Dundy County Hospital

Benkelman, NE · Critical Access Hospital

Posts prices for 56 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $1,066 $1,184 0.3×
Shoulder arthroscopy with decompression (29826) $4,140 $4,600 —
Knee arthroscopy with meniscectomy (29881) $4,140 $4,600 1.2×
Upper GI endoscopy (EGD), diagnostic (43235) $1,063 $1,181 1.1×
Upper GI endoscopy (EGD) with biopsy (43239) $1,196 $1,329 1.3×
Diagnostic colonoscopy (45378) $1,353 $1,503 1.4×
Colonoscopy with biopsy (45380) $2,998 $3,331 2.4×
Colonoscopy with lesion removal (45385) $1,800 $2,000 1.4×
Laparoscopic gallbladder removal (47562) $3,689 $4,099 0.6×
Inguinal hernia repair (age 5+) (49505) $1,887 $2,097 0.5×
Obstetric care, vaginal delivery (global) (59400) $3,855 $4,283 —
Obstetric care, cesarean delivery (global) (59510) $4,388 $4,875 —
Epidural injection, lumbar/sacral (with imaging) (62322) $712 $791 0.8×
Transforaminal epidural injection, lumbar/sacral (64483) $691 $768 0.8×
CT head/brain without contrast (70450) $2,192 $2,436 20.2×
MRI brain without contrast (70551) $3,605 $4,005 14.6×
MRI brain with contrast (70552) $3,826 $4,251 10.6×
MRI brain without and with contrast (70553) $4,518 $5,020 12.5×
X-ray lower spine, 4+ views (72110) $613 $681 5.6×
MRI lumbar spine without contrast (72148) $3,855 $4,283 15.6×
CT pelvis with contrast (72193) $2,668 $2,964 14.6×
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$2,856–$3,300 $3,173–$3,667 varies
CT abdomen and pelvis with contrast (74177) $4,762 $5,291 13.1×
Ultrasound, abdomen complete (76700) $1,191 $1,323 11.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,063 $1,181 9.8×
Ultrasound, transvaginal (76830) $930 $1,033 8.6×
Mammography, one breast (diagnostic) (77065)
range across 3 matching MRF lines
$312–$329 $347–$366 varies
Mammography, both breasts (diagnostic) (77066)
range across 4 matching MRF lines
$312–$400 $347–$444 varies
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$313–$329 $348–$366 varies
Basic metabolic panel (80048)
range across 2 matching MRF lines
$67–$176 $74–$196 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$181–$212 $201–$236 varies
Lipid panel (80061) $171 $190 12.8×
Renal function panel (80069) $149 $165 17.2×
Hepatic function panel (80076) $126 $140 15.4×
Urinalysis, non-automated, with microscopy (81000) $62 $69 15.4×
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
$6–$56 $7–$62 varies
PSA, total (84153)
range across 2 matching MRF lines
$154–$176 $171–$196 varies
Thyroid stimulating hormone (TSH) (84443) $138 $153 8.2×
CBC with automated differential (85025)
range across 2 matching MRF lines
$112–$122 $124–$135 varies
CBC, automated (85027) $100 $111 15.5×
Prothrombin time (PT) (85610)
range across 2 matching MRF lines
$79–$81 $88–$90 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$100–$103 $111–$114 varies
Psychotherapy, 30 minutes (90832) $168 $187 0.9×
Psychotherapy, 45 minutes (90834) $211 $234 1.1×
Psychotherapy, 60 minutes (90837) $273 $303 1.5×
Family psychotherapy, without patient (50 min) (90846) $242 $269 1.3×
Family psychotherapy, with patient (50 min) (90847) $264 $293 1.4×
Electrocardiogram (ECG), complete (93000)
range across 3 matching MRF lines
$43–$301 $48–$334 varies
Sleep study (attended polysomnography) (95810) $3,413 $3,792 3.8×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 3 matching MRF lines
$94–$108 $104–$120 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$156–$267 $173–$297 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$74–$410 $82–$456 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$305–$513 $339–$570 varies
Office consultation (low complexity, ~30 min) (99243) $201 $223 1.5×
Preventive visit, new patient (age 18–39) (99385)
range across 2 matching MRF lines
$172–$305 $191–$339 varies
Preventive visit, new patient (age 40–64) (99386)
range across 2 matching MRF lines
$203–$356 $226–$395 varies

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.

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Download the machine-readable file (JSON, 12.5 MB) ↓ — captured 2026-09-11

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