Box Butte General Hospital
Alliance, NE · Critical Access Hospital
Posts prices for 44 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) | $1,134.90 | $1,261 | — |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$2,371.95–$3,946.50 | $2,635.50–$4,385 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) | $3,398.40 | $3,776 | 0.6× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$1,709.10–$2,448.90 | $1,899–$2,721 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 3 matching MRF lines |
$939.60–$2,862 | $1,044–$3,180 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$1,879.20–$2,058.30 | $2,088–$2,287 | varies |
| Colonoscopy with biopsy (45380) range across 7 matching MRF lines |
$626.40–$2,457 | $696–$2,730 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$626.40–$2,373.30 | $696–$2,637 | varies |
| Laparoscopic gallbladder removal (47562) | $5,220.90 | $5,801 | 0.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$135.90–$684.90 | $151–$761 | varies |
| Cataract removal with lens insertion (66984) | $3,420 | $3,800 | 1.4× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$2,151–$2,320.20 | $2,390–$2,578 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$3,665.70–$3,952.80 | $4,073–$4,392 | varies |
| MRI brain with contrast (70552) | $3,989.70 | $4,433 | 11.0× |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$4,107.60–$4,428.90 | $4,564–$4,921 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$539.10–$581.40 | $599–$646 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$3,622.50–$3,906 | $4,025–$4,340 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$2,572.20–$2,773.80 | $2,858–$3,082 | varies |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$3,187.80–$3,438 | $3,542–$3,820 | varies |
| CT abdomen and pelvis with contrast (74177) range across 3 matching MRF lines |
$4,936.50–$6,389.10 | $5,485–$7,099 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$897.30–$967.50 | $997–$1,075 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$868.50–$937.80 | $965–$1,042 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$711.90–$768.60 | $791–$854 | varies |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$429.30–$463.50 | $477–$515 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$546.30–$590.40 | $607–$656 | varies |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$474.30–$512.10 | $527–$569 | varies |
| Basic metabolic panel (80048) range across 3 matching MRF lines |
$153.90–$307.80 | $171–$342 | varies |
| Comprehensive metabolic panel (80053) range across 3 matching MRF lines |
$173.70–$347.40 | $193–$386 | varies |
| Obstetric panel (80055) | $359.10 | $399 | 7.5× |
| Lipid panel (80061) range across 3 matching MRF lines |
$180.90–$246.60 | $201–$274 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$153.90–$166.50 | $171–$185 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$206.10–$223.20 | $229–$248 | varies |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$34.20–$56.70 | $38–$63 | varies |
| PSA, total (84153) range across 3 matching MRF lines |
$135.90–$147.60 | $151–$164 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 5 matching MRF lines |
$128.70–$145.80 | $143–$162 | varies |
| CBC with automated differential (85025) range across 3 matching MRF lines |
$118.80–$237.60 | $132–$264 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$94.50–$102.60 | $105–$114 | varies |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$68.40–$142.20 | $76–$158 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$99.90–$108.90 | $111–$121 | varies |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$4,452.30–$4,800.60 | $4,947–$5,334 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 4 matching MRF lines |
$124.20–$372.60 | $138–$414 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$97.20–$224.10 | $108–$249 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $312.30 | $347 | 2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $439.20 | $488 | 3.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 242 codes with posted prices and Medicare benchmarks
- Lab & pathology: 663 codes with posted prices and Medicare benchmarks
- Visits & medical services: 158 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 280 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 23 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 3.1 MB) ↓ — captured 2026-07-20
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.