West Holt Memorial Hospital
Atkinson, NE · Critical Access Hospital
Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Knee arthroscopy with meniscectomy (29881) | $7,381 | $9,226 | 2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $8,402 | $10,503 | 8.9× |
| Diagnostic colonoscopy (45378) | $8,013 | $10,016 | 8.3× |
| Colonoscopy with biopsy (45380) | $7,937 | $9,921 | 6.4× |
| Colonoscopy with lesion removal (45385) | $7,975 | $9,969 | 6.4× |
| Laparoscopic gallbladder removal (47562) | $8,585 | $10,731 | 1.4× |
| Inguinal hernia repair (age 5+) (49505) | $5,340 | $6,675 | 1.4× |
| CT head/brain without contrast (70450) | $1,974 | $2,468 | 18.2× |
| MRI brain without contrast (70551) | $3,308 | $4,135 | 13.4× |
| MRI brain with contrast (70552) | $3,422 | $4,278 | 9.4× |
| MRI brain without and with contrast (70553) | $3,886 | $4,857 | 10.7× |
| X-ray lower spine, 4+ views (72110) | $518 | $647 | 4.8× |
| MRI lumbar spine without contrast (72148) | $3,273 | $4,091 | 13.2× |
| CT pelvis with contrast (72193) | $2,566 | $3,207 | 14.1× |
| MRI lower-extremity joint without contrast (73721) | $2,585 | $3,231 | 10.4× |
| CT abdomen and pelvis with contrast (74177) | $4,528 | $5,660 | 12.5× |
| Ultrasound, abdomen complete (76700) | $838 | $1,048 | 7.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $738 | $922 | 6.8× |
| Ultrasound, transvaginal (76830) | $626 | $782 | 5.8× |
| Mammography, one breast (diagnostic) (77065) | $298 | $373 | 3.5× |
| Mammography, both breasts (diagnostic) (77066) | $384 | $480 | 3.5× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$251–$334 | $314–$417 | varies |
| Basic metabolic panel (80048) | $167 | $209 | 19.7× |
| Comprehensive metabolic panel (80053) | $195 | $244 | 18.5× |
| Obstetric panel (80055) | $283 | $354 | 5.9× |
| Lipid panel (80061) | $149 | $186 | 11.1× |
| Renal function panel (80069) | $152 | $190 | 17.5× |
| Hepatic function panel (80076) | $143 | $179 | 17.5× |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$15–$20 | $19–$25 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$78–$131 | $98–$164 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$110–$138 | $138–$173 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$97–$122 | $121–$152 | varies |
| CBC, automated (85027) | $98 | $123 | 15.1× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$52–$66 | $65–$82 | varies |
| Partial thromboplastin time (PTT) (85730) range across 3 matching MRF lines |
$78–$99 | $98–$124 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $105 | $131 | 3.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$211–$242 | $264–$303 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 4 matching MRF lines |
$189–$344 | $236–$430 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$330–$430 | $412–$537 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $247 | $309 | — |
| Preventive visit, new patient (age 40–64) (99386) | $268 | $335 | — |
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.
More prices at this hospital
- Imaging: 207 codes with posted prices and Medicare benchmarks
- Lab & pathology: 448 codes with posted prices and Medicare benchmarks
- Visits & medical services: 125 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 212 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 19 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 5.2 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.