OrthoNebraska Hospital

Omaha, NE

Posts prices for 27 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedureCash priceGross charge× Medicare
Shoulder arthroscopy with decompression (29826) — $3,855 —
Knee arthroscopy with meniscectomy (29881) — $4,680 —
Tonsillectomy and adenoidectomy (under age 12) (42820) — $6,829 —
Epidural injection, lumbar/sacral (with imaging) (62322) — $1,121 —
Transforaminal epidural injection, lumbar/sacral (64483) — $858 —
CT head/brain without contrast (70450) — $1,972 —
MRI brain without contrast (70551) — $3,306 —
MRI brain with contrast (70552) — $1,625 —
MRI brain without and with contrast (70553) — $3,925 —
X-ray lower spine, 4+ views (72110) — $543 —
MRI lumbar spine without contrast (72148) — $3,315 —
CT pelvis with contrast (72193) — $2,706 —
MRI lower-extremity joint without contrast (73721) — $2,617 —
CT abdomen and pelvis with contrast (74177) — $4,088 —
Ultrasound, abdomen complete (76700) — $954 —
Ultrasound, pregnant uterus (≥14 weeks) (76805) — $408 —
Ultrasound, transvaginal (76830) — $833 —
Basic metabolic panel (80048) — $121 —
Comprehensive metabolic panel (80053) — $164 —
Lipid panel (80061) — $102 —
Hepatic function panel (80076) — $152 —
Thyroid stimulating hormone (TSH) (84443) — $104 —
CBC with automated differential (85025) — $120 —
CBC, automated (85027) — $92 —
Prothrombin time (PT) (85610) — $82 —
Partial thromboplastin time (PTT) (85730) — $98 —
Physical therapy, therapeutic exercise (per 15 min) (97110) — $98 —

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