Quick answers
- Does Providence Medical Center have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Providence Medical Center. In a medical emergency, call 911.
- Where is Providence Medical Center?
- 1200 Providence Rd, Wayne, NE 68787, in Wayne County, Nebraska.
- What is the phone number of Providence Medical Center?
- (402) 375-3800, as listed by Medicare (CMS).
- What is the Medicare star rating of Providence Medical Center?
- 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][6][7]
- Audiology
- Behavioral Health
- Cancer & Hematology
- Dermatology
- Digestive Care
- Ear, Nose and Throat
- Emergency and Trauma Care
- Eye Care
- Heart Health
- Home Health & Hospice
- Imaging Services
- Lab Services
- Mother and Baby Care
- Nephrology
- Neurology
- Nutritional Counseling
- Orthopedics
- Pain Management
- Palliative Care
- Pharmacy
- Podiatry
- Pulmonary Care
- Rehabilitation Therapy
- Skilled Nursing
- Senior Care
- Surgical Care
- Urology
- Wound Care
- Women's Health
- General surgery
- Obstetrics and gynecology
- Neurosurgery
Treatments[4][7]
- Sedation services
- Remote patient monitoring
- Wound care
- Hospice care
- Palliative care
Procedures[7]
- Foot and ankle surgery
- Hand, wrist and elbow surgery
- Inpatient and outpatient surgery
Programs and centers[4][6]
- Sexual Assault Response Team (SART)
- Wellness Center
- Senior Life Solutions
- Walk-In Clinic
- Wayne State College Student Health
Emergency care (hospital website)[6]
| Emergency room | Yes |
|---|---|
| Trauma designation | Level IV |
Visiting and practical information
| Visiting | Visiting hours are open; check with admission or the main desk before visiting[5] |
|---|---|
| Interpreters and languages | 24/7 interpreter service available to all patients and departments; portal also in Spanish[8][9] |
| Patient portal | MyHealth Portal |
Doctors and clinicians (77)
77 doctors and other clinicians list Providence Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Physician Assistant15
- Nurse Practitioner10
- Family Practice9
- Diagnostic Radiology4
- Orthopedic Surgery3
- Cardiovascular Disease (Cardiology)3
- Pulmonary Disease3
- Podiatry2
- Dermatology2
- Internal Medicine2
- Neurosurgery2
- Neurology2
Doctors with a page on this site (77)
- Adam D. DiedikerNurse Practitioner
- Afua D. Ntem-Mensah, MDInfectious Disease
- Allison R. OwingsNurse Practitioner
- Amber R. AmickNurse Practitioner
- Amy Frazier, MDPsychiatry
- Angela McLaughlin, DOFamily Practice
- Anne M. Liska, PAPhysician Assistant
- Aubrey A. MwinyogleVascular Surgery
- Autumn M. SeeiPhysician Assistant
- Camille A. KantaiNurse Practitioner
- Casandra M. TuckerPhysician Assistant
- Cole RehaFamily Practice
- Craig R. Nemechek, MDGeneral Surgery
- Crystal M. OberlePhysician Assistant
- Daniel A. Olsen, DOUrology
- Daniel W. Gillette, MDPsychiatry
- David G. St. JohnPhysician Assistant
- Enas Al Zaghal, MDEndocrinology
- Fadi Rzouq, MDGastroenterology
- Gary J. WestPhysician Assistant
- Heather KreberPhysician Assistant
- Hendrik B. Klopper, MDNeurosurgery
- Ian L. Engebretsen, MDFamily Practice
- Inderjit Chabra, MDDermatology
And 53 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Pender Community Hospital17 mi · Pender, NE · Critical Access Hospital
- Faith Health27 mi · Norfolk, NE · Acute Care Hospital
- Twelve Clans Unity Hospital27 mi · Winnebago, NE · Acute Care Hospital
- St Francis Memorial Hospital32 mi · West Point, NE · Critical Access Hospital
- Osmond General Hospital32 mi · Osmond, NE · Critical Access Hospital
Find the closest emergency room to where you are → · Compare ER wait times
Other hospitals near Wayne
- Dunes Surgical Hospital32 mi · Dakota Dunes, SD · Acute Care Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Wayne Countryview Care and Rehabilitation0.2 mi · Wayne, NE · 3 of 5 stars
- Wakefield Health Care Center7.2 mi · Wakefield, NE · 3 of 5 stars
- Heritage of Emerson15 mi · Emerson, NE · 5 of 5 stars
All nursing homes in the state →
Hospice providers
- Providence Hospice2.2 mi · Wayne, NE
All hospice providers in the state →
Home health agencies
- Providence Medical Center Home Health2.2 mi · Wayne, NE · 3.5 of 5 stars
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- Midtown Health Center - Wayne State College0.1 mi · Wayne, NE · Community health center
- Midtown Health Center - Woodland Park Elementary School22 mi · Norfolk, NE · Community health center
- Midtown NECC24 mi · Norfolk, NE · Community health center
Clinics and urgent care
- PCH Medical Clinic - Emerson15 mi · Emerson, NE · Rural health clinic
- PCH Medical Clinic - Pender17 mi · Pender, NE · Rural health clinic
- Franciscan Healthcare Wisner Clinic17 mi · Wisner, NE · Rural health clinic
Pharmacies
- Providence Medical Center2.2 mi · Wayne, NE · Community/retail pharmacy
- Westholl Inc2.2 mi · Wayne, NE · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- Country View Assisted Living2.2 mi · Wayne, NE
- Kinship Pointe at Wayne2.2 mi · Wayne, NE
- Wakefield Health Care Center6.1 mi · Wakefield, NE
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Providence Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Rated the hospital 9 or 10 out of 10 | 76%National average: 72% |
|---|---|
| Would definitely recommend the hospital | 84%National average: 71% |
| Nurses “always” communicated well | 84%National average: 80% |
| Doctors “always” communicated well | 86%National average: 80% |
| “Always” got help as soon as they wanted | 76%National average: 64% |
| Staff “always” explained medicines before giving them | 55%National average: 62% |
| Were given information about recovery at home | 85%National average: 86% |
| Room and bathroom “always” clean | 86%National average: 73% |
| Not reported to Medicare | Summary 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 surveys | 59Response rate: 31% |
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 patients | 22.2% |
|---|---|
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90) |
| Too few cases to report | Deaths 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; Complications after hip or knee replacement |
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) | 15.5% |
|---|---|
| Readmitted within 30 days: pneumonia | 17.1% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement |
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) | 120 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 0%National average: 2% |
| Not reported to Medicare | Sepsis 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).
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 64 common services exactly as Providence Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 64 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203-Level 3 New - 0516 | $233 | $198.05 | $116.62 – $228.34 |
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 3 New O/P 99203 | $233 | $198.05 | $116.62 – $228.34 |
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 3-New-Surgical O/P-99203 | $233 | $198.05 | $116.62 – $228.34 |
New patient office visit (about 30–44 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204-Level 4 New - 0516 | $345 | $293.25 | $155.02 – $338.10 |
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 4 New O/P 99204 | $345 | $293.25 | $155.02 – $338.10 |
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 4-New-Surgical O/P-99204 | $345 | $293.25 | $155.02 – $338.10 |
New patient office visit (about 45–59 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205-Level 5 New - 0516 | $452 | $384.20 | $210.16 – $442.96 |
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 5 New O/P 99205 | $452 | $384.20 | $210.16 – $442.96 |
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 5-New-Surgical O/P-99205 | $452 | $384.20 | $210.16 – $442.96 |
New patient office visit (about 60–74 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213 Level 3 Established Psychiatry | $159 | $135.15 | $93.81 – $155.82 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213-Level 3 Established - 0516 | $159 | $135.15 | $93.81 – $155.82 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 3 Established 99213 | $159 | $135.15 | $93.81 – $155.82 |
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214 Level 4 Established Psychiatry | $244 | $207.40 | $143.96 – $239.12 |
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214-Level 4 Established - 0516 | $244 | $207.40 | $143.96 – $239.12 |
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Level 4 Established 99214 | $244 | $207.40 | $143.96 – $239.12 |
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99385-Initial Preventative Visit-New-Age 18-39 | $205 | $174.25 | $120.95 – $200.90 |
Preventive checkup, new patient, age 18–39: rates for 10 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99385-Initial Preventative Visit-New-Age 18-39 | $205 | $174.25 | $184.50 – $200.90 |
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - FAC ED Level 3 - Room Charge | $537 | $456.45 | $316.83 – $526.26 |
Emergency room visit (moderate): rates for 10 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 LEVEL 3 ER PHYSICIAN ED PRO FEE CHARGE | $364 | $309.40 | $214.76 – $356.72 |
Emergency room visit (moderate): rates for 10 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - Level 3 - Lynx Visit Level | $451 | $383.35 | $266.09 – $441.98 |
Emergency room visit (moderate): rates for 10 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - FAC ED Level 4 Room Charge | $1,017 | $864.45 | $600.03 – $996.66 |
Emergency room visit (moderately high): rates for 10 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 LEVEL 4 ER PHYSICIAN ED PRO FEE CHARGE | $692 | $588.20 | $408.28 – $678.16 |
Emergency room visit (moderately high): rates for 10 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - Level 4 - Lynx Visit Level | $677 | $575.45 | $399.43 – $663.46 |
Emergency room visit (moderately high): rates for 10 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - FAC ED Level 5 - Room Charge | $1,498 | $1,273.30 | $883.82 – $1,468.04 |
Emergency room visit (high): rates for 10 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 LEVEL 5 ER PHYSICIAN ED PRO FEE CHARGE | $1,019 | $866.15 | $601.21 – $998.62 |
Emergency room visit (high): rates for 10 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - Level 5 - Lynx Visit Level | $1,023 | $869.55 | $603.57 – $1,002.54 |
Emergency room visit (high): rates for 10 insurance plans
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel Standard | $157 | $133.45 | $92.63 – $153.86 |
Basic metabolic panel (blood test): rates for 10 insurance plans
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill BMP | $140 | $119 | $82.60 – $137.20 |
Basic metabolic panel (blood test): rates for 10 insurance plans
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel Standard | $157 | $133.45 | $141.30 – $153.86 |
Basic metabolic panel (blood test): rates for 6 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill CMP | $165 | $140.25 | $97.35 – $161.70 |
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel Standard | $185 | $157.25 | $109.15 – $181.30 |
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bill CMP | $165 | $140.25 | $148.50 – $161.70 |
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel 2 | $217 | $184.45 | $102.88 – $212.66 |
Cholesterol panel (lipid panel): rates for 10 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Screen UP | $193 | $164.05 | $102.88 – $189.14 |
Cholesterol panel (lipid panel): rates for 10 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Lipid Panel 2 | $217 | $184.45 | $195.30 – $212.66 |
Cholesterol panel (lipid panel): rates for 6 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill Renal | $132 | $112.20 | $77.88 – $129.36 |
Kidney function panel: rates for 10 insurance plans
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Panel Standard | $132 | $112.20 | $77.88 – $129.36 |
Kidney function panel: rates for 10 insurance plans
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bill Renal | $132 | $112.20 | $118.80 – $129.36 |
Kidney function panel: rates for 6 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill Hepatic | $125 | $106.25 | $73.75 – $122.50 |
Liver function panel: rates for 10 insurance plans
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver Panel | $125 | $106.25 | $73.75 – $122.50 |
Liver function panel: rates for 10 insurance plans
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bill Hepatic | $125 | $106.25 | $112.50 – $122.50 |
Liver function panel: rates for 6 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic | $68 | $57.80 | $30.91 – $66.64 |
Urine test (automated, with microscope): rates for 10 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic | $68 | $57.80 | $61.20 – $66.64 |
Urine test (automated, with microscope): rates for 6 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Dipstick Standard | $60 | $51 | $35.40 – $58.80 |
Urine test (automated, without microscope): rates for 10 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis Dipstick Standard | $60 | $51 | $54 – $58.80 |
Urine test (automated, without microscope): rates for 6 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (Free and Total) QST | $38 | $32.30 | $22.42 – $37.24 |
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Diagnostic | $164 | $139.40 | $96.76 – $160.72 |
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA Screen | $164 | $139.40 | $96.76 – $160.72 |
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Chronic Urticaria Panel | $120 | $102 | $70.80 – $117.60 |
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone | $221 | $187.85 | $88.94 – $216.58 |
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Chronic Urticaria Panel | $120 | $102 | $108 – $117.60 |
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill CBC w/auto diff | $106 | $90.10 | $62.54 – $103.88 |
Complete blood count (CBC) with differential: rates for 10 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count with Automated Differential | $106 | $90.10 | $62.54 – $103.88 |
Complete blood count (CBC) with differential: rates for 10 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bill CBC w/auto diff | $106 | $90.10 | $95.40 – $103.88 |
Complete blood count (CBC) with differential: rates for 6 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bill CBC | $79 | $67.15 | $46.61 – $77.42 |
Complete blood count (CBC), automated: rates for 10 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count | $89 | $75.65 | $52.51 – $87.22 |
Complete blood count (CBC), automated: rates for 10 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bill CBC | $79 | $67.15 | $71.10 – $77.42 |
Complete blood count (CBC), automated: rates for 6 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time | $75 | $63.75 | $32.01 – $73.50 |
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time | $75 | $63.75 | $67.50 – $73.50 |
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT LA Screen QST | $19 | $16.15 | $11.21 – $18.62 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time | $96 | $81.60 | $56.64 – $94.08 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time, Active QST | $29 | $24.65 | $17.11 – $28.42 |
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head or Brain w/o Cont | $1,884 | $1,601.40 | $1,111.56 – $1,846.32 |
CT scan of the head or brain, without contrast: rates for 10 insurance plans
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head or Brain w/o Cont | $1,884 | $1,601.40 | $1,695.60 – $1,846.32 |
CT scan of the head or brain, without contrast: rates for 6 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain w/ + w/o Cont | $3,991 | $3,392.35 | $2,354.69 – $3,911.18 |
MRI of the brain, before and after contrast: rates for 10 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI IAC w/ + w/o Cont | $3,991 | $3,392.35 | $2,354.69 – $3,911.18 |
MRI of the brain, before and after contrast: rates for 10 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Pituitary Gland w/ + w/o Cont | $3,991 | $3,392.35 | $2,354.69 – $3,911.18 |
MRI of the brain, before and after contrast: rates for 10 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 Views | $290 | $246.50 | $136.73 – $284.20 |
Chest X-ray, 2 views: rates for 10 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Chest 2 Views | $290 | $246.50 | $261 – $284.20 |
Chest X-ray, 2 views: rates for 6 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral Min 4 Views w/ Obl | $446 | $379.10 | $263.14 – $437.08 |
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral Min 4 Views w/ Obl | $446 | $379.10 | $401.40 – $437.08 |
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Cont | $2,327 | $1,977.95 | $1,372.93 – $2,280.46 |
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Cont | $2,327 | $1,977.95 | $2,094.30 – $2,280.46 |
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w/ Cont | $3,592 | $3,053.20 | $2,119.28 – $3,520.16 |
CT scan of the pelvis, with contrast: rates for 10 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis w/ Cont | $3,592 | $3,053.20 | $3,232.80 – $3,520.16 |
CT scan of the pelvis, with contrast: rates for 6 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle w/o Cont Lt | $2,560 | $2,176 | $1,510.40 – $2,508.80 |
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle w/o Cont Rt | $2,560 | $2,176 | $1,510.40 – $2,508.80 |
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Hip w/o Cont Lt | $2,560 | $2,176 | $1,510.40 – $2,508.80 |
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PMC CT Abdomen +Pelvis w/ Cont | $4,901 | $4,165.85 | $2,858.73 – $4,802.98 |
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen +Pelvis w/ Cont | $4,901 | $4,165.85 | $2,858.73 – $4,802.98 |
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PMC CT Abdomen +Pelvis w/ Cont | $4,901 | $4,165.85 | $4,410.90 – $4,802.98 |
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Comp | $851 | $723.35 | $502.09 – $833.98 |
Ultrasound of the abdomen, complete: rates for 10 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdomen Comp | $851 | $723.35 | $765.90 – $833.98 |
Ultrasound of the abdomen, complete: rates for 6 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pregnant Complete | $946 | $804.10 | $558.14 – $927.08 |
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Pregnant Complete | $946 | $804.10 | $851.40 – $927.08 |
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PMC US Transvaginal | $872 | $741.20 | $514.48 – $854.56 |
Transvaginal ultrasound: rates for 10 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Pelvis Transvaginal | $872 | $741.20 | $514.48 – $854.56 |
Transvaginal ultrasound: rates for 10 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PMC US Transvaginal | $872 | $741.20 | $784.80 – $854.56 |
Transvaginal ultrasound: rates for 6 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Diag Rt. | $387 | $328.95 | $228.33 – $379.26 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Diag Lt. | $387 | $328.95 | $228.33 – $379.26 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Diag Ltd Marker Placement Lt | $387 | $328.95 | $228.33 – $379.26 |
Diagnostic mammogram, one breast: rates for 10 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Diag Bil. | $432 | $367.20 | $254.88 – $423.36 |
Diagnostic mammogram, both breasts: rates for 10 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Diag Bil. | $432 | $367.20 | $388.80 – $423.36 |
Diagnostic mammogram, both breasts: rates for 6 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MA Routine Screen Bil. | $416 | $353.60 | $245.44 – $407.68 |
Screening mammogram, both breasts: rates for 10 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MA Routine Screen Bil. | $416 | $353.60 | $374.40 – $407.68 |
Screening mammogram, both breasts: rates for 6 insurance plans
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EKG - CVI Clinic Only | $232 | $197.20 | $136.88 – $227.36 |
Electrocardiogram (ECG/EKG) with reading: rates for 10 insurance plans
| |||
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EKG - CVI Clinic Only | $232 | $197.20 | $208.80 – $227.36 |
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 95810 Polysomnography; attended by a technologist 981 | $1,311 | $1,114.35 | $773.49 – $1,284.78 |
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 95810 SLEEP STUDY CHARGE | $4,004 | $3,403.40 | $2,362.36 – $3,923.92 |
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 95810 Polysomnography; attended by a technologist 981 | $1,311 | $1,114.35 | $1,179.90 – $1,284.78 |
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Rehab Units | $121 | $102.85 | $71.39 – $118.58 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Exercise Charges | $121 | $102.85 | $71.39 – $118.58 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Therapeutic Exercise Units | $121 | $102.85 | $71.39 – $118.58 |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Low Complexity Units | $313 | $266.05 | $184.67 – $306.74 |
Physical therapy evaluation (low complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Low Complex Units | $313 | $266.05 | $184.67 – $306.74 |
Physical therapy evaluation (low complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Evaluation Low Complexity Units | $313 | $266.05 | $281.70 – $306.74 |
Physical therapy evaluation (low complexity): rates for 6 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Moderate Complexity Units | $313 | $266.05 | $184.67 – $306.74 |
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Moderate Complex Units | $313 | $266.05 | $184.67 – $306.74 |
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Evaluation Moderate Complexity Units | $313 | $266.05 | $281.70 – $306.74 |
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation High Complexity Units | $313 | $266.05 | $184.67 – $306.74 |
Physical therapy evaluation (high complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT High Complex Units | $313 | $266.05 | $184.67 – $306.74 |
Physical therapy evaluation (high complexity): rates for 10 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Evaluation High Complexity Units | $313 | $266.05 | $281.70 – $306.74 |
Physical therapy evaluation (high complexity): rates for 6 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90832 16-37 mins. Individual Psychotherapy SLS | $383 | $325.55 | $225.97 – $375.34 |
Psychotherapy, 30 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 30 minutes with patient and/or family member | $313 | $266.05 | $184.67 – $306.74 |
Psychotherapy, 30 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90832 16-37 mins. Individual Psychotherapy SLS | $383 | $325.55 | $344.70 – $375.34 |
Psychotherapy, 30 minutes: rates for 6 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90834 38-52 mins. Individual Psychotherapy SLS | $409 | $347.65 | $241.31 – $400.82 |
Psychotherapy, 45 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 45 minutes with patient and/or family member | $264 | $224.40 | $155.76 – $258.72 |
Psychotherapy, 45 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90834 38-52 mins. Individual Psychotherapy SLS | $409 | $347.65 | $368.10 – $400.82 |
Psychotherapy, 45 minutes: rates for 6 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90837 53-67 mins. Individual Psychotherapy SLS | $438 | $372.30 | $258.42 – $429.24 |
Psychotherapy, 60 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy, 60 minutes with patient and/or family member | $625 | $531.25 | $368.75 – $612.50 |
Psychotherapy, 60 minutes: rates for 10 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90837 53-67 mins. Individual Psychotherapy SLS | $438 | $372.30 | $394.20 – $429.24 |
Psychotherapy, 60 minutes: rates for 6 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90846 Family Psychotherapy w/o Patient Present SLS | $420 | $357 | $247.80 – $411.60 |
Family psychotherapy, without the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psychotherapy (without the patient present) | $503 | $427.55 | $296.77 – $492.94 |
Family psychotherapy, without the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90846 Family Psychotherapy w/o Patient Present SLS | $420 | $357 | $378 – $411.60 |
Family psychotherapy, without the patient: rates for 6 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90847 Family Psychotherapy w/ Patient Present (conjoint) SLS | $420 | $357 | $247.80 – $411.60 |
Family psychotherapy, with the patient: rates for 10 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90847 Family Psychotherapy w/ Patient Present (conjoint) SLS | $420 | $357 | $378 – $411.60 |
Family psychotherapy, with the patient: rates for 6 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: 90847 Psychotherapy, family w/ patient present, 50 min | $242 | $205.70 | $121.70 – $191.65 |
Family psychotherapy, with the patient: rates for 2 insurance plans
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 90853 Group psychotherapy SLS | $362 | $307.70 | $213.58 – $354.76 |
Group psychotherapy: rates for 10 insurance plans
| |||
| Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 90853 Group psychotherapy SLS | $362 | $307.70 | $325.80 – $354.76 |
Group psychotherapy: rates for 6 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 19120 Exc of cyst, tumor, or breast tissue, open 1 or more lesions | $1,271 | $1,080.35 | $749.89 – $1,245.58 |
Removal of breast growth (open surgery): rates for 10 insurance plans
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 19120 Exc of cyst, tumor, or breast tissue, open 1 or more lesions | $1,271 | $1,080.35 | $1,143.90 – $1,245.58 |
Removal of breast growth (open surgery): rates for 6 insurance plans
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: 27130 Total hip arthroplasty | $2,363 | $2,008.55 | $2,085.20 – $2,905.05 |
Total hip replacement: rates for 2 insurance plans
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: 27447 Arthroplasty knee; medial and lateral compartments | $2,361 | $2,006.85 | $2,082.24 – $2,898.38 |
Total knee replacement: rates for 2 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: 29881 Arthroscopy knee; w/ meniscectomy medial or lateral w/ shaving | $1,005 | $854.25 | $932.20 – $1,243.76 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43235 EGD Transoral Diagnostic | $1,929 | $1,639.65 | $1,138.11 – $1,890.42 |
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 43235 EGD Transoral Diagnostic | $1,929 | $1,639.65 | $1,736.10 – $1,890.42 |
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43239 EGD Transoral Biopsy Single/Multiple | $2,853 | $2,425.05 | $1,683.27 – $2,795.94 |
Upper GI endoscopy with biopsy: rates for 10 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 43239 EGD Transoral Biopsy Single/Multiple | $2,853 | $2,425.05 | $2,567.70 – $2,795.94 |
Upper GI endoscopy with biopsy: rates for 6 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45378 Colonoscopy (diagnostic) | $2,443 | $2,076.55 | $1,441.37 – $2,394.14 |
Colonoscopy (diagnostic): rates for 10 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening: Colonoscopy on HIGH Risk Individual | $2,397 | $2,037.45 | $1,414.23 – $2,349.06 |
Colonoscopy (diagnostic): rates for 10 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening: Colonoscopy on Individual NOT meeting high risk criteria | $2,397 | $2,037.45 | $1,414.23 – $2,349.06 |
Colonoscopy (diagnostic): rates for 10 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45380 Colonoscopy W/Biopsy Single/Multiple | $3,847 | $3,269.95 | $2,269.73 – $3,770.06 |
Colonoscopy with biopsy: rates for 10 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 45380 Colonoscopy W/Biopsy Single/Multiple | $3,847 | $3,269.95 | $3,462.30 – $3,770.06 |
Colonoscopy with biopsy: rates for 6 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45385 Colonoscopy W/ Removal of Tumor Polyp Lesion by Snare | $3,173 | $2,697.05 | $1,872.07 – $3,109.54 |
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 45385 Colonoscopy W/ Removal of Tumor Polyp Lesion by Snare | $3,173 | $2,697.05 | $2,855.70 – $3,109.54 |
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Screening: Colonoscopy on Individual NOT meeting high risk criteria | $2,397 | $2,037.45 | $1,414.23 – $2,349.06 |
Screening colonoscopy (not high risk): rates for 10 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Screening: Colonoscopy on Individual NOT meeting high risk criteria | $2,397 | $2,037.45 | $2,157.30 – $2,349.06 |
Screening colonoscopy (not high risk): rates for 6 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 58558 Hysteroscopy w/ biopsy, w or w/o D&C | $6,306 | $5,360.10 | $3,720.54 – $6,179.88 |
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 58558 Hysteroscopy w/ biopsy, w or w/o D&C | $6,306 | $5,360.10 | $5,675.40 – $6,179.88 |
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 62323 Lumbar,Caudal,Sacral injection with Image guidance | $1,548 | $1,315.80 | $913.32 – $1,517.04 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
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| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESI-L or S (caudal) | $1,875 | $1,593.75 | $1,106.25 – $1,837.50 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
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| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 62323 Lumbar,Caudal,Sacral injection with Image guidance | $1,548 | $1,315.80 | $1,393.20 – $1,517.04 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 64483 Inj Transforaminal Epidural, L or S, Single | $1,123 | $954.55 | $662.57 – $1,100.54 |
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transforaminal epidural L or S single injection | $1,424 | $1,210.40 | $840.16 – $1,395.52 |
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
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| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 64483 Inj Transforaminal Epidural, L or S, Single | $1,123 | $954.55 | $1,010.70 – $1,100.54 |
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans
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| Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal Tunnel Release | $4,891 | $4,157.35 | $2,885.69 – $4,793.18 |
Carpal tunnel release: rates for 10 insurance plans
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| Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Carpal Tunnel Release | $4,891 | $4,157.35 | $4,401.90 – $4,793.18 |
Carpal tunnel release: rates for 6 insurance plans
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| Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: 64721 Carpal tunnel release Profee Bilateral | $808 | $686.80 | $619.94 – $1,008.30 |
Carpal tunnel release: rates for 5 insurance plans
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| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 66821 YAG; Discission of secondary membranous cataract ; laser surgery | $1,192 | $1,013.20 | $703.28 – $1,168.16 |
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
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| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG Laser Bilateral | $2,384 | $2,026.40 | $1,406.56 – $2,336.32 |
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
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| Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: YAG Laser, Left | $1,192 | $1,013.20 | $703.28 – $1,168.16 |
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
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| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract Extraction with Intraocular Lens Implantation | $4,260 | $3,621 | $2,513.40 – $4,174.80 |
Cataract removal with lens implant: rates for 10 insurance plans
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| Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract Extraction with Intraocular Lens Implantation CHARGE | $4,772 | $4,056.20 | $2,815.48 – $4,676.56 |
Cataract removal with lens implant: rates for 10 insurance plans
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| Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cataract Extraction with Intraocular Lens Implantation | $4,260 | $3,621 | $3,834 – $4,174.80 |
Cataract removal with lens implant: rates for 6 insurance plans
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Source: Providence Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 20, 2026; retrieved November 5, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Critical Access Hospital |
|---|---|
| Address | 1200 Providence Rd, Wayne, NE 68787 |
| County | Wayne County |
| State | Nebraska |
| Phone | (402) 375‑3800 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | Not rated by CMS |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 281345 |
| Name in Medicare records | PROVIDENCE MEDICAL CENTER |
| Profile level | Medicare data + hospital website |
| Official website | providencemedical.com |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-11-02.
- Providence Medical Center — providencemedical.com
- Contact Us — providencemedical.com
- Emergency and Trauma Care — providencemedical.com
- Surgical Care – Providence Medical Center — providencemedical.com
- MyHealth Portal – Providence Medical Center — providencemedical.com
- Language Access Services – Providence Medical Center — providencemedical.com