Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Critical Access Hospital

Perkins County Health Services

Grant, Nebraska · Perkins County · Emergency services listed

Perkins County Health Services is a critical access hospital at 900 Lincoln Ave, Grant, NE 69140. Phone: (308) 352-7200. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 31, 2026).

Summary

Perkins County Health Services is a critical access hospital in Grant, Nebraska. Medicare data lists emergency services. Its official website lists 64 services, specialties and programs. Medicare lists 77 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

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

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-31). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
64Services listed

Quick answers

Does Perkins County Health Services have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Perkins County Health Services. In a medical emergency, call 911.
Where is Perkins County Health Services?
900 Lincoln Ave, Grant, NE 69140, in Perkins County, Nebraska.
What is the phone number of Perkins County Health Services?
(308) 352-7200, as listed by Medicare (CMS).
What is the Medicare star rating of Perkins County Health Services?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][7][8][9][12]

Conditions treated[8][9]

Treatments[4][7][8][9]

Procedures[4][6][8]

Programs and centers[9][11]

  • Cardiac Rehab
  • Wise and Well Wednesdays

Emergency care (hospital website)[12]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisiting hours are open; check with admissions or the main desk beforehand to find the best time[10]

Doctors and clinicians (77)

77 doctors and other clinicians list Perkins County Health Services 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 (77)

And 53 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Grant

Hospitals in Perkins County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Community care nearby

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

Clinics and urgent care

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Perkins County Health Services 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.

Rated the hospital 9 or 10 out of 1088%National average: 72%
Would definitely recommend the hospital83%National average: 71%
Nurses “always” communicated well86%National average: 80%
Doctors “always” communicated well76%National average: 80%
“Always” got help as soon as they wanted83%National average: 64%
Staff “always” explained medicines before giving them81%National average: 62%
Were given information about recovery at home92%National average: 86%
Room and bathroom “always” clean82%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys39Response rate: 39%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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: pneumonia patients17.2%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16.3%
Readmitted within 30 days: pneumonia17.9%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart failure; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)132 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Not reported to MedicareSepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Perkins County Health Services 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 →

Show the prices of 65 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP Visit- Level 3 NP $102 $102 Not listed in the file
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Wound Clinic new Level 3 $150 $150 Not listed in the file
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: Pro Fee: New Patient-Detailed $314 $314 Not listed in the file
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP Visit- Level 4 NP $130 $130 Not listed in the file
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Wound Clinic new Level 4 $228 $228 Not listed in the file
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: Pro Fee: New Patient-Comprehensive/Moder $322 $322 Not listed in the file
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP Visit- Level 5 NP $153 $153 Not listed in the file
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Wound Clinic new Level 5 $400 $400 Not listed in the file
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: Pro Fee: New Patient-Comprehensive/High $408 $408 Not listed in the file
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP Visit- Level 3 $100 $100 Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Wound Clinic est Level 3 $111 $111 Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: Pro Fee: Established Patient- Expanded $165 $165 Not listed in the file
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP Visit- Level 4 $115 $115 Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Wound Clinic est Level 4 $164 $164 Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: Pro Fee: Established Patient- Detailed $244 $244 Not listed in the file
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: Pro Fee: Consult-Detailed $518 $518 Not listed in the file
Office consultation with a specialist (moderate): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient In the file: Pro Fee: Consult-Comp/Mod $763 $763 Not listed in the file
Office consultation with a specialist (moderate to high): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Prev Med New 18-39 year 99385 $349 $349 Not listed in the file
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Prev Med New 40-64 year 99386 $381 $381 Not listed in the file
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Room-Level 3 $533 $533 Not listed in the file
Emergency room visit (moderate): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Pro Fee: ER Visit-Low $244 $244 Not listed in the file
Emergency room visit (moderate): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Room-Level 4 $799 $799 Not listed in the file
Emergency room visit (moderately high): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Pro Fee: ER Visit-Moderate $330 $330 Not listed in the file
Emergency room visit (moderately high): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Room-Level 5 $1,281 $1,281 Not listed in the file
Emergency room visit (high): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Pro Fee: ER Visit-High $491 $491 Not listed in the file
Emergency room visit (high): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel BMP $147 $147 Not listed in the file
Basic metabolic panel (blood test): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: Basic Metabolic Panel BMP [RL BMPM] $147 $147 Not listed in the file
Basic metabolic panel (blood test): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel CMP $216 $216 Not listed in the file
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: Comprehensive Metabolic Panel [RL CMPM] $216 $216 Not listed in the file
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier W In the file: PCFC Comprehensive Metabolic Panel CMP,CLIA Waived $54 $54 Not listed in the file
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: Lipid Panel $177 $177 Not listed in the file
Cholesterol panel (lipid panel): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier W In the file: PCFC Lipid,CLIA Waived $59 $59 Not listed in the file
Cholesterol panel (lipid panel): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel $145 $145 Not listed in the file
Kidney function panel: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: Renal Function Panel [RL RENFP] $146 $146 Not listed in the file
Kidney function panel: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: Hepatic Panel $156 $156 Not listed in the file
Liver function panel: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: Urinalysis Automated with Microscopy $73 $73 Not listed in the file
Urine test (automated, with microscope): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis wo Microscopy $43 $43 Not listed in the file
Urine test (manual, without microscope): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Automated without Microscopy $58 $58 Not listed in the file
Urine test (automated, without microscope): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Automated wo Microscopy [RL] $58 $58 Not listed in the file
Urine test (automated, without microscope): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier W In the file: GMC Urinalysis Automated wo Microscopy,CLIA Waived $20 $20 Not listed in the file
Urine test (automated, without microscope): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specfic Antigen - Diagnostic $202 $202 Not listed in the file
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specfic Antigen - Screening $202 $202 Not listed in the file
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: Prostate Specific Antigen [RL PSA] $202 $202 Not listed in the file
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH w/ Reflex to FT4 $108 $108 Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH $108 $108 Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH [RL YTSHN] $108 $108 Not listed in the file
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC w/ Auto Differential $111 $111 Not listed in the file
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC [RL] $111 $111 Not listed in the file
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: Hemogram $87 $87 Not listed in the file
Complete blood count (CBC), automated: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Protime INR Coaguchek $75 $75 Not listed in the file
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Protime $75 $75 Not listed in the file
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Protime INR [RL PT] $75 $75 Not listed in the file
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT $90 $90 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: LA Sensitive PTT [RL] $90 $90 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: APTT [RL] $90 $90 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT Head or Brain $2,242 $2,242 Not listed in the file
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI Brain WWO $4,814 $4,814 Not listed in the file
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR Chest 2 view $385 $385 Not listed in the file
Chest X-ray, 2 views: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: PCFC XR Chest 2 view,Technical Component $58 $58 Not listed in the file
Chest X-ray, 2 views: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XR Lumbar Sacral 4+ view $627 $627 Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: PCFC XR L-Spine 4+ view,Technical Component $140 $140 Not listed in the file
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI Lumbar Spine WO $3,748 $3,748 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT Pelvis w $3,384 $3,384 Not listed in the file
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI Knee WO LEFT,Left Side $2,832 $2,832 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI Ankle WO LEFT,Left Side $2,832 $2,832 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI Hip WO LEFT,Left Side $2,832 $2,832 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT Abdomen Pelvis w $5,497 $5,497 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdominal Complete $1,167 $1,167 Not listed in the file
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Ascites $1,167 $1,167 Not listed in the file
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB Complete $903 $903 Not listed in the file
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TVU Non OB $728 $728 Not listed in the file
Transvaginal ultrasound: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MA Diagnoistic Mammo w CAD LEFT Implant,Left Side $405 $405 Not listed in the file
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MA Diagnostic Mammo w CAD LEFT,Left Side $405 $405 Not listed in the file
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MA Diagnostic Mammo w CAD RIGHT,Right Side $405 $405 Not listed in the file
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA Diagnostic Mammo w CAD Bilat $494 $494 Not listed in the file
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MA Diagnostic Mammo w CAD Bilat Implant $494 $494 Not listed in the file
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Screening Mammo w CAD Bilat Implant $612 $612 Not listed in the file
Screening mammogram, both breasts: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MA Screening Mammo w CAD Bilat $612 $612 Not listed in the file
Screening mammogram, both breasts: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: MA Screening Mammo w CAD LEFT,Reduced Services $408 $408 Not listed in the file
Screening mammogram, both breasts: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: PCFC EKG $60 $60 Not listed in the file
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PTA Ther EX-Attended 15min,PT Services $103 $103 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier C,GP In the file: PTA Ther EX-Attended 15min,PTA Service, PT Plan of Care $103 $103 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT Ther EX-Attended 15min,PT Services $103 $103 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT Evaluation Low Complex 20 minutes,PT Services $175 $175 Not listed in the file
Physical therapy evaluation (low complexity): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT Evalulation Mod Complex 30 minutes,PT Services $175 $175 Not listed in the file
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT Evaluation High Complex 45 minutes,PT Services $175 $175 Not listed in the file
Physical therapy evaluation (high complexity): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier RT In the file: Pro Fee: Breast Biopsy RT,Right Side $1,854 $1,854 Not listed in the file
Removal of breast growth (open surgery): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier LT In the file: Pro Fee: Breast Biopsy LT,Left Side $1,854 $1,854 Not listed in the file
Removal of breast growth (open surgery): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier RT In the file: Pro Fee: Total Hip Arthroplasty RT,Right Side $3,542 $3,542 Not listed in the file
Total hip replacement: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier LT In the file: Pro Fee: Total Hip Arthroplasty LT,Left Side $3,542 $3,542 Not listed in the file
Total hip replacement: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier AS In the file: Pro Fee AS: Total Hip Arthropla,Assistant Surgery NPP $3,542 $3,542 Not listed in the file
Total hip replacement: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: Pro Fee: Total Knee Arthroplasty Bilat $5,311 $5,311 Not listed in the file
Total knee replacement: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier RT In the file: Pro Fee: Total Knee Arthroplasty RT,Right Side $3,541 $3,541 Not listed in the file
Total knee replacement: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier LT In the file: Pro Fee: Total Knee Arthroplasty LT,Left Side $3,541 $3,541 Not listed in the file
Total knee replacement: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier RT In the file: Pro Fee: Shoulder Arthroscopy/Surgery RT,Right Side $462 $462 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier LT In the file: Pro Fee: Shoulder Arthroscopy/Surgery LT,Left Side $462 $462 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · modifier AS In the file: Pro Fee AS: Shldr Arthroscopy/Surgery,Assistant Surgery NPP $462 $462 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier RT In the file: Pro Fee: Knee- Arthroscope/Surgery RT,Right Side $1,523 $1,523 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier LT In the file: Pro Fee: Knee- Arthroscope/Surgery LT,Left Side $1,523 $1,523 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: Pro Fee: T & A Younger than 12 years $1,227 $1,227 Not listed in the file
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: Pro Fee: Gastroscopy $1,113 $1,113 Not listed in the file
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: Pro Fee: Gastroscopy w Biopsy $968 $968 Not listed in the file
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: Pro Fee: Colonoscopy $893 $893 Not listed in the file
Colonoscopy (diagnostic): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: Pro Fee: Colonoscopy w Biopsy $1,143 $1,143 Not listed in the file
Colonoscopy with biopsy: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Pro Fee: Colonoscopy/ Poly by Snare $1,205 $1,205 Not listed in the file
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Pro Fee: Screening Colonoscopy $893 $893 Not listed in the file
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: Pro Fee: Lap Cholecystectomy $3,371 $3,371 Not listed in the file
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · modifier AS In the file: Pro Fee AS: Lap Cholecystectomy,Assistant Surgery NPP $3,371 $3,371 Not listed in the file
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · modifier AS,80 In the file: Pro Fee AS: Lap Cholecystectomy,Assistant Surgery NPP, Assistant Surgeon $3,371 $3,371 Not listed in the file
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: Pro Fee: Inguinal Hernia Repair $1,452 $1,452 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: Pro Fee: Repair Inguinal Hernia BILAT $2,183 $2,183 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier AS In the file: Pro Fee AS: Inguinal Hernia Repr,Assistant Surgery NPP $1,452 $1,452 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection Interlaminar Lumbar/Sacral $1,158 $1,158 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: Pro Fee: Inj Interlaminar L/S w Image $680 $680 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection Foramen Lumbr/Sac w image $1,668 $1,668 Not listed in the file
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: Pro Fee: Inj For Lmbr/Sac with Image $541 $541 Not listed in the file
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier LT In the file: Pro Fee: Inj For Lmbr/Sac with Image LT,Left Side $541 $541 Not listed in the file
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Pro Fee: Carpal Tunnel Surgery $1,115 $1,115 Not listed in the file
Carpal tunnel release: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier 50 In the file: Pro Fee: Carpal Tunnel Surg, Bilateral,Bilateral Procedure $1,673 $1,673 Not listed in the file
Carpal tunnel release: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier LT In the file: Pro Fee: Carpal Tunnel Surgery LT,Left Side $1,115 $1,115 Not listed in the file
Carpal tunnel release: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: YAG Laser $785 $785 Not listed in the file
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: Pro Fee: Routine OB/Global Care Vaginal $5,805 $5,805 Not listed in the file
Vaginal delivery, with care before and after: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine OB/Global Care $2,919 $2,919 Not listed in the file
Vaginal delivery, with care before and after: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: Pro Fee: C-Section Global Care $6,408 $6,408 Not listed in the file
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans
  • Blue Cross Blue Shield of NE — Default: 95% (a percentage in the contract, not a dollar amount)
  • Medica Health Plan Solutions — Default: 96% (a percentage in the contract, not a dollar amount)
  • Medica IFB Medica2 — Default: 96% (a percentage in the contract, not a dollar amount)
  • Nebraska Total Care — Default: 90% (a percentage in the contract, not a dollar amount)
  • UMR Wausau/UHIS — Default: 94% (a percentage in the contract, not a dollar amount)
  • United Healthcare — Default: 94% (a percentage in the contract, not a dollar amount)

Source: Perkins County Health Services’s standard charges file (pchsgrant.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 26, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address900 Lincoln Ave, Grant, NE 69140
CountyPerkins County
StateNebraska
Phone(308) 352‑7200
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number281356
Name in Medicare recordsPERKINS COUNTY HEALTH SERVICES
Profile levelMedicare data + hospital website
Official websitepchsgrant.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

  1. Specialty Clinic — pchsgrant.com
  2. Diagnostic Imaging — pchsgrant.com
  3. Medical/Surgical Inpatient Care — pchsgrant.com
  4. Surgery — pchsgrant.com
  5. Rehabilitation Services — pchsgrant.com
  6. Visitor Information — pchsgrant.com
  7. Laboratory Department — pchsgrant.com
  8. Services — pchsgrant.com