Harlan County Health System
Alma, 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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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $1,121.60 | $1,402 | 0.3× |
| Shoulder arthroscopy with decompression (29826) range across 2 matching MRF lines |
$162.90–$11,169 | $203.63–$13,961.25 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 2 matching MRF lines |
$3,313.60–$5,924.73 | $4,142–$7,405.91 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$1,475.20–$1,689.20 | $1,844–$2,111.50 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$1,508–$1,520 | $1,885–$1,900 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$1,216.80–$1,471.20 | $1,521–$1,839 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$1,075.20–$1,440 | $1,344–$1,800 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$1,283.20–$1,616.80 | $1,604–$2,021 | varies |
| Laparoscopic gallbladder removal (47562) range across 2 matching MRF lines |
$1,934.40–$4,169.44 | $2,418–$5,211.80 | varies |
| Inguinal hernia repair (age 5+) (49505) range across 2 matching MRF lines |
$1,790.40–$2,622.79 | $2,238–$3,278.49 | varies |
| Obstetric care, vaginal delivery (global) (59400) | $124 | $155 | — |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 3 matching MRF lines |
$515–$768.80 | $643.75–$961 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 4 matching MRF lines |
$809–$1,680.80 | $1,011.25–$2,101 | varies |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $939.20 | $1,174 | 1.6× |
| Cataract removal with lens insertion (66984) | $3,242.40 | $4,053 | 1.4× |
| CT head/brain without contrast (70450) | $1,566.40 | $1,958 | 14.4× |
| MRI brain without contrast (70551) | $3,345.60 | $4,182 | 13.5× |
| MRI brain with contrast (70552) | $2,758.75 | $3,448.44 | 7.6× |
| MRI brain without and with contrast (70553) | $3,871.20 | $4,839 | 10.7× |
| X-ray lower spine, 4+ views (72110) | $236.80 | $296 | 2.2× |
| MRI lumbar spine without contrast (72148) | $3,300.80 | $4,126 | 13.3× |
| CT pelvis with contrast (72193) | $1,784.78 | $2,230.98 | 9.8× |
| MRI lower-extremity joint without contrast (73721) | $2,158.40 | $2,698 | 8.7× |
| CT abdomen and pelvis with contrast (74177) | $3,956.80 | $4,946 | 10.9× |
| Ultrasound, abdomen complete (76700) | $685.24 | $856.55 | 6.3× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $673.99 | $842.49 | 6.2× |
| Ultrasound, transvaginal (76830) | $507.87 | $634.84 | 4.7× |
| Mammography, one breast (diagnostic) (77065) | $313.60 | $392 | 3.6× |
| Mammography, both breasts (diagnostic) (77066) | $359.26 | $449.08 | 3.2× |
| Mammography, screening (bilateral) (77067) | $177.60 | $222 | 1.9× |
| Basic metabolic panel (80048) | $104 | $130 | 12.3× |
| Comprehensive metabolic panel (80053) | $129.60 | $162 | 12.3× |
| Obstetric panel (80055) | $326.76 | $408.45 | 6.8× |
| Lipid panel (80061) | $97.60 | $122 | 7.3× |
| Renal function panel (80069) | $122.40 | $153 | 14.1× |
| Hepatic function panel (80076) | $84.80 | $106 | 10.4× |
| Urinalysis, non-automated, without microscopy (81002) | $27.20 | $34 | 7.8× |
| PSA, total (84153) | $96.80 | $121 | 5.3× |
| Thyroid stimulating hormone (TSH) (84443) | $86.40 | $108 | 5.1× |
| CBC with automated differential (85025) | $80.80 | $101 | 10.4× |
| CBC, automated (85027) | $81.60 | $102 | 12.6× |
| Prothrombin time (PT) (85610) | $46.40 | $58 | 10.8× |
| Partial thromboplastin time (PTT) (85730) | $76 | $95 | 12.6× |
| Psychotherapy, 30 minutes (90832) | $316 | $395 | 1.7× |
| Psychotherapy, 45 minutes (90834) | $296.80 | $371 | 1.6× |
| Psychotherapy, 60 minutes (90837) | $318.40 | $398 | 1.7× |
| Family psychotherapy, without patient (50 min) (90846) | $358.44 | $448.05 | 1.9× |
| Family psychotherapy, with patient (50 min) (90847) | $358.44 | $448.05 | 1.9× |
| Group psychotherapy (90853) | $381.60 | $477 | 3.6× |
| Sleep study (attended polysomnography) (95810) | $2,899.66 | $3,624.57 | 3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $88.80 | $111 | 3.1× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$56.80–$206.40 | $71–$258 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$193.64–$255.20 | $242.05–$319 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$263.68–$313.60 | $329.60–$392 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $124 | $155 | — |
| Preventive visit, new patient (age 40–64) (99386) | $127.72 | $159.65 | — |
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: 665 codes with posted prices and Medicare benchmarks
- Visits & medical services: 154 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 525 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 25 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 33.9 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.