Johnson County Hospital

Tecumseh, NE · Critical Access Hospital

Posts prices for 45 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedureCash priceGross charge× Medicare
Upper GI endoscopy (EGD) with biopsy (43239) $2,764 $2,764 2.9×
Colonoscopy with biopsy (45380) $2,332 $2,332 1.9×
Colonoscopy with lesion removal (45385) $1,586.50 $1,586.50 1.3×
CT head/brain without contrast (70450) $2,184 $2,184 20.1×
MRI brain without contrast (70551) $3,508 $3,508 14.2×
MRI brain with contrast (70552) $3,684 $3,684 10.2×
MRI brain without and with contrast (70553) $3,982 $3,982 11.0×
X-ray lower spine, 4+ views (72110) $545 $545 5.0×
MRI lumbar spine without contrast (72148) $3,422 $3,422 13.8×
CT pelvis with contrast (72193) $2,679 $2,679 14.7×
MRI lower-extremity joint without contrast (73721) $2,867 $2,867 11.6×
CT abdomen and pelvis with contrast (74177) $5,068 $5,068 14.0×
Ultrasound, abdomen complete (76700) $909 $909 8.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $796 $796 7.3×
Ultrasound, transvaginal (76830) $694 $694 6.4×
Mammography, one breast (diagnostic) (77065) $378 $378 4.4×
Mammography, both breasts (diagnostic) (77066) $459 $459 4.2×
Mammography, screening (bilateral) (77067) $412 $412 4.5×
Basic metabolic panel (80048) $158 $158 18.7×
Comprehensive metabolic panel (80053) $193.50 $193.50 18.3×
Lipid panel (80061) $144 $144 10.8×
Renal function panel (80069) $161 $161 18.5×
Hepatic function panel (80076) $157 $157 19.2×
PSA, total (84153) $147 $147 8.0×
Thyroid stimulating hormone (TSH) (84443) $125 $125 7.4×
CBC with automated differential (85025) $114.50 $114.50 14.7×
CBC, automated (85027) $87 $87 13.4×
Prothrombin time (PT) (85610) $79 $79 18.4×
Partial thromboplastin time (PTT) (85730) $101 $101 16.8×
Psychotherapy, 30 minutes (90832) $404.50 $404.50 2.2×
Psychotherapy, 45 minutes (90834) $503 $503 2.7×
Psychotherapy, 60 minutes (90837) $561.50 $561.50 3.0×
Family psychotherapy, without patient (50 min) (90846) $870 $870 4.7×
Family psychotherapy, with patient (50 min) (90847) $879 $879 4.8×
Group psychotherapy (90853) $795 $795 7.5×
Electrocardiogram (ECG), complete (93000) $79 $79 1.3×
Sleep study (attended polysomnography) (95810) $4,293 $4,293 4.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $112 $112 3.9×
Office visit, new patient (low complexity, ~30 min) (99203) $572 $572 4.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $588 $588 4.3×
Office visit, new patient (high complexity, ~60 min) (99205) $728 $728 5.3×
Office consultation (low complexity, ~30 min) (99243) $379 $379 2.7×
Office consultation (moderate complexity, ~40 min) (99244) $464 $464 3.4×
Preventive visit, new patient (age 18–39) (99385) $343 $343 —
Preventive visit, new patient (age 40–64) (99386) $364 $364 —

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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