Midwest Surgical Hospital LLC
Omaha, NE
Posts prices for 26 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Shoulder arthroscopy with decompression (29826) range across 4 matching MRF lines |
$5,174.25–$10,863.75 | $6,899–$14,485 | varies |
| Knee arthroscopy with meniscectomy (29881) range across 4 matching MRF lines |
$3,095.25–$6,495 | $4,127–$8,660 | varies |
| Tonsillectomy and adenoidectomy (under age 12) (42820) range across 2 matching MRF lines |
$6,218.25–$6,529.50 | $8,291–$8,706 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,560.75 | $2,081 | 1.7× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$1,485.75–$1,560.75 | $1,981–$2,081 | varies |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$350 | $836–$927 | 3.2× |
| MRI brain without contrast (70551) range across 3 matching MRF lines |
$500 | $1,790–$1,880 | 2.0× |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$550 | $2,450–$2,573 | 1.5× |
| MRI brain without and with contrast (70553) range across 3 matching MRF lines |
$600 | $3,641–$3,824 | 1.7× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$150 | $276–$290 | 1.4× |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$500 | $1,790–$1,880 | 2.0× |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$350 | $1,211–$1,272 | 1.9× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$500 | $1,885–$3,954 | 2.0× |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$550 | $1,081–$1,136 | 1.5× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$43.50–$45.75 | $58–$61 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$43.50–$45.75 | $58–$61 | varies |
| Renal function panel (80069) | $26.25 | $35 | 3.0× |
| Hepatic function panel (80076) | $53.25 | $71 | 6.5× |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$99–$104.25 | $132–$139 | varies |
| CBC with automated differential (85025) range across 3 matching MRF lines |
$51.75–$54.75 | $69–$73 | varies |
| CBC, automated (85027) range across 3 matching MRF lines |
$48.75–$54.75 | $65–$73 | varies |
| Prothrombin time (PT) (85610) range across 5 matching MRF lines |
$15–$48 | $20–$64 | varies |
| Partial thromboplastin time (PTT) (85730) range across 4 matching MRF lines |
$24.75–$43.50 | $33–$58 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$228.75–$240.75 | $305–$321 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $282.75 | $377 | 2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $358.50 | $478 | 2.6× |
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.
More prices at this hospital
- Imaging: 148 codes with posted prices and Medicare benchmarks
- Lab & pathology: 159 codes with posted prices and Medicare benchmarks
- Visits & medical services: 36 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 1231 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 5 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 25.6 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.