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Critical Access Hospital

Saunders Medical Center

Wahoo, Nebraska · Saunders County · Emergency services listed

Saunders Medical Center is a critical access hospital at 1760 County Rd J, Wahoo, NE 68066. Phone: (402) 443-4191. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Saunders Medical Center is a critical access hospital in Wahoo, Nebraska. Medicare data lists emergency services. Its official website lists 101 services, specialties and programs. Medicare lists 52 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 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
101Services listed

Quick answers

Does Saunders Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Saunders Medical Center. In a medical emergency, call 911.
Where is Saunders Medical Center?
1760 County Rd J, Wahoo, NE 68066, in Saunders County, Nebraska.
What is the phone number of Saunders Medical Center?
(402) 443-4191, as listed by Medicare (CMS).
What is the Medicare star rating of Saunders 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][5][6][7][8][9][10]

Conditions treated[5][7][8]

Treatments[5][7][10][11]

Procedures[4][5][6][7][10]

Programs and centers[4][5][8][9][10][11]

  • MS clinic
  • Diabetes Care Clinic
  • Diabetes support group
  • Cardiac rehabilitation
  • Health coaches
  • Swing bed program
  • Skilled and long-term care
  • Patient-Centered Medical Home (family care clinic)
  • Behavioral health clinic

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisitors welcome anytime; after the clinic closes, enter through the emergency entrance. Children allowed at nursing staff's discretion[12]
Patient portalPatient Portal

Recognition[10]

  • Critical Access Hospital
  • Level IV Trauma Certification
  • MS Partners in Care Certification (National MS Society)
  • Cardiac Rehabilitation accreditation (AACVPR)
  • Patient-Centered Medical Home (PCMH)
  • CLIA Certificate of Accreditation (laboratory)
  • Accredited mammography/tomosynthesis facility
  • Chartis Rural Hospital Performance recognition
  • U.S. News & World Report Best Nursing Homes (skilled and long-term care)

Doctors and clinicians (52)

52 doctors and other clinicians list Saunders 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

Doctors with a page on this site (52)

And 28 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 Wahoo

Hospitals in Saunders 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 →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

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 Saunders 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 1074%National average: 72%
Would definitely recommend the hospital89%National average: 71%
Nurses “always” communicated well87%National average: 80%
Doctors “always” communicated well89%National average: 80%
“Always” got help as soon as they wanted86%National average: 64%
Staff “always” explained medicines before giving them71%National average: 62%
Were given information about recovery at home100%National average: 86%
Room and bathroom “always” clean69%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 surveys28Response rate: 36%

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 patients19.2%
Not reported to MedicareDeaths within 30 days: heart attack patients; Deaths 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 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: pneumonia17.4%
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)95 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 63 common services exactly as Saunders 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 63 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: LEVEL III NEW PATIENT $235 $176.25 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: OFFICE VISIT LEVEL 3 NEW PATIENT MS CLINIC $235 $176.25 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: 99203 PF Diabetic Clinic $235 $176.25 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: LEVEL IV NEW PATIENT $358 $268.50 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: OFFICE VISIT LEVEL 4 NEW PATIENT MS CLINIC $358 $268.50 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: LEVEL V NEW PATIENT $454 $340.50 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: OFFICE VISIT LEVEL 5 NEW PATIENT MS CLINIC $454 $340.50 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: Office or other outpatient visit $454 $340.50 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: LEVEL III EST PATIENT $164 $123 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: OFFICE VISIT LEVEL 3 ESTABLISHED PATIENT MS CLINIC $164 $123 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: OUTPATIENT CLINIC ROOM $37 $27.75 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: LEVEL IV EST PATIENT $238 $178.50 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: OFFICE VISIT LEVEL 4 ESTABLISHED PATIENT MS CLINIC $238 $178.50 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: PF 99214 OV Establisted $238 $178.50 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient In the file: CONSULT/PREOP LEVEL III $271 $203.25 Not listed in the file
Office consultation with a specialist (moderate): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: PF CONSULT/PREOP LEVEL IV $405 $303.75 Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: CONSULT/PREOP LEVEL IV $405 $303.75 Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: PREV MED NEW PT 18-39YRS $291 $218.25 Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: PREV MED NEW PAT 40-64YRS $337 $252.75 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: Prev Eval New Pt 40-64 yrs $337 $252.75 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER LEVEL III $629 $471.75 Not listed in the file
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: PF ER VISIT LEV 3 $145 $108.75 Not listed in the file
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Intermediate Service $145 $108.75 Not listed in the file
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER LEVEL IV $991 $743.25 Not listed in the file
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: PF ER VISIT LEV 4 $262 $196.50 Not listed in the file
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: PF ER Visit Lev 4 $262 $196.50 Not listed in the file
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER LEVEL V $1,515 $1,136.25 Not listed in the file
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: PF ER VISIT LEV 5 $380 $285 Not listed in the file
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 $183 $137.25 Not listed in the file
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC $202 $151.50 Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE $151 $113.25 Not listed in the file
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $178 $133.50 Not listed in the file
Kidney function panel: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER FUNCTION PANEL $182 $136.50 Not listed in the file
Liver function panel: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINE AUTO W/MICROSCOPY $79 $59.25 Not listed in the file
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSISvROUTINE W/MICR $8 $6 Not listed in the file
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINE AUTO W/O MICROSCOPY $47 $35.25 Not listed in the file
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: Urinalysis Macroscopic $41 $30.75 Not listed in the file
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS, AUTO W/O MICR $6 $4.50 Not listed in the file
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PROSTATE SPECI ANTI TOTAL $153 $114.75 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STIM HORMONE-TSH $144 $108 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH with Reflex to FT4 $144 $108 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: BLOOD COUNT CBC (AUTO) $125 $93.75 Not listed in the file
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HEMOGRAM AUTO/OUTSIDE FAC $125 $93.75 Not listed in the file
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: BLOOD CT AUTO. W/O DIFF $95 $71.25 Not listed in the file
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $72 $54 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: CAPILLARY PT/INR $72 $54 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: Lupus Anticoagulant Panel $82 $61.50 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: Partial Thromboplastin Time $103 $77.25 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PART. THROMBOPLASTIN TIME $122 $91.50 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 $103 $77.25 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 w/o Contrast $2,556 $1,917 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 w/ w/o Contrast $4,889 $3,666.75 Not listed in the file
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 Views $422 $316.50 Not listed in the file
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 Spine Lumbosacral 4+ Views $621 $465.75 Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 Spine Lumbar w/o Contrast $4,099 $3,074.25 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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/ Contrast $3,025 $2,268.75 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 w/o Contrast Left,Left $3,093 $2,319.75 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 RT In the file: MRI Ankle w/o Contrast Right,Right $3,093 $2,319.75 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 w/o Contrast Left,Left $3,093 $2,319.75 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 and Pelvis w/ Contrast $5,464 $4,098 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US Abdomen Complete $1,066 $799.50 Not listed in the file
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 Greater Than 14 Weeks $869 $651.75 Not listed in the file
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: SAMC US Transvaginal non-OB $804 $603 Not listed in the file
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US Transvaginal non-OB $804 $603 Not listed in the file
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MG Mammo Digital Diagnostic Left. $410 $307.50 Not listed in the file
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MG Mammo Digital Diagnostic Right. $410 $307.50 Not listed in the file
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG Mammo Digital Diagnostic Bilat. $497 $372.75 Not listed in the file
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG Mammo Digital Screening Bilateral. $408 $306 Not listed in the file
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier LT In the file: MG Mammo Digital Screening Left.,Left $374 $280.50 Not listed in the file
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier RT In the file: MG Mammo Digital Screening Right.,Right $374 $280.50 Not listed in the file
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOMNOGRAPHY $4,766 $3,574.50 Not listed in the file
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 GO In the file: THERAPEUT EXER/15MIN 1:1,Therapy Mod $109 $81.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: EXERCISE 15 MIN,Therapy Mod $109 $81.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GN In the file: SP TH THER PROC EX/15MIN,Therapy Mod $109 $81.75 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 EVAL LOW,Therapy Mod $192 $144 Not listed in the file
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 EVAL MODERATE,Therapy Mod $226 $169.50 Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 EVAL HIGH,Therapy Mod $309 $231.75 Not listed in the file
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PF Psychotherapy w patient 16-37 min $163 $122.25 Not listed in the file
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PF Psychotherapy w patient 38-52 min $215 $161.25 Not listed in the file
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PF Psychotherapy w patient 53+ min $316 $237 Not listed in the file
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: PF Family Therapy wo patient 50 min $206 $154.50 Not listed in the file
Family psychotherapy, without the patient: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: PF Family Therapy w patient 50 min $215 $161.25 Not listed in the file
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: PF Behavior Health Eval wo Med Services $58 $43.50 Not listed in the file
Group psychotherapy: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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 In the file: EXC CYST BRST TISS-DU =>1 $1,071 $803.25 Not listed in the file
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: PF Arthroplasty, Total Hip $2,529 $1,896.75 Not listed in the file
Total hip replacement: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: PF ARTHROPLASTY, KNEE $2,654 $1,990.50 Not listed in the file
Total knee replacement: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: PF Arthroscopy shoulder decompress subacromial space $1,077 $807.75 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: PF ARTHROSCOPY KNEE SURG W/MENISCECTOMY CHG $1,117 $837.75 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (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: PF TONSIL AND ADENOID UNDER 12 $628 $471 Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PF UPPER GI ENDOSCOPY $607 $455.25 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UPPER GASTRO ENDOSCOPY $607 $455.25 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: PF/TECH ESOPHAGOGASTRODUODENOSCOPY $624 $468 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PF UPP GI ENDO W/BX=>1 $808 $606 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: PF/TECH EGD W/BIOPSY $798 $598.50 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PF COLONSCOPY FLEXIBLE DX $717 $537.75 Not listed in the file
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY FLEXIBLE DX $717 $537.75 Not listed in the file
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: PF/TECH COLONOSCOPY DIAGNOSTIC $708 $531 Not listed in the file
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PF COLONOSCOPY W/BX =>1 $924 $693 Not listed in the file
Colonoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: PF/TECH COLONOSCOPY W/BX $913 $684.75 Not listed in the file
Colonoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PF COLSC TMR/PLP W/SNAIR $976 $732 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLNOSC REM TUMR PLP/SNR $967 $725.25 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: PF/TECH COLONOSCOPY W/SNARE $949 $711.75 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: PF COLSC SCRN-MCR N/H RSK $718 $538.50 Not listed in the file
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: PF/TECH COLONOSCOPY SCREENING $708 $531 Not listed in the file
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOP CHOLECYSTECTOM $1,400 $1,050 Not listed in the file
Gallbladder removal by laparoscope: 10 of 17 insurance plan rates
  • Aetna — Default: 97% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 51% (a percentage in the contract, not a dollar amount)
  • Allied Benefit Systems — Default: 97% (a percentage in the contract, not a dollar amount)
  • Ambetter — Default: 93% (a percentage in the contract, not a dollar amount)
  • Auxiant — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Default: 96% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of NE — Medicare Advantage: 50% (a percentage in the contract, not a dollar amount)
  • Cigna — Default: 96% (a percentage in the contract, not a dollar amount)
  • Great Plains Medicare Advantage of NE — Default: 53% (a percentage in the contract, not a dollar amount)
  • Humana — Medicare Advantage: 53% (a percentage in the contract, not a dollar amount)

Source: Saunders Medical Center’s standard charges file (saundersmedicalcenter.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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
Address1760 County Rd J, Wahoo, NE 68066
CountySaunders County
StateNebraska
Phone(402) 443‑4191
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall ratingNot rated by CMS
CMS Certification Number281307
Name in Medicare recordsSAUNDERS MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitesaundersmedicalcenter.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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

  1. Saunders Medical Center — saundersmedicalcenter.com
  2. Services : Saunders Medical Center — saundersmedicalcenter.com
  3. Emergency Department : Hospital : Saunders Medical Center — saundersmedicalcenter.com
  4. Surgery & Specialist Services at Saunders Medical Center — saundersmedicalcenter.com
  5. Hospital, Surgery & Family Care | Saunders Medical Center — saundersmedicalcenter.com
  6. Find Caring Medical Providers at Saunders Medical Center, Wahoo, NE — saundersmedicalcenter.com
  7. Recognized for Quality. Committed to Our Community — saundersmedicalcenter.com
  8. Inpatient Services : Hospital : Saunders Medical Center — saundersmedicalcenter.com
  9. Hospital Patient Information : Hospital : Saunders Medical Center — saundersmedicalcenter.com