Memorial Community Hospital & Health System
Blair, 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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) | $224.40 | $280.50 | — |
| Knee arthroscopy with meniscectomy (29881) | $818.40 | $1,023 | 0.2× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$628 | $785 | 0.1× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $490.40 | $613 | 0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $625.60 | $782 | 0.7× |
| Diagnostic colonoscopy (45378) | $600 | $750 | 0.6× |
| Colonoscopy with biopsy (45380) | $720 | $900 | 0.6× |
| Colonoscopy with lesion removal (45385) | $812.80 | $1,016 | 0.7× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,164.40 | $1,455.50 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $949.60 | $1,187 | 0.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $578.94 | $723.66 | 0.6× |
| CT head/brain without contrast (70450) | $1,361.81 | $1,702.26 | 12.5× |
| MRI brain without contrast (70551) | $2,521.98 | $3,152.48 | 10.2× |
| MRI brain with contrast (70552) | $2,848.80 | $3,561 | 7.9× |
| MRI brain without and with contrast (70553) | $3,155.33 | $3,944.17 | 8.7× |
| X-ray lower spine, 4+ views (72110) | $371.38 | $464.23 | 3.4× |
| MRI lumbar spine without contrast (72148) | $2,666.96 | $3,333.70 | 10.8× |
| CT pelvis with contrast (72193) | $2,045.20 | $2,556.50 | 11.2× |
| MRI lower-extremity joint without contrast (73721) | $2,106.84 | $2,633.55 | 8.5× |
| CT abdomen and pelvis with contrast (74177) | $3,625.62 | $4,532.03 | 10.0× |
| Ultrasound, abdomen complete (76700) | $606.76 | $758.45 | 5.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $532.75 | $665.94 | 4.9× |
| Ultrasound, transvaginal (76830) | $437.83 | $547.29 | 4.0× |
| Mammography, one breast (diagnostic) (77065) | $113.09 | $141.37 | 1.3× |
| Mammography, both breasts (diagnostic) (77066) | $151.48 | $189.35 | 1.4× |
| Mammography, screening (bilateral) (77067) | $162.94 | $203.68 | 1.8× |
| Basic metabolic panel (80048) | $74.76 | $93.46 | 8.8× |
| Comprehensive metabolic panel (80053) | $136.67 | $170.84 | 12.9× |
| Obstetric panel (80055) | $199.20 | $249 | 4.2× |
| Lipid panel (80061) | $90.83 | $113.53 | 6.8× |
| Renal function panel (80069) | $76 | $95 | 8.8× |
| Hepatic function panel (80076) | $67.47 | $84.34 | 8.3× |
| PSA, total (84153) | $108.47 | $135.59 | 5.9× |
| Thyroid stimulating hormone (TSH) (84443) | $102.04 | $127.55 | 6.1× |
| CBC with automated differential (85025) | $88.44 | $110.55 | 11.4× |
| CBC, automated (85027) | $62.75 | $78.44 | 9.7× |
| Prothrombin time (PT) (85610) | $48.88 | $61.10 | 11.4× |
| Partial thromboplastin time (PTT) (85730) | $77.17 | $96.46 | 12.8× |
| Psychotherapy, 30 minutes (90832) | $268 | $335 | 1.5× |
| Psychotherapy, 45 minutes (90834) | $288 | $360 | 1.6× |
| Psychotherapy, 60 minutes (90837) | $319.20 | $399 | 1.7× |
| Family psychotherapy, with patient (50 min) (90847) | $300 | $375 | 1.6× |
| Group psychotherapy (90853) | $248 | $310 | 2.4× |
| Sleep study (attended polysomnography) (95810) | $2,957.60 | $3,697 | 3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $78.25 | $97.82 | 2.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $206.42 | $258.03 | 1.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $300.26 | $375.32 | 2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $369.60 | $462 | 2.7× |
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: 156 codes with posted prices and Medicare benchmarks
- Lab & pathology: 382 codes with posted prices and Medicare benchmarks
- Visits & medical services: 100 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 242 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 14 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 13.2 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.