Gordon Memorial Hospital District
Gordon, NE · Critical Access Hospital
Posts prices for 49 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $1,401 | $1,401 | 0.3× |
| Shoulder arthroscopy with decompression (29826) | $5,500 | $5,500 | — |
| Knee arthroscopy with meniscectomy (29881) | $12,000 | $12,000 | 3.5× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$2,500–$3,500 | $2,500–$3,500 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) | $3,000 | $3,000 | 3.2× |
| Diagnostic colonoscopy (45378) | $3,500 | $3,500 | 3.6× |
| Colonoscopy with biopsy (45380) | $4,000 | $4,000 | 3.2× |
| Colonoscopy with lesion removal (45385) | $5,000 | $5,000 | 4.0× |
| Laparoscopic gallbladder removal (47562) | $11,500 | $11,500 | 1.8× |
| Inguinal hernia repair (age 5+) (49505) | $4,500 | $4,500 | 1.2× |
| Obstetric care, vaginal delivery (global) (59400) | $3,492 | $3,492 | — |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $2,800 | $2,800 | 3.0× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$1,300–$5,100 | $1,300–$5,100 | varies |
| Cataract removal with lens insertion (66984) | $8,000 | $8,000 | 3.3× |
| CT head/brain without contrast (70450) | $2,550 | $2,550 | 23.5× |
| MRI brain without contrast (70551) | $4,050 | $4,050 | 16.3× |
| MRI brain with contrast (70552) | $4,350 | $4,350 | 12.0× |
| MRI brain without and with contrast (70553) | $4,650 | $4,650 | 12.8× |
| X-ray lower spine, 4+ views (72110) | $645 | $645 | 5.9× |
| MRI lumbar spine without contrast (72148) | $4,050 | $4,050 | 16.3× |
| CT pelvis with contrast (72193) | $3,250 | $3,250 | 17.8× |
| MRI lower-extremity joint without contrast (73721) | $3,650 | $3,650 | 14.7× |
| CT abdomen and pelvis with contrast (74177) | $5,500 | $5,500 | 15.2× |
| Ultrasound, abdomen complete (76700) | $1,045 | $1,045 | 9.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $970 | $970 | 8.9× |
| Ultrasound, transvaginal (76830) | $1,120 | $1,120 | 10.3× |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$115–$400 | $115–$400 | varies |
| Mammography, both breasts (diagnostic) (77066) | $480 | $480 | 4.3× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$523–$550 | $523–$550 | varies |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$163–$173 | $163–$173 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$191–$208 | $191–$208 | varies |
| Lipid panel (80061) | $183 | $183 | 13.7× |
| Renal function panel (80069) | $177 | $177 | 20.4× |
| Hepatic function panel (80076) | $190 | $190 | 23.3× |
| Urinalysis, non-automated, without microscopy (81002) | $20 | $20 | 5.7× |
| PSA, total (84153) | $158 | $158 | 8.6× |
| Thyroid stimulating hormone (TSH) (84443) | $168 | $168 | 10.0× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$123–$138 | $123–$138 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$98–$108 | $98–$108 | varies |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$12–$206 | $12–$206 | varies |
| Partial thromboplastin time (PTT) (85730) | $123 | $123 | 20.5× |
| Electrocardiogram (ECG), complete (93000) range across 2 matching MRF lines |
$48–$497 | $48–$497 | varies |
| Sleep study (attended polysomnography) (95810) | $4,320 | $4,320 | 4.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$115–$135 | $115–$135 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$207–$217 | $207–$217 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $319 | $319 | 2.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $502 | $502 | 3.6× |
| Preventive visit, new patient (age 18–39) (99385) | $253 | $253 | — |
| Preventive visit, new patient (age 40–64) (99386) | $291 | $291 | — |
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: 210 codes with posted prices and Medicare benchmarks
- Lab & pathology: 533 codes with posted prices and Medicare benchmarks
- Visits & medical services: 117 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 461 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 20 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 5.3 MB) ↓ — captured 2026-09-11
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.