Home › Hospitals › Nemaha County Hospital Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,340
$1,340
1.4×
Upper GI endoscopy (EGD) with biopsy (43239) $1,512
$1,512
1.6×
Diagnostic colonoscopy (45378) $2,184
$2,184
2.3×
Colonoscopy with biopsy (45380) $1,591
$1,591
1.3×
Colonoscopy with lesion removal (45385) $1,755.50
$1,755.50
1.4×
Transforaminal epidural injection, lumbar/sacral (64483) $1,364
$1,364
1.5×
After-cataract laser surgery (YAG capsulotomy) (66821) $1,207
$1,207
2.1×
CT head/brain without contrast (70450) $2,244
$2,244
20.7×
MRI brain without contrast (70551) $3,852
$3,852
15.5×
MRI brain with contrast (70552) $4,191
$4,191
11.6×
MRI brain without and with contrast (70553) $4,379
$4,379
12.1×
X-ray lower spine, 4+ views (72110) $611
$611
5.6×
MRI lumbar spine without contrast (72148) $3,686
$3,686
14.9×
CT pelvis with contrast (72193) $2,956
$2,956
16.2×
MRI lower-extremity joint without contrast (73721) $2,788
$2,788
11.3×
CT abdomen and pelvis with contrast (74177) $5,129
$5,129
14.2×
Ultrasound, abdomen complete (76700) $984
$984
9.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $893
$893
8.2×
Ultrasound, transvaginal (76830) $733
$733
6.8×
Mammography, one breast (diagnostic) (77065) $415
$415
4.8×
Mammography, both breasts (diagnostic) (77066) $466
$466
4.2×
Mammography, screening (bilateral) (77067) $423
$423
4.6×
Basic metabolic panel (80048) $157
$157
18.6×
Comprehensive metabolic panel (80053) $186
$186
17.6×
Lipid panel (80061) $143
$143
10.7×
Renal function panel (80069) $180
$180
20.7×
Hepatic function panel (80076) $157
$157
19.2×
PSA, total (84153) $150
$150
8.2×
Thyroid stimulating hormone (TSH) (84443) $149
$149
8.9×
CBC with automated differential (85025) $115
$115
14.8×
CBC, automated (85027) $89
$89
13.8×
Prothrombin time (PT) (85610) $72
$72
16.8×
Partial thromboplastin time (PTT) (85730) $110
$110
18.3×
Sleep study (attended polysomnography) (95810) $4,564
$4,564
5.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $100
$100
3.4×
Office visit, new patient (low complexity, ~30 min) (99203) $132
$132
1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $224
$224
1.6×
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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