Chase County Community Hospital

Imperial, NE · Critical Access Hospital

Posts prices for 48 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedureCash priceGross charge× Medicare
Breast lesion removal (open) (19120) $823 $823 0.2×
Shoulder arthroscopy with decompression (29826) $336 $336 —
Knee arthroscopy with meniscectomy (29881) $1,091 $1,091 0.3×
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure		 $592 $592 0.1×
Upper GI endoscopy (EGD), diagnostic (43235) $1,606.50 $1,606.50 1.7×
Upper GI endoscopy (EGD) with biopsy (43239) $1,622 $1,622 1.7×
Diagnostic colonoscopy (45378) $1,642.50 $1,642.50 1.7×
Colonoscopy with biopsy (45380) $1,658.50 $1,658.50 1.3×
Colonoscopy with lesion removal (45385) $1,604.50 $1,604.50 1.3×
Laparoscopic gallbladder removal (47562) $5,467.50 $5,467.50 0.9×
Inguinal hernia repair (age 5+) (49505) $1,024 $1,024 0.3×
Obstetric care, vaginal delivery (global) (59400) $4,635 $4,635 —
Obstetric care, cesarean delivery (global) (59510) $5,098 $5,098 —
Transforaminal epidural injection, lumbar/sacral (64483) $856.50 $856.50 0.9×
CT head/brain without contrast (70450) $3,371 $3,371 31.1×
MRI brain without contrast (70551) $4,598 $4,598 18.6×
MRI brain with contrast (70552) $5,059 $5,059 14.0×
MRI brain without and with contrast (70553) $5,817 $5,817 16.1×
X-ray lower spine, 4+ views (72110) $626 $626 5.8×
MRI lumbar spine without contrast (72148) $5,421 $5,421 21.9×
CT pelvis with contrast (72193) $3,882 $3,882 21.3×
MRI lower-extremity joint without contrast (73721) $3,869 $3,869 15.6×
CT abdomen and pelvis with contrast (74177) $6,471 $6,471 17.9×
Ultrasound, abdomen complete (76700) $1,143 $1,143 10.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,061 $1,061 9.8×
Ultrasound, transvaginal (76830) $944 $944 8.7×
Mammography, one breast (diagnostic) (77065) $409 $409 4.7×
Mammography, both breasts (diagnostic) (77066) $537 $537 4.9×
Mammography, screening (bilateral) (77067) $447 $447 4.9×
Basic metabolic panel (80048) $127 $127 15.0×
Comprehensive metabolic panel (80053) $269 $269 25.5×
Obstetric panel (80055) $339 $339 7.1×
Lipid panel (80061) $119.50 $119.50 8.9×
Renal function panel (80069) $113.50 $113.50 13.1×
Hepatic function panel (80076) $197 $197 24.1×
PSA, total (84153) $161 $161 8.8×
Thyroid stimulating hormone (TSH) (84443) $196 $196 11.7×
CBC with automated differential (85025) $122 $122 15.7×
CBC, automated (85027) $102 $102 15.8×
Prothrombin time (PT) (85610) $42.50 $42.50 9.9×
Partial thromboplastin time (PTT) (85730) $65 $65 10.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $160 $160 5.5×
Office visit, new patient (low complexity, ~30 min) (99203) $246 $246 1.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $326.50 $326.50 2.4×
Office visit, new patient (high complexity, ~60 min) (99205) $412.50 $412.50 3.0×
Office consultation (low complexity, ~30 min) (99243) $175 $175 1.3×
Preventive visit, new patient (age 18–39) (99385) $513 $513 —
Preventive visit, new patient (age 40–64) (99386) $565 $565 —

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.

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