Niobrara Valley Hospital

Lynch, NE · Critical Access Hospital

Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $3,355 $3,355 3.6×
Upper GI endoscopy (EGD) with biopsy (43239) $3,297 $3,297 3.5×
Diagnostic colonoscopy (45378) $2,416 $2,416 2.5×
Colonoscopy with biopsy (45380) $2,902 $2,902 2.3×
Colonoscopy with lesion removal (45385) $3,310.50 $3,310.50 2.7×
CT head/brain without contrast (70450) $2,651.50 $2,651.50 24.4×
MRI brain without contrast (70551) $3,591 $3,591 14.5×
MRI brain with contrast (70552) $3,587 $3,587 9.9×
MRI brain without and with contrast (70553) $5,140 $5,140 14.2×
X-ray lower spine, 4+ views (72110) $672 $672 6.2×
MRI lumbar spine without contrast (72148) $4,714.50 $4,714.50 19.0×
CT pelvis with contrast (72193) $3,281.50 $3,281.50 18.0×
MRI lower-extremity joint without contrast (73721) $3,439 $3,439 13.9×
CT abdomen and pelvis with contrast (74177) $6,274 $6,274 17.3×
Ultrasound, abdomen complete (76700) $1,228.50 $1,228.50 11.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,102.50 $1,102.50 10.2×
Ultrasound, transvaginal (76830) $892.50 $892.50 8.2×
Mammography, screening (bilateral) (77067) $499 $499 5.5×
Basic metabolic panel (80048) $231 $231 27.3×
Comprehensive metabolic panel (80053) $262.50 $262.50 24.9×
Lipid panel (80061)
range across 3 matching MRF lines
$117–$168 $117–$168 varies
Renal function panel (80069) $298 $298 34.3×
Hepatic function panel (80076) $194.50 $194.50 23.8×
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
$15–$16 $15–$16 varies
PSA, total (84153) $168 $168 9.1×
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines
$105.50–$161 $105.50–$161 varies
CBC with automated differential (85025)
range across 3 matching MRF lines
$109–$136.50 $109–$136.50 varies
CBC, automated (85027) $105 $105 16.2×
Prothrombin time (PT) (85610) $96.50 $96.50 22.5×
Partial thromboplastin time (PTT) (85730) $130 $130 21.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $149 $149 5.1×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 7 matching MRF lines
$61–$65 $61–$65 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 7 matching MRF lines
$73–$77 $73–$77 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 4 matching MRF lines
$115–$121 $115–$121 varies
Preventive visit, new patient (age 18–39) (99385) $274 $274 —
Preventive visit, new patient (age 40–64) (99386) $298 $298 —

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.

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Download the machine-readable file (CSV, 1.4 MB) ↓ — captured 2026-07-20

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