CHI Health St. Mary's
Nebraska City, 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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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $1,180.26 | $1,422 | 0.3× |
| Shoulder arthroscopy with decompression (29826) | $864.86 | $1,042 | — |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$712.97–$2,244.32 | $859–$2,704 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$913–$2,244.32 | $1,100–$2,704 | varies |
| Diagnostic colonoscopy (45378) | $622.50 | $750 | 0.6× |
| Colonoscopy with biopsy (45380) | $1,044.97 | $1,259 | 0.8× |
| Colonoscopy with lesion removal (45385) | $1,087.30 | $1,310 | 0.9× |
| Colonoscopy with endoscopic ultrasound (45391) | $596.77 | $719 | 0.5× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,477.40 | $1,780 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $1,173.62 | $1,414 | 0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$289.67–$826.68 | $349–$996 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$585.98–$1,108.05 | $706–$1,335 | varies |
| CT head/brain without contrast (70450) | $1,908.17 | $2,299 | 17.6× |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$2,568.85–$3,211.27 | $3,095–$3,869 | varies |
| MRI brain with contrast (70552) | $3,211.27 | $3,869 | 8.9× |
| MRI brain without and with contrast (70553) | $4,013.88 | $4,836 | 11.1× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$118.69–$440.73 | $143–$531 | varies |
| MRI lumbar spine without contrast (72148) | $3,116.65 | $3,755 | 12.6× |
| CT pelvis with contrast (72193) | $2,642.72 | $3,184 | 14.5× |
| MRI lower-extremity joint without contrast (73721) | $2,490.83 | $3,001 | 10.1× |
| CT abdomen and pelvis with contrast (74177) | $5,103.67 | $6,149 | 14.1× |
| Ultrasound, abdomen complete (76700) | $887.27 | $1,069 | 8.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$827.51–$888.10 | $997–$1,070 | varies |
| Ultrasound, transvaginal (76830) | $646.57 | $779 | 6.0× |
| Mammography, one breast (diagnostic) (77065) | $316.23 | $381 | 3.7× |
| Mammography, both breasts (diagnostic) (77066) | $357.73 | $431 | 3.2× |
| Mammography, screening (bilateral) (77067) | $411.68 | $496 | 4.5× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$24.07–$131.14 | $29–$158 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$29.05–$141.10 | $35–$170 | varies |
| Obstetric panel (80055) range across 2 matching MRF lines |
$117.03–$131.97 | $141–$159 | varies |
| Lipid panel (80061) range across 3 matching MRF lines |
$6.64–$113.71 | $8–$137 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$24.90–$121.18 | $30–$146 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$23.24–$134.46 | $28–$162 | varies |
| Urinalysis, non-automated, with microscopy (81000) | $8.30 | $10 | 2.1× |
| Urinalysis, non-automated, without microscopy (81002) range across 3 matching MRF lines |
$6.64–$37.35 | $8–$45 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$50.63–$118.69 | $61–$143 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$46.48–$113.71 | $56–$137 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$12.45–$116.20 | $15–$140 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$17.43–$88.81 | $21–$107 | varies |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$9.96–$83 | $12–$100 | varies |
| Partial thromboplastin time (PTT) (85730) | $78.02 | $94 | 13.0× |
| Sleep study (attended polysomnography) (95810) | $3,563.19 | $4,293 | 4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 6 matching MRF lines |
$57.27–$129.48 | $69–$156 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$260.62–$273.07 | $314–$329 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$390.10–$419.98 | $470–$506 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$516.26–$517.09 | $622–$623 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $218.29 | $263 | 1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) | $327.02 | $394 | 2.4× |
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: 255 codes with posted prices and Medicare benchmarks
- Lab & pathology: 626 codes with posted prices and Medicare benchmarks
- Visits & medical services: 199 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 784 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 9 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 139.4 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.