	$171	$103	$87 – $162
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Ambetter — Commercial: $157 Coventry — HMO: $161 Coventry — PPO: $162 GEHA — Commercial: $161 Medica — Commercial: $157 Midlands Choice — Commercial: $159 Midwest Network Alliance — Non-Owner: $149 Midwest Network Alliance — Owner: $144 Molina — Medicare Advantage: $94 Mutual of Omaha — Commercial: $162
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · both In the file: Basic metabolic panel	Not listed in the file	Not listed in the file	$168
Basic metabolic panel (blood test): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $168
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, comprehensive group of blood chemicals	$211	$127	$107 – $200
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Ambetter — Commercial: $194 Coventry — HMO: $198 Coventry — PPO: $200 GEHA — Commercial: $198 Medica — Commercial: $194 Midlands Choice — Commercial: $196 Midwest Network Alliance — Non-Owner: $184 Midwest Network Alliance — Owner: $178 Molina — Medicare Advantage: $116 Mutual of Omaha — Commercial: $200
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · both In the file: Blood test, comprehensive group of blood chemicals	Not listed in the file	Not listed in the file	$207
Comprehensive metabolic panel (blood test): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $207
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, lipids	$121	$73	$61 – $115
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Ambetter — Commercial: $111 Coventry — HMO: $114 Coventry — PPO: $115 GEHA — Commercial: $114 Medica — Commercial: $111 Midlands Choice — Commercial: $113 Midwest Network Alliance — Non-Owner: $105 Midwest Network Alliance — Owner: $102 Molina — Medicare Advantage: $67 Mutual of Omaha — Commercial: $115
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · both In the file: Blood test, lipids	Not listed in the file	Not listed in the file	$111
Cholesterol panel (lipid panel): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $111
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Kidney function panel test	$78	$47	$39 – $74
Kidney function panel: 10 of 13 insurance plan rates Ambetter — Commercial: $72 Coventry — HMO: $73 Coventry — PPO: $74 GEHA — Commercial: $73 Medica — Commercial: $72 Midlands Choice — Commercial: $73 Midwest Network Alliance — Non-Owner: $68 Midwest Network Alliance — Owner: $66 Molina — Medicare Advantage: $43 Mutual of Omaha — Commercial: $74
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · both In the file: Kidney function panel test	Not listed in the file	Not listed in the file	$72
Kidney function panel: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $72
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver function blood test	$74	$44	$37 – $70
Liver function panel: 10 of 13 insurance plan rates Ambetter — Commercial: $68 Coventry — HMO: $70 Coventry — PPO: $70 GEHA — Commercial: $70 Medica — Commercial: $68 Midlands Choice — Commercial: $69 Midwest Network Alliance — Non-Owner: $65 Midwest Network Alliance — Owner: $62 Molina — Medicare Advantage: $41 Mutual of Omaha — Commercial: $70
Liver function panel CPT 80076 · Outpatient (no overnight stay) · both In the file: Liver function blood test	Not listed in the file	Not listed in the file	$68
Liver function panel: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $68
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test using microscope	$74	$44	$37 – $70
Urine test (automated, with microscope): 10 of 13 insurance plan rates Ambetter — Commercial: $68 Coventry — HMO: $70 Coventry — PPO: $70 GEHA — Commercial: $70 Medica — Commercial: $68 Midlands Choice — Commercial: $69 Midwest Network Alliance — Non-Owner: $65 Midwest Network Alliance — Owner: $62 Molina — Medicare Advantage: $41 Mutual of Omaha — Commercial: $70
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · both In the file: Urinalysis test using microscope	Not listed in the file	Not listed in the file	$73
Urine test (automated, with microscope): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $73
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · both In the file: Urinalysis test	$8	$5	$4 – $8
Urine test (manual, without microscope): 10 of 14 insurance plan rates Ambetter — Commercial: $6 Blue Cross and Blue Shield of Nebraska — Commercial: $7 Coventry — HMO: $8 Coventry — PPO: $8 GEHA — Commercial: $8 Medica — Commercial: $7 Midlands Choice — Commercial: $8 Midwest Network Alliance — Non-Owner: $6 Midwest Network Alliance — Owner: $6 Molina — Medicare Advantage: $4
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test	$20	$12	$10 – $19
Urine test (automated, without microscope): 10 of 13 insurance plan rates Ambetter — Commercial: $18 Coventry — HMO: $19 Coventry — PPO: $19 GEHA — Commercial: $19 Medica — Commercial: $18 Midlands Choice — Commercial: $19 Midwest Network Alliance — Non-Owner: $17 Midwest Network Alliance — Owner: $17 Molina — Medicare Advantage: $11 Mutual of Omaha — Commercial: $19
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · both In the file: Urinalysis test	Not listed in the file	Not listed in the file	$19
Urine test (automated, without microscope): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $19
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total prostate-specific antigen (PSA) test	$159	$95	$80 – $151
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Ambetter — Commercial: $146 Coventry — HMO: $149 Coventry — PPO: $151 GEHA — Commercial: $149 Medica — Commercial: $146 Midlands Choice — Commercial: $148 Midwest Network Alliance — Non-Owner: $139 Midwest Network Alliance — Owner: $134 Molina — Medicare Advantage: $88 Mutual of Omaha — Commercial: $151
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · both In the file: Total prostate-specific antigen (PSA) test	Not listed in the file	Not listed in the file	$153
PSA (prostate specific antigen) blood test: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $153
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, thyroid stimulating hormone (TSH)	$143	$86	$72 – $136
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Ambetter — Commercial: $132 Coventry — HMO: $134 Coventry — PPO: $136 GEHA — Commercial: $134 Medica — Commercial: $132 Midlands Choice — Commercial: $133 Midwest Network Alliance — Non-Owner: $125 Midwest Network Alliance — Owner: $120 Molina — Medicare Advantage: $79 Mutual of Omaha — Commercial: $136
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · both In the file: Blood test, thyroid stimulating hormone (TSH)	Not listed in the file	Not listed in the file	$140
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $140
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count (CBC), with differential white blood cells, automated	$107	$64	$54 – $102
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Ambetter — Commercial: $98 Coventry — HMO: $101 Coventry — PPO: $102 GEHA — Commercial: $101 Medica — Commercial: $98 Midlands Choice — Commercial: $100 Midwest Network Alliance — Non-Owner: $93 Midwest Network Alliance — Owner: $90 Molina — Medicare Advantage: $59 Mutual of Omaha — Commercial: $102
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · both In the file: Complete blood cell count (CBC), with differential white blood cells, automated	Not listed in the file	Not listed in the file	$105
Complete blood count (CBC) with differential: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $105
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count (CBC), automated	$81	$49	$41 – $77
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Ambetter — Commercial: $75 Coventry — HMO: $76 Coventry — PPO: $77 GEHA — Commercial: $76 Medica — Commercial: $75 Midlands Choice — Commercial: $75 Midwest Network Alliance — Non-Owner: $71 Midwest Network Alliance — Owner: $68 Molina — Medicare Advantage: $45 Mutual of Omaha — Commercial: $77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · both In the file: Complete blood cell count (CBC), automated	Not listed in the file	Not listed in the file	$79
Complete blood count (CBC), automated: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, clotting time	$72	$43	$36 – $68
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Ambetter — Commercial: $66 Coventry — HMO: $68 Coventry — PPO: $68 GEHA — Commercial: $68 Medica — Commercial: $66 Midlands Choice — Commercial: $67 Midwest Network Alliance — Non-Owner: $63 Midwest Network Alliance — Owner: $61 Molina — Medicare Advantage: $40 Mutual of Omaha — Commercial: $68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · both In the file: Blood test, clotting time	Not listed in the file	Not listed in the file	$70
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Coagulation assessment blood test	$103	$62	$52 – $98
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Ambetter — Commercial: $95 Coventry — HMO: $97 Coventry — PPO: $98 GEHA — Commercial: $97 Medica — Commercial: $95 Midlands Choice — Commercial: $96 Midwest Network Alliance — Non-Owner: $90 Midwest Network Alliance — Owner: $87 Molina — Medicare Advantage: $57 Mutual of Omaha — Commercial: $98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · both In the file: Coagulation assessment blood test	Not listed in the file	Not listed in the file	$101
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $101

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: CT scan	$2,020	$1,212	$1,022 – $1,919
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Ambetter — Commercial: $1,858 Coventry — HMO: $1,899 Coventry — PPO: $1,919 GEHA — Commercial: $1,899 Medica — Commercial: $1,858 Midlands Choice — Commercial: $1,879 Midwest Network Alliance — Non-Owner: $1,761 Midwest Network Alliance — Owner: $1,700 Molina — Medicare Advantage: $1,115 Mutual of Omaha — Commercial: $1,919
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · both In the file: CT scan	Not listed in the file	Not listed in the file	$1,873
CT scan of the head or brain, without contrast: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $1,873
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT scan	$149	$89	$41 – $167
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates Ambetter — Commercial: $86 Blue Cross and Blue Shield of Nebraska — Commercial: $132 Coventry — HMO: $140 Coventry — PPO: $142 GEHA — Commercial: $140 Medica — Commercial: $100 Midlands Choice — Commercial: $136 Midwest Network Alliance — Non-Owner: $79 Midwest Network Alliance — Owner: $77 Molina — Medicare Advantage: $45
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Scan	$4,409	$2,645	$2,231 – $4,189
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Ambetter — Commercial: $4,056 Coventry — HMO: $4,144 Coventry — PPO: $4,189 GEHA — Commercial: $4,144 Medica — Commercial: $4,056 Midlands Choice — Commercial: $4,100 Midwest Network Alliance — Non-Owner: $3,843 Midwest Network Alliance — Owner: $3,711 Molina — Medicare Advantage: $2,434 Mutual of Omaha — Commercial: $4,189
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · both In the file: MRI Scan	Not listed in the file	Not listed in the file	$3,746
MRI of the brain, before and after contrast: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $3,746
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI Scan	$403	$242	$111 – $854
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates Ambetter — Commercial: $231 Blue Cross and Blue Shield of Nebraska — Commercial: $357 Coventry — HMO: $379 Coventry — PPO: $383 GEHA — Commercial: $379 Medica — Commercial: $270 Midlands Choice — Commercial: $367 Midwest Network Alliance — Non-Owner: $213 Midwest Network Alliance — Owner: $207 Molina — Medicare Advantage: $121
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Chg Radiologic Exam Chest 2 Views	$126	$76	$34 – $120
Chest X-ray, 2 views: 10 of 14 insurance plan rates Ambetter — Commercial: $63 Blue Cross and Blue Shield of Nebraska — Commercial: $112 Coventry — HMO: $118 Coventry — PPO: $120 GEHA — Commercial: $118 Medica — Commercial: $82 Midlands Choice — Commercial: $114 Midwest Network Alliance — Non-Owner: $64 Midwest Network Alliance — Owner: $62 Molina — Medicare Advantage: $37
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Chest Xray 2 Views	$440	$264	$223 – $418
Chest X-ray, 2 views: 10 of 13 insurance plan rates Ambetter — Commercial: $405 Coventry — HMO: $414 Coventry — PPO: $418 GEHA — Commercial: $414 Medica — Commercial: $405 Midlands Choice — Commercial: $409 Midwest Network Alliance — Non-Owner: $384 Midwest Network Alliance — Owner: $370 Molina — Medicare Advantage: $243 Mutual of Omaha — Commercial: $418
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · both In the file: Hc Chest Xray 2 Views	Not listed in the file	Not listed in the file	$327
Chest X-ray, 2 views: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $327
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-Ray of lower back	$194	$116	$54 – $184
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates Ambetter — Commercial: $93 Blue Cross and Blue Shield of Nebraska — Commercial: $172 Coventry — HMO: $182 Coventry — PPO: $184 GEHA — Commercial: $182 Medica — Commercial: $126 Midlands Choice — Commercial: $177 Midwest Network Alliance — Non-Owner: $98 Midwest Network Alliance — Owner: $95 Molina — Medicare Advantage: $59
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-Ray of lower back	$626	$376	$317 – $595
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Ambetter — Commercial: $576 Coventry — HMO: $588 Coventry — PPO: $595 GEHA — Commercial: $588 Medica — Commercial: $576 Midlands Choice — Commercial: $582 Midwest Network Alliance — Non-Owner: $546 Midwest Network Alliance — Owner: $527 Molina — Medicare Advantage: $346 Mutual of Omaha — Commercial: $595
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · both In the file: X-Ray of lower back	Not listed in the file	Not listed in the file	$614
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $614
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of lower spinal canal	$3,618	$2,171	$1,831 – $3,437
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Ambetter — Commercial: $3,329 Coventry — HMO: $3,401 Coventry — PPO: $3,437 GEHA — Commercial: $3,401 Medica — Commercial: $3,329 Midlands Choice — Commercial: $3,365 Midwest Network Alliance — Non-Owner: $3,154 Midwest Network Alliance — Owner: $3,045 Molina — Medicare Advantage: $1,997 Mutual of Omaha — Commercial: $3,437
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · both In the file: MRI scan of lower spinal canal	Not listed in the file	Not listed in the file	$2,747
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $2,747
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: MRI scan of lower spinal canal	$260	$156	$72 – $328
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates Ambetter — Commercial: $150 Blue Cross and Blue Shield of Nebraska — Commercial: $230 Coventry — HMO: $244 Coventry — PPO: $247 GEHA — Commercial: $244 Medica — Commercial: $175 Midlands Choice — Commercial: $237 Midwest Network Alliance — Non-Owner: $138 Midwest Network Alliance — Owner: $134 Molina — Medicare Advantage: $79
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of pelvis with contrast	$2,696	$1,618	$1,364 – $2,561
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Ambetter — Commercial: $2,480 Coventry — HMO: $2,534 Coventry — PPO: $2,561 GEHA — Commercial: $2,534 Medica — Commercial: $2,480 Midlands Choice — Commercial: $2,507 Midwest Network Alliance — Non-Owner: $2,350 Midwest Network Alliance — Owner: $2,269 Molina — Medicare Advantage: $1,488 Mutual of Omaha — Commercial: $2,561
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · both In the file: CT scan of pelvis with contrast	Not listed in the file	Not listed in the file	$2,408
CT scan of the pelvis, with contrast: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $2,408
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT scan of pelvis with contrast	$203	$122	$56 – $423
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates Ambetter — Commercial: $117 Blue Cross and Blue Shield of Nebraska — Commercial: $180 Coventry — HMO: $191 Coventry — PPO: $193 GEHA — Commercial: $191 Medica — Commercial: $137 Midlands Choice — Commercial: $185 Midwest Network Alliance — Non-Owner: $108 Midwest Network Alliance — Owner: $105 Molina — Medicare Advantage: $61
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI scan of leg joint	$771	$463	$209 – $732
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates Ambetter — Commercial: $443 Blue Cross and Blue Shield of Nebraska — Commercial: $682 Coventry — HMO: $725 Coventry — PPO: $732 GEHA — Commercial: $725 Medica — Commercial: $502 Midlands Choice — Commercial: $701 Midwest Network Alliance — Non-Owner: $402 Midwest Network Alliance — Owner: $390 Molina — Medicare Advantage: $229
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of leg joint	$3,323	$1,994	$1,681 – $3,157
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Ambetter — Commercial: $3,057 Coventry — HMO: $3,124 Coventry — PPO: $3,157 GEHA — Commercial: $3,124 Medica — Commercial: $3,057 Midlands Choice — Commercial: $3,090 Midwest Network Alliance — Non-Owner: $2,897 Midwest Network Alliance — Owner: $2,797 Molina — Medicare Advantage: $1,834 Mutual of Omaha — Commercial: $3,157
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · both In the file: MRI scan of leg joint	Not listed in the file	Not listed in the file	$2,490
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $2,490
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast	$5,585	$3,351	$2,826 – $5,306
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Ambetter — Commercial: $5,138 Coventry — HMO: $5,250 Coventry — PPO: $5,306 GEHA — Commercial: $5,250 Medica — Commercial: $5,138 Midlands Choice — Commercial: $5,194 Midwest Network Alliance — Non-Owner: $4,868 Midwest Network Alliance — Owner: $4,701 Molina — Medicare Advantage: $3,083 Mutual of Omaha — Commercial: $5,306
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · both In the file: CT scan of abdomen and pelvis with contrast	Not listed in the file	Not listed in the file	$4,062
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $4,062
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: CT scan of abdomen and pelvis with contrast	$321	$193	$88 – $305
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates Ambetter — Commercial: $184 Blue Cross and Blue Shield of Nebraska — Commercial: $284 Coventry — HMO: $302 Coventry — PPO: $305 GEHA — Commercial: $302 Medica — Commercial: $215 Midlands Choice — Commercial: $292 Midwest Network Alliance — Non-Owner: $169 Midwest Network Alliance — Owner: $164 Molina — Medicare Advantage: $96
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound of abdomen	$917	$550	$464 – $871
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Ambetter — Commercial: $844 Coventry — HMO: $862 Coventry — PPO: $871 GEHA — Commercial: $862 Medica — Commercial: $844 Midlands Choice — Commercial: $853 Midwest Network Alliance — Non-Owner: $799 Midwest Network Alliance — Owner: $772 Molina — Medicare Advantage: $506 Mutual of Omaha — Commercial: $871
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · both In the file: Ultrasound of abdomen	Not listed in the file	Not listed in the file	$900
Ultrasound of the abdomen, complete: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $900
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Ultrasound of abdomen	$142	$85	$39 – $189
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates Ambetter — Commercial: $82 Blue Cross and Blue Shield of Nebraska — Commercial: $126 Coventry — HMO: $133 Coventry — PPO: $135 GEHA — Commercial: $133 Medica — Commercial: $95 Midlands Choice — Commercial: $129 Midwest Network Alliance — Non-Owner: $75 Midwest Network Alliance — Owner: $73 Molina — Medicare Advantage: $43
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Abdomial ultrasound of pregnant uterus	$922	$553	$467 – $876
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Ambetter — Commercial: $848 Coventry — HMO: $867 Coventry — PPO: $876 GEHA — Commercial: $867 Medica — Commercial: $848 Midlands Choice — Commercial: $857 Midwest Network Alliance — Non-Owner: $804 Midwest Network Alliance — Owner: $776 Molina — Medicare Advantage: $509 Mutual of Omaha — Commercial: $876
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · both In the file: Abdomial ultrasound of pregnant uterus	Not listed in the file	Not listed in the file	$904
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $904
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Abdomial ultrasound of pregnant uterus	$176	$106	$50 – $329
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates Ambetter — Commercial: $100 Blue Cross and Blue Shield of Nebraska — Commercial: $156 Coventry — HMO: $165 Coventry — PPO: $167 GEHA — Commercial: $165 Medica — Commercial: $118 Midlands Choice — Commercial: $160 Midwest Network Alliance — Non-Owner: $93 Midwest Network Alliance — Owner: $90 Molina — Medicare Advantage: $54
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound pelvis through vagina	$850	$510	$430 – $808
Transvaginal ultrasound: 10 of 13 insurance plan rates Ambetter — Commercial: $782 Coventry — HMO: $799 Coventry — PPO: $808 GEHA — Commercial: $799 Medica — Commercial: $782 Midlands Choice — Commercial: $791 Midwest Network Alliance — Non-Owner: $741 Midwest Network Alliance — Owner: $715 Molina — Medicare Advantage: $469 Mutual of Omaha — Commercial: $808
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · both In the file: Ultrasound pelvis through vagina	Not listed in the file	Not listed in the file	$694
Transvaginal ultrasound: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $694
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Ultrasound pelvis through vagina	$122	$73	$34 – $288
Transvaginal ultrasound: 10 of 14 insurance plan rates Ambetter — Commercial: $70 Blue Cross and Blue Shield of Nebraska — Commercial: $108 Coventry — HMO: $115 Coventry — PPO: $116 GEHA — Commercial: $115 Medica — Commercial: $82 Midlands Choice — Commercial: $111 Midwest Network Alliance — Non-Owner: $65 Midwest Network Alliance — Owner: $63 Molina — Medicare Advantage: $37
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of one breast	$527	$316	$267 – $501
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Ambetter — Commercial: $485 Coventry — HMO: $495 Coventry — PPO: $501 GEHA — Commercial: $495 Medica — Commercial: $485 Midlands Choice — Commercial: $490 Midwest Network Alliance — Non-Owner: $459 Midwest Network Alliance — Owner: $444 Molina — Medicare Advantage: $291 Mutual of Omaha — Commercial: $501
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · both In the file: Mammography of one breast	Not listed in the file	Not listed in the file	$467
Diagnostic mammogram, one breast: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $467
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Mammography of one breast	$142	$85	$40 – $135
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates Ambetter — Commercial: $82 Blue Cross and Blue Shield of Nebraska — Commercial: $126 Coventry — HMO: $133 Coventry — PPO: $135 GEHA — Commercial: $133 Medica — Commercial: $95 Midlands Choice — Commercial: $129 Midwest Network Alliance — Non-Owner: $75 Midwest Network Alliance — Owner: $73 Molina — Medicare Advantage: $43
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of both breasts	$674	$404	$341 – $640
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Ambetter — Commercial: $620 Coventry — HMO: $634 Coventry — PPO: $640 GEHA — Commercial: $634 Medica — Commercial: $620 Midlands Choice — Commercial: $627 Midwest Network Alliance — Non-Owner: $588 Midwest Network Alliance — Owner: $567 Molina — Medicare Advantage: $372 Mutual of Omaha — Commercial: $640
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · both In the file: Mammography of both breasts	Not listed in the file	Not listed in the file	$597
Diagnostic mammogram, both breasts: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $597
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Mammography of both breasts	$174	$104	$49 – $273
Diagnostic mammogram, both breasts: 10 of 14 insurance plan rates Ambetter — Commercial: $101 Blue Cross and Blue Shield of Nebraska — Commercial: $154 Coventry — HMO: $164 Coventry — PPO: $165 GEHA — Commercial: $164 Medica — Commercial: $118 Midlands Choice — Commercial: $159 Midwest Network Alliance — Non-Owner: $93 Midwest Network Alliance — Owner: $90 Molina — Medicare Advantage: $53
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography, screening, bilateral	$555	$333	$281 – $527
Screening mammogram, both breasts: 10 of 13 insurance plan rates Ambetter — Commercial: $511 Coventry — HMO: $522 Coventry — PPO: $527 GEHA — Commercial: $522 Medica — Commercial: $511 Midlands Choice — Commercial: $516 Midwest Network Alliance — Non-Owner: $484 Midwest Network Alliance — Owner: $467 Molina — Medicare Advantage: $306 Mutual of Omaha — Commercial: $527
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · both In the file: Mammography, screening, bilateral	Not listed in the file	Not listed in the file	$493
Screening mammogram, both breasts: rates for 1 insurance plan Blue Cross and Blue Shield of Nebraska — Commercial: $493
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Mammography, screening, bilateral	$134	$80	$37 – $127
Screening mammogram, both breasts: 10 of 14 insurance plan rates Ambetter — Commercial: $77 Blue Cross and Blue Shield of Nebraska — Commercial: $119 Coventry — HMO: $126 Coventry — PPO: $127 GEHA — Commercial: $126 Medica — Commercial: $90 Midlands Choice — Commercial: $122 Midwest Network Alliance — Non-Owner: $71 Midwest Network Alliance — Owner: $69 Molina — Medicare Advantage: $40

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · both In the file: Electrocardiogram, routine, with interpretation and report	$40	$24	$20 – $38
Electrocardiogram (ECG/EKG) with reading: 10 of 14 insurance plan rates Ambetter — Commercial: $36 Blue Cross and Blue Shield of Nebraska — Commercial: $35 Coventry — HMO: $38 Coventry — PPO: $38 GEHA — Commercial: $38 Medica — Commercial: $30 Midlands Choice — Commercial: $30 Midwest Network Alliance — Non-Owner: $29 Midwest Network Alliance — Owner: $28 Molina — Medicare Advantage: $22
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Insertion of catheter into left heart for diagnosis	$73,461	$44,077	$37,171 – $69,788
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates Ambetter — Commercial: $67,584 Blue Cross and Blue Shield of Nebraska — Commercial: $65,013 Coventry — HMO: $69,053 Coventry — PPO: $69,788 GEHA — Commercial: $69,053 Medica — Commercial: $67,584 Midlands Choice — Commercial: $68,319 Midwest Network Alliance — Non-Owner: $64,036 Midwest Network Alliance — Owner: $61,832 Molina — Medicare Advantage: $40,550
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Insertion of catheter into left heart for diagnosis	Not listed in the file	Not listed in the file	$230 – $1,436
Left heart catheterization (diagnostic): rates for 8 insurance plans Ambetter — Commercial: $509 Medica — Commercial: $463 Midlands Choice — Commercial: $499 Midwest Network Alliance — Non-Owner: $445 Midwest Network Alliance — Owner: $432 Molina — Medicare Advantage: $251 Nebraska Total Care — Medicare Advantage: $230 United Health Care — Commercial: $1,436
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sleep study	$5,087	$3,052	$2,574 – $4,833
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Ambetter — Commercial: $4,680 Blue Cross and Blue Shield of Nebraska — Commercial: $4,502 Coventry — HMO: $4,782 Coventry — PPO: $4,833 GEHA — Commercial: $4,782 Medica — Commercial: $4,680 Midlands Choice — Commercial: $4,731 Midwest Network Alliance — Non-Owner: $4,434 Midwest Network Alliance — Owner: $4,282 Molina — Medicare Advantage: $2,808
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: Sleep study	$302	$181	$126 – $287
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates Ambetter — Commercial: $274 Blue Cross and Blue Shield of Nebraska — Commercial: $267 Coventry — HMO: $284 Coventry — PPO: $287 GEHA — Commercial: $284 Medica — Commercial: $250 Midlands Choice — Commercial: $251 Midwest Network Alliance — Non-Owner: $241 Midwest Network Alliance — Owner: $234 Molina — Medicare Advantage: $138

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy, therapeutic exercise	$166	$100	$84 – $158
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates Ambetter — Commercial: $153 Blue Cross and Blue Shield of Nebraska — Commercial: $147 Coventry — HMO: $156 Coventry — PPO: $158 GEHA — Commercial: $156 Medica — Commercial: $153 Midlands Choice — Commercial: $154 Midwest Network Alliance — Non-Owner: $145 Midwest Network Alliance — Owner: $140 Molina — Medicare Advantage: $92
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Rehab Pt Low Eval	$247	$148	$125 – $235
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates Ambetter — Commercial: $227 Blue Cross and Blue Shield of Nebraska — Commercial: $219 Coventry — HMO: $232 Coventry — PPO: $235 GEHA — Commercial: $232 Medica — Commercial: $227 Midlands Choice — Commercial: $230 Midwest Network Alliance — Non-Owner: $215 Midwest Network Alliance — Owner: $208 Molina — Medicare Advantage: $136
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Rehab Pt Moderate Eval	$299	$179	$151 – $284
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates Ambetter — Commercial: $275 Blue Cross and Blue Shield of Nebraska — Commercial: $265 Coventry — HMO: $281 Coventry — PPO: $284 GEHA — Commercial: $281 Medica — Commercial: $275 Midlands Choice — Commercial: $278 Midwest Network Alliance — Non-Owner: $261 Midwest Network Alliance — Owner: $252 Molina — Medicare Advantage: $165
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hc Rehab Pt High Eval	$350	$210	$177 – $333
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates Ambetter — Commercial: $322 Blue Cross and Blue Shield of Nebraska — Commercial: $310 Coventry — HMO: $329 Coventry — PPO: $333 GEHA — Commercial: $329 Medica — Commercial: $322 Midlands Choice — Commercial: $326 Midwest Network Alliance — Non-Owner: $305 Midwest Network Alliance — Owner: $295 Molina — Medicare Advantage: $193
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 30 min	$178	$107	$90 – $169
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates Ambetter — Commercial: $164 Blue Cross and Blue Shield of Nebraska — Commercial: $158 Coventry — HMO: $167 Coventry — PPO: $169 GEHA — Commercial: $167 Medica — Commercial: $164 Midlands Choice — Commercial: $166 Midwest Network Alliance — Non-Owner: $155 Midwest Network Alliance — Owner: $150 Molina — Medicare Advantage: $98
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 45 min	$235	$141	$119 – $223
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates Ambetter — Commercial: $216 Blue Cross and Blue Shield of Nebraska — Commercial: $208 Coventry — HMO: $221 Coventry — PPO: $223 GEHA — Commercial: $221 Medica — Commercial: $216 Midlands Choice — Commercial: $219 Midwest Network Alliance — Non-Owner: $205 Midwest Network Alliance — Owner: $198 Molina — Medicare Advantage: $130
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 60 min	$312	$187	$158 – $296
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates Ambetter — Commercial: $287 Blue Cross and Blue Shield of Nebraska — Commercial: $276 Coventry — HMO: $293 Coventry — PPO: $296 GEHA — Commercial: $293 Medica — Commercial: $287 Midlands Choice — Commercial: $290 Midwest Network Alliance — Non-Owner: $272 Midwest Network Alliance — Owner: $263 Molina — Medicare Advantage: $172
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psychotherapy, not including patient, 50 min	$251	$151	$127 – $238
Family psychotherapy, without the patient: 10 of 14 insurance plan rates Ambetter — Commercial: $231 Blue Cross and Blue Shield of Nebraska — Commercial: $222 Coventry — HMO: $236 Coventry — PPO: $238 GEHA — Commercial: $236 Medica — Commercial: $231 Midlands Choice — Commercial: $233 Midwest Network Alliance — Non-Owner: $219 Midwest Network Alliance — Owner: $211 Molina — Medicare Advantage: $139
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psychotherapy, including patient, 50 min	$261	$157	$132 – $248
Family psychotherapy, with the patient: 10 of 14 insurance plan rates Ambetter — Commercial: $240 Blue Cross and Blue Shield of Nebraska — Commercial: $231 Coventry — HMO: $245 Coventry — PPO: $248 GEHA — Commercial: $245 Medica — Commercial: $240 Midlands Choice — Commercial: $243 Midwest Network Alliance — Non-Owner: $228 Midwest Network Alliance — Owner: $220 Molina — Medicare Advantage: $144
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · both In the file: Group psychotherapy	$62	$37	$31 – $59
Group psychotherapy: 10 of 14 insurance plan rates Ambetter — Commercial: $56 Blue Cross and Blue Shield of Nebraska — Commercial: $55 Coventry — HMO: $58 Coventry — PPO: $59 GEHA — Commercial: $58 Medica — Commercial: $55 Midlands Choice — Commercial: $50 Midwest Network Alliance — Non-Owner: $48 Midwest Network Alliance — Owner: $47 Molina — Medicare Advantage: $34

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 one or more breast growth, open procedure	$34,318	$20,591	$17,365 – $32,602
Removal of breast growth (open surgery): 10 of 14 insurance plan rates Ambetter — Commercial: $31,573 Blue Cross and Blue Shield of Nebraska — Commercial: $30,371 Coventry — HMO: $32,259 Coventry — PPO: $32,602 GEHA — Commercial: $32,259 Medica — Commercial: $31,573 Midlands Choice — Commercial: $31,916 Midwest Network Alliance — Non-Owner: $29,915 Midwest Network Alliance — Owner: $28,885 Molina — Medicare Advantage: $18,944
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of one or more breast growth, open procedure	Not listed in the file	Not listed in the file	$401 – $1,296
Removal of breast growth (open surgery): rates for 8 insurance plans Ambetter — Commercial: $877 Medica — Commercial: $845 Midlands Choice — Commercial: $1,296 Midwest Network Alliance — Non-Owner: $800 Midwest Network Alliance — Owner: $776 Molina — Medicare Advantage: $438 Nebraska Total Care — Medicare Advantage: $401 United Health Care — Commercial: $877
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pr Arthrp Acetblr/prox Fem Prostc Agrft/algrft	$4,361	$2,617	$1,153 – $4,143
Total hip replacement: 10 of 14 insurance plan rates Ambetter — Commercial: $2,899 Blue Cross and Blue Shield of Nebraska — Commercial: $3,859 Coventry — HMO: $4,099 Coventry — PPO: $4,143 GEHA — Commercial: $4,099 Medica — Commercial: $2,610 Midlands Choice — Commercial: $3,965 Midwest Network Alliance — Non-Owner: $2,481 Midwest Network Alliance — Owner: $2,407 Molina — Medicare Advantage: $1,258
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pr Arthrp Kne Condyle&platu Medial&lat Compartments	$4,357	$2,614	$1,151 – $4,139
Total knee replacement: 10 of 14 insurance plan rates Ambetter — Commercial: $2,897 Blue Cross and Blue Shield of Nebraska — Commercial: $3,856 Coventry — HMO: $4,096 Coventry — PPO: $4,139 GEHA — Commercial: $4,096 Medica — Commercial: $2,607 Midlands Choice — Commercial: $3,961 Midwest Network Alliance — Non-Owner: $2,479 Midwest Network Alliance — Owner: $2,405 Molina — Medicare Advantage: $1,255
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shaving of shoulder bone using endoscope	$35,346	$21,208	$17,885 – $33,579
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates Ambetter — Commercial: $32,518 Blue Cross and Blue Shield of Nebraska — Commercial: $31,281 Coventry — HMO: $33,225 Coventry — PPO: $33,579 GEHA — Commercial: $33,225 Medica — Commercial: $32,518 Midlands Choice — Commercial: $32,872 Midwest Network Alliance — Non-Owner: $30,811 Midwest Network Alliance — Owner: $29,751 Molina — Medicare Advantage: $19,511
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Shaving of shoulder bone using endoscope	Not listed in the file	Not listed in the file	$147 – $532
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Ambetter — Commercial: $374 Medica — Commercial: $345 Midlands Choice — Commercial: $532 Midwest Network Alliance — Non-Owner: $330 Midwest Network Alliance — Owner: $320 Molina — Medicare Advantage: $160 Nebraska Total Care — Medicare Advantage: $147 United Health Care — Commercial: $374
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of one knee cartilage using an endoscope	$24,416	$14,650	$12,354 – $23,195
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates Ambetter — Commercial: $22,463 Blue Cross and Blue Shield of Nebraska — Commercial: $21,608 Coventry — HMO: $22,951 Coventry — PPO: $23,195 GEHA — Commercial: $22,951 Medica — Commercial: $22,463 Midlands Choice — Commercial: $22,707 Midwest Network Alliance — Non-Owner: $21,283 Midwest Network Alliance — Owner: $20,551 Molina — Medicare Advantage: $13,478
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of one knee cartilage using an endoscope	Not listed in the file	Not listed in the file	$515 – $1,681
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans Ambetter — Commercial: $1,159 Medica — Commercial: $1,122 Midlands Choice — Commercial: $1,681 Midwest Network Alliance — Non-Owner: $1,062 Midwest Network Alliance — Owner: $1,030 Molina — Medicare Advantage: $562 Nebraska Total Care — Medicare Advantage: $515 United Health Care — Commercial: $1,159
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of tonsils and adenoid glands, patient younger than age 12	$19,047	$11,428	$9,638 – $18,095
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates Ambetter — Commercial: $17,523 Blue Cross and Blue Shield of Nebraska — Commercial: $16,857 Coventry — HMO: $17,904 Coventry — PPO: $18,095 GEHA — Commercial: $17,904 Medica — Commercial: $17,523 Midlands Choice — Commercial: $17,714 Midwest Network Alliance — Non-Owner: $16,603 Midwest Network Alliance — Owner: $16,032 Molina — Medicare Advantage: $10,514
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of tonsils and adenoid glands, patient younger than age 12	Not listed in the file	Not listed in the file	$265 – $898
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans Ambetter — Commercial: $625 Medica — Commercial: $608 Midlands Choice — Commercial: $898 Midwest Network Alliance — Non-Owner: $579 Midwest Network Alliance — Owner: $562 Molina — Medicare Advantage: $289 Nebraska Total Care — Medicare Advantage: $265 United Health Care — Commercial: $625
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$4,439	$2,663	$2,246 – $4,217
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates Ambetter — Commercial: $4,084 Blue Cross and Blue Shield of Nebraska — Commercial: $3,929 Coventry — HMO: $4,173 Coventry — PPO: $4,217 GEHA — Commercial: $4,173 Medica — Commercial: $4,084 Midlands Choice — Commercial: $4,128 Midwest Network Alliance — Non-Owner: $3,869 Midwest Network Alliance — Owner: $3,736 Molina — Medicare Advantage: $2,450
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope	Not listed in the file	Not listed in the file	$113 – $609
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Ambetter — Commercial: $269 Medica — Commercial: $251 Midlands Choice — Commercial: $374 Midwest Network Alliance — Non-Owner: $239 Midwest Network Alliance — Owner: $232 Molina — Medicare Advantage: $124 Nebraska Total Care — Medicare Advantage: $113 United Health Care — Commercial: $609
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope	$7,690	$4,614	$3,891 – $7,306
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates Ambetter — Commercial: $7,075 Blue Cross and Blue Shield of Nebraska — Commercial: $6,806 Coventry — HMO: $7,229 Coventry — PPO: $7,306 GEHA — Commercial: $7,229 Medica — Commercial: $7,075 Midlands Choice — Commercial: $7,152 Midwest Network Alliance — Non-Owner: $6,703 Midwest Network Alliance — Owner: $6,473 Molina — Medicare Advantage: $4,245
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope	Not listed in the file	Not listed in the file	$127 – $1,213
Upper GI endoscopy with biopsy: rates for 8 insurance plans Ambetter — Commercial: $304 Medica — Commercial: $283 Midlands Choice — Commercial: $1,213 Midwest Network Alliance — Non-Owner: $270 Midwest Network Alliance — Owner: $262 Molina — Medicare Advantage: $138 Nebraska Total Care — Medicare Advantage: $127 United Health Care — Commercial: $811
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of large bowel using an endoscope	$6,084	$3,650	$3,079 – $5,780
Colonoscopy (diagnostic): 10 of 14 insurance plan rates Ambetter — Commercial: $5,597 Blue Cross and Blue Shield of Nebraska — Commercial: $5,384 Coventry — HMO: $5,719 Coventry — PPO: $5,780 GEHA — Commercial: $5,719 Medica — Commercial: $5,597 Midlands Choice — Commercial: $5,658 Midwest Network Alliance — Non-Owner: $5,303 Midwest Network Alliance — Owner: $5,121 Molina — Medicare Advantage: $3,358
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Diagnostic exam of large bowel using an endoscope	Not listed in the file	Not listed in the file	$168 – $1,076
Colonoscopy (diagnostic): rates for 8 insurance plans Ambetter — Commercial: $407 Medica — Commercial: $376 Midlands Choice — Commercial: $1,076 Midwest Network Alliance — Non-Owner: $360 Midwest Network Alliance — Owner: $349 Molina — Medicare Advantage: $183 Nebraska Total Care — Medicare Advantage: $168 United Health Care — Commercial: $719
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of large bowel using an endoscope	$7,290	$4,374	$3,689 – $6,926
Colonoscopy with biopsy: 10 of 14 insurance plan rates Ambetter — Commercial: $6,707 Blue Cross and Blue Shield of Nebraska — Commercial: $6,452 Coventry — HMO: $6,853 Coventry — PPO: $6,926 GEHA — Commercial: $6,853 Medica — Commercial: $6,707 Midlands Choice — Commercial: $6,780 Midwest Network Alliance — Non-Owner: $6,355 Midwest Network Alliance — Owner: $6,136 Molina — Medicare Advantage: $4,024
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Biopsy exam of large bowel using an endoscope	Not listed in the file	Not listed in the file	$182 – $1,387
Colonoscopy with biopsy: rates for 8 insurance plans Ambetter — Commercial: $442 Medica — Commercial: $409 Midlands Choice — Commercial: $1,387 Midwest Network Alliance — Non-Owner: $392 Midwest Network Alliance — Owner: $380 Molina — Medicare Advantage: $198 Nebraska Total Care — Medicare Advantage: $182 United Health Care — Commercial: $927
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of polyps or growths of large bowel using an endoscope	$7,140	$4,284	$3,613 – $6,783
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates Ambetter — Commercial: $6,569 Blue Cross and Blue Shield of Nebraska — Commercial: $6,319 Coventry — HMO: $6,712 Coventry — PPO: $6,783 GEHA — Commercial: $6,712 Medica — Commercial: $6,569 Midlands Choice — Commercial: $6,640 Midwest Network Alliance — Non-Owner: $6,224 Midwest Network Alliance — Owner: $6,010 Molina — Medicare Advantage: $3,941
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of polyps or growths of large bowel using an endoscope	Not listed in the file	Not listed in the file	$229 – $1,442
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Ambetter — Commercial: $562 Medica — Commercial: $518 Midlands Choice — Commercial: $1,442 Midwest Network Alliance — Non-Owner: $496 Midwest Network Alliance — Owner: $482 Molina — Medicare Advantage: $250 Nebraska Total Care — Medicare Advantage: $229 United Health Care — Commercial: $970
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pr Colon Ca Scrn Not Hi Rsk Ind	$646	$388	$168 – $614
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates Ambetter — Commercial: $380 Blue Cross and Blue Shield of Nebraska — Commercial: $572 Coventry — HMO: $607 Coventry — PPO: $614 GEHA — Commercial: $607 Medica — Commercial: $377 Midlands Choice — Commercial: $588 Midwest Network Alliance — Non-Owner: $360 Midwest Network Alliance — Owner: $349 Molina — Medicare Advantage: $183
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of gallbladder using an endoscope	$32,671	$19,603	$16,532 – $31,037
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates Ambetter — Commercial: $30,057 Blue Cross and Blue Shield of Nebraska — Commercial: $28,914 Coventry — HMO: $30,711 Coventry — PPO: $31,037 GEHA — Commercial: $30,711 Medica — Commercial: $30,057 Midlands Choice — Commercial: $30,384 Midwest Network Alliance — Non-Owner: $28,479 Midwest Network Alliance — Owner: $27,499 Molina — Medicare Advantage: $18,034
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of gallbladder using an endoscope	Not listed in the file	Not listed in the file	$617 – $2,061
Gallbladder removal by laparoscope: rates for 8 insurance plans Ambetter — Commercial: $1,396 Medica — Commercial: $1,321 Midlands Choice — Commercial: $2,061 Midwest Network Alliance — Non-Owner: $1,255 Midwest Network Alliance — Owner: $1,217 Molina — Medicare Advantage: $673 Nebraska Total Care — Medicare Advantage: $617 United Health Care — Commercial: $1,396
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair of groin hernia patient age 5 years or older	$25,944	$15,566	$13,128 – $24,647
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates Ambetter — Commercial: $23,868 Blue Cross and Blue Shield of Nebraska — Commercial: $22,960 Coventry — HMO: $24,387 Coventry — PPO: $24,647 GEHA — Commercial: $24,387 Medica — Commercial: $23,868 Midlands Choice — Commercial: $24,128 Midwest Network Alliance — Non-Owner: $22,615 Midwest Network Alliance — Owner: $21,837 Molina — Medicare Advantage: $14,321
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Repair of groin hernia patient age 5 years or older	Not listed in the file	Not listed in the file	$497 – $1,633
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Ambetter — Commercial: $1,106 Medica — Commercial: $1,052 Midlands Choice — Commercial: $1,633 Midwest Network Alliance — Non-Owner: $998 Midwest Network Alliance — Owner: $968 Molina — Medicare Advantage: $542 Nebraska Total Care — Medicare Advantage: $497 United Health Care — Commercial: $1,106
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	$55,480	$33,288	$28,073 – $52,706
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates Ambetter — Commercial: $51,042 Blue Cross and Blue Shield of Nebraska — Commercial: $49,100 Coventry — HMO: $52,151 Coventry — PPO: $52,706 GEHA — Commercial: $52,151 Medica — Commercial: $51,042 Midlands Choice — Commercial: $51,596 Midwest Network Alliance — Non-Owner: $48,362 Midwest Network Alliance — Owner: $46,698 Molina — Medicare Advantage: $30,625
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Surgical removal of prostate and surrounding lymph nodes using an endoscope	Not listed in the file	Not listed in the file	$1,104 – $4,048
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans Ambetter — Commercial: $3,186 Medica — Commercial: $2,467 Midlands Choice — Commercial: $4,048 Midwest Network Alliance — Non-Owner: $2,346 Midwest Network Alliance — Owner: $2,275 Molina — Medicare Advantage: $1,204 Nebraska Total Care — Medicare Advantage: $1,104 United Health Care — Commercial: $3,186
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of therapeutic substance	$4,363	$2,618	$2,208 – $4,145
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates Ambetter — Commercial: $4,014 Blue Cross and Blue Shield of Nebraska — Commercial: $3,861 Coventry — HMO: $4,101 Coventry — PPO: $4,145 GEHA — Commercial: $4,101 Medica — Commercial: $4,014 Midlands Choice — Commercial: $4,058 Midwest Network Alliance — Non-Owner: $3,803 Midwest Network Alliance — Owner: $3,672 Molina — Medicare Advantage: $2,408
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Injection(s) of therapeutic substance	Not listed in the file	Not listed in the file	$92 – $558
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Ambetter — Commercial: $220 Medica — Commercial: $207 Midlands Choice — Commercial: $303 Midwest Network Alliance — Non-Owner: $196 Midwest Network Alliance — Owner: $190 Molina — Medicare Advantage: $101 Nebraska Total Care — Medicare Advantage: $92 United Health Care — Commercial: $558
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of anesthetic into lower spine using imaging guidance	$10,366	$6,220	$5,245 – $9,848
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates Ambetter — Commercial: $9,537 Blue Cross and Blue Shield of Nebraska — Commercial: $9,174 Coventry — HMO: $9,744 Coventry — PPO: $9,848 GEHA — Commercial: $9,744 Medica — Commercial: $9,537 Midlands Choice — Commercial: $9,640 Midwest Network Alliance — Non-Owner: $9,036 Midwest Network Alliance — Owner: $8,725 Molina — Medicare Advantage: $5,722
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Usin...	$11,013	$6,608	$5,573 – $10,462
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates Ambetter — Commercial: $10,132 Blue Cross and Blue Shield of Nebraska — Commercial: $9,747 Coventry — HMO: $10,352 Coventry — PPO: $10,462 GEHA — Commercial: $10,352 Medica — Commercial: $10,132 Midlands Choice — Commercial: $10,242 Midwest Network Alliance — Non-Owner: $9,600 Midwest Network Alliance — Owner: $9,270 Molina — Medicare Advantage: $6,079
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Injection(s) of anesthetic into lower spine using imaging guidance	Not listed in the file	Not listed in the file	$103 – $776
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Ambetter — Commercial: $247 Medica — Commercial: $233 Midlands Choice — Commercial: $776 Midwest Network Alliance — Non-Owner: $220 Midwest Network Alliance — Owner: $213 Molina — Medicare Advantage: $112 Nebraska Total Care — Medicare Advantage: $103 United Health Care — Commercial: $516
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Pr Neuroplasty &/Transpos Median Nrv Carpal Tunne	$1,488	$893	$424 – $1,414
Carpal tunnel release: 10 of 14 insurance plan rates Ambetter — Commercial: $921 Blue Cross and Blue Shield of Nebraska — Commercial: $1,317 Coventry — HMO: $1,399 Coventry — PPO: $1,414 GEHA — Commercial: $1,399 Medica — Commercial: $911 Midlands Choice — Commercial: $1,353 Midwest Network Alliance — Non-Owner: $860 Midwest Network Alliance — Owner: $834 Molina — Medicare Advantage: $462
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal Of Recurring Cataract In Lens Capsule Using A Laser	$4,062	$2,437	$2,055 – $3,859
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates Ambetter — Commercial: $3,737 Blue Cross and Blue Shield of Nebraska — Commercial: $3,595 Coventry — HMO: $3,818 Coventry — PPO: $3,859 GEHA — Commercial: $3,818 Medica — Commercial: $3,737 Midlands Choice — Commercial: $3,778 Midwest Network Alliance — Non-Owner: $3,541 Midwest Network Alliance — Owner: $3,419 Molina — Medicare Advantage: $2,242
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of recurring cataract in lens capsule using laser	$2,672	$1,603	$1,352 – $2,538
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates Ambetter — Commercial: $2,458 Blue Cross and Blue Shield of Nebraska — Commercial: $2,365 Coventry — HMO: $2,512 Coventry — PPO: $2,538 GEHA — Commercial: $2,512 Medica — Commercial: $2,458 Midlands Choice — Commercial: $2,485 Midwest Network Alliance — Non-Owner: $2,329 Midwest Network Alliance — Owner: $2,249 Molina — Medicare Advantage: $1,475
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Removal of recurring cataract in lens capsule using laser	Not listed in the file	Not listed in the file	$284 – $943
Laser treatment of clouding after cataract surgery: rates for 8 insurance plans Ambetter — Commercial: $677 Medica — Commercial: $644 Midlands Choice — Commercial: $943 Midwest Network Alliance — Non-Owner: $618 Midwest Network Alliance — Owner: $600 Molina — Medicare Advantage: $310 Nebraska Total Care — Medicare Advantage: $284 United Health Care — Commercial: $677
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal Of Cataract With Insertion Of Prosthetic Lens	$6,767	$4,060	$3,424 – $6,429
Cataract removal with lens implant: 10 of 14 insurance plan rates Ambetter — Commercial: $6,226 Blue Cross and Blue Shield of Nebraska — Commercial: $5,989 Coventry — HMO: $6,361 Coventry — PPO: $6,429 GEHA — Commercial: $6,361 Medica — Commercial: $6,226 Midlands Choice — Commercial: $6,293 Midwest Network Alliance — Non-Owner: $5,899 Midwest Network Alliance — Owner: $5,696 Molina — Medicare Advantage: $3,735
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of cataract with insertion of lens	$5,864	$3,518	$2,967 – $5,571
Cataract removal with lens implant: 10 of 14 insurance plan rates Ambetter — Commercial: $5,395 Blue Cross and Blue Shield of Nebraska — Commercial: $5,190 Coventry — HMO: $5,512 Coventry — PPO: $5,571 GEHA — Commercial: $5,512 Medica — Commercial: $5,395 Midlands Choice — Commercial: $5,454 Midwest Network Alliance — Non-Owner: $5,112 Midwest Network Alliance — Owner: $4,936 Molina — Medicare Advantage: $3,237
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 50 In the file: Removal of cataract with insertion of lens	Not listed in the file	Not listed in the file	$1,047 – $1,641
Cataract removal with lens implant: rates for 6 insurance plans Ambetter — Commercial: $1,193 Medica — Commercial: $1,127 Midlands Choice — Commercial: $1,641 Midwest Network Alliance — Non-Owner: $1,079 Midwest Network Alliance — Owner: $1,047 United Health Care — Commercial: $1,193

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric care, planned vaginal delivery	$27,888	$16,733	$14,111 – $26,494
Vaginal delivery, with care before and after: 10 of 14 insurance plan rates Ambetter — Commercial: $25,657 Blue Cross and Blue Shield of Nebraska — Commercial: $24,681 Coventry — HMO: $26,215 Coventry — PPO: $26,494 GEHA — Commercial: $26,215 Medica — Commercial: $25,657 Midlands Choice — Commercial: $25,936 Midwest Network Alliance — Non-Owner: $24,310 Midwest Network Alliance — Owner: $23,473 Molina — Medicare Advantage: $15,394
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Obstetric care, planned vaginal delivery	Not listed in the file	Not listed in the file	$2,142 – $5,392
Vaginal delivery, with care before and after: rates for 8 insurance plans Ambetter — Commercial: $4,459 Medica — Commercial: $4,764 Midlands Choice — Commercial: $5,392 Midwest Network Alliance — Non-Owner: $4,531 Midwest Network Alliance — Owner: $4,395 Molina — Medicare Advantage: $2,337 Nebraska Total Care — Medicare Advantage: $2,142 United Health Care — Commercial: $4,459

Source: Great Plains Health’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 October 23, 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 type	Acute Care Hospital
Address	601 West Leota St, North Platte, NE 69101
County	Lincoln County
State	Nebraska
Phone	(308) 568‑8000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	280065
Name in Medicare records	GREAT PLAINS HEALTH
Profile level	Medicare data + hospital website
Official website	gphealth.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 2026-10-31.

Pregnancy and childbirth | Great Plains Health — gphealth.org
Emergency services | Great Plains Health — gphealth.org
Stroke center | Great Plains Health — gphealth.org
Advanced medicine. Here at Great Plains Health Heart Institute. We provide expert and compassionate care to patients — gphealth.org
Rehabilitation | Great Plains Health — gphealth.org
Neonatal intensive care unit (NICU) | Great Plains Health — gphealth.org
LifeNet air ambulance | Great Plains Health — gphealth.org
What to expect | Great Plains Health — gphealth.org
Cancer care | Great Plains Health — gphealth.org
Diagnostic imaging | Great Plains Health — gphealth.org
Great Plains Health Imaging | Great Plains Health — gphealth.org
General surgery | Great Plains Health — gphealth.org
Neurosciences | Great Plains Health — gphealth.org

Great Plains Health

Summary

Profile from official sources

At a glance