Memorial Hospital

NE 69001

Prices last published by the hospital: July 15, 2026

What these numbers mean. Cash price is what the hospital lists for patients paying out of pocket. Negotiated median is the middle of what insurance companies actually agreed to pay. Gross charge is the sticker price — almost nobody pays it. What you will actually pay is usually different from both numbers: with insurance, your deductible, copay, or coinsurance decides what you owe — the negotiated rate is what the insurer pays, not your bill. A single line item may not be the whole cost: physician, anesthesia, pathology, and facility fees can be billed separately. Prices vary by hospital and change over time; always confirm with the hospital before you go.

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Prices at this hospital (312 procedures)

Procedure	Cash price	Where it sits	Insurance pays (typical)	Gross charge
Abdominal ultrasound	$949Insurance typically pays $552Sticker price $949	Pricier than 79% of hospitals	$552	$949
ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION	$36,742Insurance typically pays $63,324Sticker price $36,742	Pricier than 94% of hospitals	$63,324	$36,742
Amino acid analysis, quantitative, each specimen	$153Insurance typically pays $93Sticker price $153	Pricier than 67% of hospitals	$93	$153
Analysis for antibody to Herpes simplex virus	$116Insurance typically pays $67Sticker price $116	Pricier than 82% of hospitals	$67	$116
Ankle-brachial index (ABI), complete	$926Insurance typically pays $538Sticker price $926	Pricier than 75% of hospitals	$538	$926
Ankle-brachial index (ABI), limited	$553Insurance typically pays $322Sticker price $553	Pricier than 68% of hospitals	$322	$553
Ankle fracture repair, open	$1,537Insurance typically pays $728Sticker price $1,537	Cheaper than 67% of hospitals	$728	$1,537
Appendix removal, laparoscopic	$1,178Insurance typically pays $803Sticker price $1,178	Cheaper than 70% of hospitals	$803	$1,178
Application of long leg cast	$155Insurance typically pays $49Sticker price $155	Cheaper than 75% of hospitals	$49	$155
Application of short arm cast	$179Insurance typically pays $55Sticker price $179	Cheaper than 71% of hospitals	$55	$179
Application of short leg cast	$164Insurance typically pays $52Sticker price $164	Cheaper than 75% of hospitals	$52	$164
Application of short leg splint	$148Insurance typically pays $46Sticker price $148	Cheaper than 77% of hospitals	$46	$148
Arterial line placement	$89Insurance typically pays $68Sticker price $89	Cheaper than 93% of hospitals	$68	$89
Arterial puncture for blood draw	$157Insurance typically pays $88Sticker price $157	Pricier than 72% of hospitals	$88	$157
Aspiration of fluid from chest cavity	$474Insurance typically pays $80Sticker price $474	Cheaper than 80% of hospitals	$80	$474
Aspiration or injection of ganglion cyst	$131Insurance typically pays $37Sticker price $131	Cheaper than 77% of hospitals	$37	$131
Basic metabolic blood panel	$146Insurance typically pays $85Sticker price $146	Pricier than 68% of hospitals	$85	$146
Benign skin growth removal	$350Insurance typically pays $96Sticker price $350	Cheaper than 73% of hospitals	$96	$350
Bladder catheter placement	$90Insurance typically pays $22Sticker price $90	Cheaper than 83% of hospitals	$22	$90
Blood count (CBC)	$105Insurance typically pays $61Sticker price $105	Pricier than 82% of hospitals	$61	$105
Blood count with differential	$102Insurance typically pays $59Sticker price $102	Pricier than 79% of hospitals	$59	$102
Blood draw	$30Insurance typically pays $17Sticker price $30	Pricier than 79% of hospitals	$17	$30
Blood sugar test	$60Insurance typically pays $39Sticker price $60	Pricier than 78% of hospitals	$39	$60
Bone biopsy, superficial	$470Insurance typically pays $75Sticker price $470	Cheaper than 84% of hospitals	$75	$470
Breast biopsy, open	$1,030Insurance typically pays $370Sticker price $1,030	Cheaper than 69% of hospitals	$370	$1,030
BUN kidney test	$63Insurance typically pays $37Sticker price $63	Pricier than 78% of hospitals	$37	$63
Capillary blood draw (finger stick)	$40Insurance typically pays $23Sticker price $40	Pricier than 84% of hospitals	$23	$40
Carpal tunnel release	$902Insurance typically pays $457Sticker price $902	Cheaper than 75% of hospitals	$457	$902
Cataract surgery with lens implant	$1,108Insurance typically pays $755Sticker price $1,108	Cheaper than 86% of hospitals	$755	$1,108
Cesarean delivery only	$1,719Insurance typically pays $1,055Sticker price $1,719	Cheaper than 65% of hospitals	$1,055	$1,719
Cesarean delivery with routine obstetric care	$5,163Insurance typically pays $2,307Sticker price $5,163	Pricier than 74% of hospitals	$2,307	$5,163
Chemotherapy infusion, additional hour	$218Insurance typically pays $127Sticker price $218	Cheaper than 56% of hospitals	$127	$218
Chemotherapy infusion, first hour	$789Insurance typically pays $459Sticker price $789	Pricier than 66% of hospitals	$459	$789
Chemotherapy injection under skin or into muscle	$314Insurance typically pays $183Sticker price $314	Pricier than 70% of hospitals	$183	$314
Cholesterol panel	$114Insurance typically pays $66Sticker price $114	Pricier than 64% of hospitals	$66	$114
Closed treatment of broken middle or upper end of outside lower leg bone	$646Insurance typically pays $272Sticker price $646	Pricier than 67% of hospitals	$272	$646
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation	$1,111Insurance typically pays $498Sticker price $1,111	Cheaper than 67% of hospitals	$498	$1,111
Clotting factor VII (proconvertin, stable factor)	$342Insurance typically pays $199Sticker price $342	Pricier than 85% of hospitals	$199	$342
Cold knife conization of cervix	$716Insurance typically pays $313Sticker price $716	Cheaper than 67% of hospitals	$313	$716
Colectomy with colostomy	$3,218Insurance typically pays $1,372Sticker price $3,218	Pricier than 52% of hospitals	$1,372	$3,218
Colonoscopy	$758Insurance typically pays $240Sticker price $758	Cheaper than 79% of hospitals	$240	$758
Colonoscopy with biopsy	$979Insurance typically pays $205Sticker price $979	Cheaper than 73% of hospitals	$205	$979
Colonoscopy with polyp removal	$1,018Insurance typically pays $261Sticker price $1,018	Cheaper than 73% of hospitals	$261	$1,018
Colonoscopy with submucosal injection	$1,095Insurance typically pays $238Sticker price $1,095	Cheaper than 68% of hospitals	$238	$1,095
Creatinine test	$71Insurance typically pays $45Sticker price $71	Pricier than 83% of hospitals	$45	$71
Critical care, additional 30 minutes	$244Insurance typically pays $95Sticker price $244	Cheaper than 87% of hospitals	$95	$244
Critical care, first hour	$2,145Insurance typically pays $1,201Sticker price $2,145	Pricier than 63% of hospitals	$1,201	$2,145
C-section delivery	$18,021Insurance typically pays $8,336Sticker price $18,021	Pricier than 73% of hospitals	$8,336	$18,021
CT abdomen and pelvis with contrast	$3,855Insurance typically pays $2,241Sticker price $3,855	Pricier than 83% of hospitals	$2,241	$3,855
CT head without contrast	$2,014Insurance typically pays $1,171Sticker price $2,014	Pricier than 86% of hospitals	$1,171	$2,014
Debridement of skin, muscle or fascia	$469Insurance typically pays $173Sticker price $469	Cheaper than 70% of hospitals	$173	$469
Detailed obstetric ultrasound	$903Insurance typically pays $525Sticker price $903	Pricier than 70% of hospitals	$525	$903
Detection test by immunoassay technique for rotavirus	$204Insurance typically pays $119Sticker price $204	Pricier than 87% of hospitals	$119	$204
Diagnostic exam of bladder and urethra using an endoscope	$485Insurance typically pays $100Sticker price $485	Cheaper than 71% of hospitals	$100	$485
Diagnostic exam of lower portion of large bowel using a flexible endoscope	$379Insurance typically pays $51Sticker price $379	Cheaper than 74% of hospitals	$51	$379
Dilation and curettage (D&C), diagnostic	$603Insurance typically pays $265Sticker price $603	Cheaper than 75% of hospitals	$265	$603
Duplex ultrasound of aorta and iliac arteries	$885Insurance typically pays $515Sticker price $885	Pricier than 66% of hospitals	$515	$885
Duplex ultrasound of dialysis access	$1,054Insurance typically pays $613Sticker price $1,054	Pricier than 88% of hospitals	$613	$1,054
Duplex ultrasound of lower extremity arteries, bilateral	$1,639Insurance typically pays $953Sticker price $1,639	Pricier than 87% of hospitals	$953	$1,639
Ear wax removal	$97Insurance typically pays $27Sticker price $97	Cheaper than 66% of hospitals	$27	$97
Emergency room visit, high complexity	$1,745Insurance typically pays $977Sticker price $1,745	Pricier than 66% of hospitals	$977	$1,745
Emergency room visit (high severity)	$1,060Insurance typically pays $594Sticker price $1,060	Pricier than 55% of hospitals	$594	$1,060
Emergency room visit, low complexity	$410Insurance typically pays $230Sticker price $410	Pricier than 58% of hospitals	$230	$410
Emergency room visit, minor	$125Insurance typically pays $96Sticker price $125	Cheaper than 78% of hospitals	$96	$125
Emergency room visit, moderate	$680Insurance typically pays $381Sticker price $680	Pricier than 59% of hospitals	$381	$680
Excision of breast lesion with radiologic marker	$1,133Insurance typically pays $465Sticker price $1,133	Cheaper than 65% of hospitals	$465	$1,133
Extended doctor visit	$173Insurance typically pays $61Sticker price $173	Pricier than 96% of hospitals	$61	$173
Eye exam	$184Insurance typically pays $44Sticker price $184	Pricier than 62% of hospitals	$44	$184
Ferritin test	$181Insurance typically pays $105Sticker price $181	Pricier than 86% of hospitals	$105	$181
Fetal non-stress test	$400Insurance typically pays $224Sticker price $400	Cheaper than 53% of hospitals	$224	$400
Flu shot	$104Insurance typically pays $60Sticker price $104	Pricier than 53% of hospitals	$60	$104
Gallbladder removal (laparoscopic)	$1,288Insurance typically pays $858Sticker price $1,288	Cheaper than 79% of hospitals	$858	$1,288
HCHG ACTH PLASMA LC	$268Insurance typically pays $156Sticker price $268	Pricier than 80% of hospitals	$156	$268
HCHG AFB CONCENTRATION	$64Insurance typically pays $37Sticker price $64	Pricier than 76% of hospitals	$37	$64
HCHG ALDOLASE LC	$112Insurance typically pays $65Sticker price $112	Pricier than 86% of hospitals	$65	$112
HCHG ALK PHOSPHATASE	$75Insurance typically pays $44Sticker price $75	Pricier than 82% of hospitals	$44	$75
HCHG ALPHA-1-ANTITRYPSIN SERUM LC	$241Insurance typically pays $163Sticker price $241	Pricier than 98% of hospitals	$163	$241
HCHG AMINO ACIDEMIAS (PKU)	$198Insurance typically pays $139Sticker price $198	Pricier than 75% of hospitals	$139	$198
HCHG AMPA RECEPTOR ABY TITER SPINAL FLUID	$232Insurance typically pays $135Sticker price $232	Pricier than 93% of hospitals	$135	$232
HCHG ANA	$109Insurance typically pays $63Sticker price $109	Pricier than 82% of hospitals	$63	$109
HCHG ANAEROBIC CULTURE	$175Insurance typically pays $102Sticker price $175	Pricier than 76% of hospitals	$102	$175
HCHG ANTI-DNASE B STREP ANTIBODIES LC	$149Insurance typically pays $87Sticker price $149	Pricier than 93% of hospitals	$87	$149
HCHG ANTISTREPTOLYSIN O AB LC	$116Insurance typically pays $67Sticker price $116	Pricier than 86% of hospitals	$67	$116
HCHG ANTITHROMBIN III	$259Insurance typically pays $151Sticker price $259	Pricier than 90% of hospitals	$151	$259
HCHG ARTHROCENT/ASPIR/INJ SMALL JOINT/BURSA WO US	$109Insurance typically pays $31Sticker price $109	Cheaper than 88% of hospitals	$31	$109
HCHG BLOOD/BLOOD PRODUCT ADMIN PER UNIT	$1,095Insurance typically pays $710Sticker price $1,095	Pricier than 73% of hospitals	$710	$1,095
HCHG CA15.3	$209Insurance typically pays $122Sticker price $209	Pricier than 89% of hospitals	$122	$209
HCHG CARBAMAZEPINE	$163Insurance typically pays $95Sticker price $163	Pricier than 79% of hospitals	$95	$163
HCHG CATECHOLAMINESURFREE24 HR LC	$294Insurance typically pays $171Sticker price $294	Pricier than 93% of hospitals	$171	$294
HCHG CF SCREEN	$178Insurance typically pays $103Sticker price $178	Pricier than 92% of hospitals	$103	$178
HCHG CHROMIUM BLOOD	$123Insurance typically pays $72Sticker price $123	Pricier than 72% of hospitals	$72	$123
HCHG CHROMOGRANIN A	$248Insurance typically pays $144Sticker price $248	Pricier than 88% of hospitals	$144	$248
HCHG CMV IGM ABY	$145Insurance typically pays $84Sticker price $145	Pricier than 81% of hospitals	$84	$145
HCHG CMV QUANT DNA PCR (PLASMA) LC	$580Insurance typically pays $337Sticker price $580	Pricier than 93% of hospitals	$337	$580
HCHG COMPREHENSIVE METABOLIC PANE	$161Insurance typically pays $94Sticker price $161	Pricier than 69% of hospitals	$94	$161
HCHG COVID 19 NAA LC	$114Insurance typically pays $65Sticker price $114	Pricier than 59% of hospitals	$65	$114
HCHG C-PEPTIDE SERUM	$185Insurance typically pays $108Sticker price $185	Pricier than 89% of hospitals	$108	$185
HCHG CREATININE URINE	$86Insurance typically pays $50Sticker price $86	Pricier than 85% of hospitals	$50	$86
HCHG CROSSMATCH IS	$186Insurance typically pays $108Sticker price $186	Pricier than 69% of hospitals	$108	$186
HCHG CRYOGLOBULIN QUAL WITH REFLEX	$82Insurance typically pays $48Sticker price $82	Pricier than 77% of hospitals	$48	$82
HCHG CRYPTOCOCCAL AG LATEX SCREEN W/REFL TITER QUE	$126Insurance typically pays $82Sticker price $126	Pricier than 79% of hospitals	$82	$126
HCHG CT SOFT TISSUE NECK W CONTRAST	$3,249Insurance typically pays $1,889Sticker price $3,249	Pricier than 90% of hospitals	$1,889	$3,249
HCHG CT THORACENTESIS PLEURAL ASPIRATION	$1,569Insurance typically pays $879Sticker price $1,569	Pricier than 67% of hospitals	$879	$1,569
HCHG DEBRIDE SQ TISSUE FIRST 20 SQ CM	$263Insurance typically pays $81Sticker price $263	Cheaper than 76% of hospitals	$81	$263
HCHG DHEA SERUM LC	$215Insurance typically pays $125Sticker price $215	Pricier than 85% of hospitals	$125	$215
HCHG DIPTHERIA TOXOID IGG ABY	$142Insurance typically pays $86Sticker price $142	Pricier than 92% of hospitals	$86	$142
HCHG DIRECT ANTIGLOBULIN TEST	$153Insurance typically pays $89Sticker price $153	Pricier than 88% of hospitals	$89	$153
HCHG EBV NA	$124Insurance typically pays $72Sticker price $124	Pricier than 85% of hospitals	$72	$124
HCHG EBV VCA IGG	$139Insurance typically pays $81Sticker price $139	Pricier than 83% of hospitals	$81	$139
HCHG ECHO 2D F-U OR LTD STUDY W BUBBLE	$1,177Insurance typically pays $684Sticker price $1,177	Pricier than 85% of hospitals	$684	$1,177
HCHG FACTOR 2 GENE MUTATION	$304Insurance typically pays $177Sticker price $304	Pricier than 78% of hospitals	$177	$304
HCHG FACTOR 8 ASSAY	$239Insurance typically pays $139Sticker price $239	Pricier than 82% of hospitals	$139	$239
HCHG FACTOR IX ACTIVITY LC	$353Insurance typically pays $205Sticker price $353	Pricier than 86% of hospitals	$205	$353
HCHG FLUORO < 1 HOUR	$772Insurance typically pays $449Sticker price $772	Pricier than 82% of hospitals	$449	$772
HCHG FOLIC ACID	$124Insurance typically pays $72Sticker price $124	Pricier than 68% of hospitals	$72	$124
HCHG FSH-SERUM	$152Insurance typically pays $88Sticker price $152	Pricier than 70% of hospitals	$88	$152
HCHG GENERAL LAB 8007400	$401Insurance typically pays $233Sticker price $401	Pricier than 82% of hospitals	$233	$401
HCHG GENERAL LAB 8663103 LC	$91Insurance typically pays $53Sticker price $91	Pricier than 87% of hospitals	$53	$91
HCHG GENERAL LAB 8670600	$164Insurance typically pays $95Sticker price $164	Pricier than 90% of hospitals	$95	$164
HCHG GENERAL LAB 8680300	$175Insurance typically pays $102Sticker price $175	Pricier than 84% of hospitals	$102	$175
HCHG GENERAL LAB 8738900	$137Insurance typically pays $80Sticker price $137	Pricier than 74% of hospitals	$80	$137
HCHG GENERAL LAB 8748602 LC	$116Insurance typically pays $67Sticker price $116	Cheaper than 50% of hospitals	$67	$116
HCHG GENERAL LAB 8749100	$198Insurance typically pays $115Sticker price $198	Pricier than 82% of hospitals	$115	$198
HCHG GENERAL LAB 87522 LCC	$611Insurance typically pays $355Sticker price $611	Pricier than 94% of hospitals	$355	$611
HCHG GENTAMICIN KINETICS	$225Insurance typically pays $131Sticker price $225	Pricier than 81% of hospitals	$131	$225
HCHG GRAM STAIN	$78Insurance typically pays $45Sticker price $78	Pricier than 78% of hospitals	$45	$78
HCHG HEMOGLOBINOPATHIES	$108Insurance typically pays $63Sticker price $108	Pricier than 74% of hospitals	$63	$108
HCHG H HEMACHROMATOSIS	$518Insurance typically pays $301Sticker price $518	Pricier than 88% of hospitals	$301	$518
HCHG H. PYLORI ANTIGEN STOOL	$315Insurance typically pays $183Sticker price $315	Pricier than 97% of hospitals	$183	$315
HCHG ICU MD RETROPERITONEAL LIMITED	$693Insurance typically pays $403Sticker price $693	Pricier than 80% of hospitals	$403	$693
HCHG I D ABSCESS/CARB/CYST SINGLE SIMPLE	$259Insurance typically pays $94Sticker price $259	Cheaper than 65% of hospitals	$94	$259
HCHG I D HEMATOMA/SEROMA FLUID COLL	$345Insurance typically pays $107Sticker price $345	Cheaper than 85% of hospitals	$107	$345
HCHG IHC STAIN ADDL	$132Insurance typically pays $77Sticker price $132	Cheaper than 57% of hospitals	$77	$132
HCHG IHC STAIN FIRST	$166Insurance typically pays $97Sticker price $166	Cheaper than 62% of hospitals	$97	$166
HCHG INSERT PICC WO SUBQ PORT/PUMP WO GUIDANCE >5	$186Insurance typically pays $79Sticker price $186	Cheaper than 95% of hospitals	$79	$186
HCHG INTRINSIC FACTOR ABS SERUM LC	$176Insurance typically pays $102Sticker price $176	Pricier than 91% of hospitals	$102	$176
HCHG INTUBATION ENDOTRACHEAL EMERGENCY	$783Insurance typically pays $438Sticker price $783	Pricier than 75% of hospitals	$438	$783
HCHG IRON	$78Insurance typically pays $45Sticker price $78	Pricier than 70% of hospitals	$45	$78
HCHG JAK2 MUTATION DETECTION	$791Insurance typically pays $460Sticker price $791	Pricier than 94% of hospitals	$460	$791
HCHG LEAD FILTER PAPER	$105Insurance typically pays $61Sticker price $105	Pricier than 86% of hospitals	$61	$105
HCHG LUTEINIZING HORMONE	$139Insurance typically pays $81Sticker price $139	Pricier than 69% of hospitals	$81	$139
HCHG MEAS POST VOID RES US NON-IMAGING	$211Insurance typically pays $118Sticker price $211	Pricier than 72% of hospitals	$118	$211
HCHG N METHYLHISTAMINE URINE	$269Insurance typically pays $156Sticker price $269	Pricier than 85% of hospitals	$156	$269
HCHG OT APPLICATION LONG ARM CAST	$198Insurance typically pays $60Sticker price $198	Cheaper than 67% of hospitals	$60	$198
HCHG OT EVAL HIGH COMPLEXITY	$291Insurance typically pays $169Sticker price $291	Pricier than 64% of hospitals	$169	$291
HCHG OT EVAL LOW COMPLEXITY	$228Insurance typically pays $133Sticker price $228	Pricier than 62% of hospitals	$133	$228
HCHG OT EVAL MOD COMPLEXITY	$268Insurance typically pays $156Sticker price $268	Pricier than 67% of hospitals	$156	$268
HCHG OT RE-EVALUATION	$161Insurance typically pays $94Sticker price $161	Pricier than 63% of hospitals	$94	$161
HCHG PARACENTESIS ABD WO IMAGING	$427Insurance typically pays $84Sticker price $427	Cheaper than 77% of hospitals	$84	$427
HCHG PFT C0 MEMBRANE DIFFUSE CAPACITY	$617Insurance typically pays $359Sticker price $617	Pricier than 91% of hospitals	$359	$617
HCHG PHENOBARBITAL	$198Insurance typically pays $115Sticker price $198	Pricier than 87% of hospitals	$115	$198
HCHG POTASSIUM	$64Insurance typically pays $39Sticker price $64	Pricier than 77% of hospitals	$39	$64
HCHG PROCALCITONIN	$278Insurance typically pays $162Sticker price $278	Pricier than 78% of hospitals	$162	$278
HCHG PROTEIN TOTAL	$75Insurance typically pays $44Sticker price $75	Pricier than 89% of hospitals	$44	$75
HCHG PROTHOMBIN TIME	$55Insurance typically pays $31Sticker price $55	Pricier than 73% of hospitals	$31	$55
HCHG PSA-SCREEN	$129Insurance typically pays $75Sticker price $129	Pricier than 61% of hospitals	$75	$129
HCHG PT APPLICATION LONG ARM SPLINT	$169Insurance typically pays $35Sticker price $169	Cheaper than 72% of hospitals	$35	$169
HCHG PT E-STIM-ATTENDED 15MIN	$93Insurance typically pays $54Sticker price $93	Pricier than 66% of hospitals	$54	$93
HCHG PT EVAL HIGH COMPLEXITY	$302Insurance typically pays $176Sticker price $302	Pricier than 67% of hospitals	$176	$302
HCHG PT EVAL LOW COMPLEXITY	$199Insurance typically pays $116Sticker price $199	Pricier than 55% of hospitals	$116	$199
HCHG PT EVAL MOD COMPLEXITY	$249Insurance typically pays $145Sticker price $249	Pricier than 63% of hospitals	$145	$249
HCHG PT GAIT TRAINING 15MIN	$112Insurance typically pays $65Sticker price $112	Pricier than 74% of hospitals	$65	$112
HCHG PT IONTOPHORESIS 15MIN	$142Insurance typically pays $83Sticker price $142	Pricier than 85% of hospitals	$83	$142
HCHG PT MANUAL THERAPY 15MIN	$114Insurance typically pays $65Sticker price $114	Pricier than 68% of hospitals	$65	$114
HCHG PT MASSAGE 15 MIN	$81Insurance typically pays $47Sticker price $81	Pricier than 61% of hospitals	$47	$81
HCHG PT MECHANICAL TRACTION	$87Insurance typically pays $51Sticker price $87	Pricier than 67% of hospitals	$51	$87
HCHG PT NEUROMUSCULAR RE-ED 15MIN	$125Insurance typically pays $73Sticker price $125	Pricier than 75% of hospitals	$73	$125
HCHG PT ORTHO/PROSTHETIC TRAIN UPR/LWR EXT TRUNK S	$119Insurance typically pays $69Sticker price $119	Pricier than 71% of hospitals	$69	$119
HCHG PT ORTHOTIC FIT/TRAIN UPR/LWR EXT TRUNK INITI	$119Insurance typically pays $69Sticker price $119	Pricier than 68% of hospitals	$69	$119
HCHG PT PHONOPHORESIS 15MIN	$90Insurance typically pays $52Sticker price $90	Pricier than 70% of hospitals	$52	$90
HCHG PT PROSTHETIC TRAIN UPR/LWR EXT INITIAL ENC E	$119Insurance typically pays $69Sticker price $119	Pricier than 73% of hospitals	$69	$119
HCHG PT RE-EVALUATION	$133Insurance typically pays $77Sticker price $133	Pricier than 54% of hospitals	$77	$133
HCHG PT SELFCARE/HOME MNGMNT 15MIN	$133Insurance typically pays $77Sticker price $133	Pricier than 79% of hospitals	$77	$133
HCHG PT THERAPEUTIC ACTIVITY 15MIN	$126Insurance typically pays $73Sticker price $126	Pricier than 75% of hospitals	$73	$126
HCHG PT THERAPEUTIC EXERCISE 15MIN	$100Insurance typically pays $58Sticker price $100	Pricier than 65% of hospitals	$58	$100
HCHG RAD CT ANGIO CHEST	$4,466Insurance typically pays $2,597Sticker price $4,466	Pricier than 92% of hospitals	$2,597	$4,466
HCHG RAD CT ANGIO NECK W CONTRAST	$2,923Insurance typically pays $1,699Sticker price $2,923	Pricier than 83% of hospitals	$1,699	$2,923
HCHG RAD CT HEAD BRAIN WWO	$2,655Insurance typically pays $1,544Sticker price $2,655	Pricier than 84% of hospitals	$1,544	$2,655
HCHG RAD CT LOWER EXTREMITY WO	$2,731Insurance typically pays $1,588Sticker price $2,731	Pricier than 92% of hospitals	$1,588	$2,731
HCHG RAD ECHO STRESS TRANSTHORACIC 2D EXERCISE OR	$2,108Insurance typically pays $1,226Sticker price $2,108	Pricier than 75% of hospitals	$1,226	$2,108
HCHG RAD MRI ANGIO HEAD BRAIN WWO	$5,187Insurance typically pays $3,016Sticker price $5,187	Pricier than 90% of hospitals	$3,016	$5,187
HCHG RAD MRI ANGIO HEAD WO	$4,337Insurance typically pays $2,522Sticker price $4,337	Pricier than 93% of hospitals	$2,522	$4,337
HCHG RAD MRI ANGIO NECK WWO	$4,789Insurance typically pays $2,784Sticker price $4,789	Pricier than 89% of hospitals	$2,784	$4,789
HCHG RAD MRI JOINT LOWER EXTREMITY WO	$2,410Insurance typically pays $1,401Sticker price $2,410	Pricier than 78% of hospitals	$1,401	$2,410
HCHG RAD MRI SPINE CERVICAL WO	$4,136Insurance typically pays $2,405Sticker price $4,136	Pricier than 91% of hospitals	$2,405	$4,136
HCHG RAD MRI SPINE THORACIC WO	$4,272Insurance typically pays $2,484Sticker price $4,272	Pricier than 92% of hospitals	$2,484	$4,272
HCHG RAD NM BONE SCAN WHOLE BODY	$2,491Insurance typically pays $1,448Sticker price $2,491	Pricier than 89% of hospitals	$1,448	$2,491
HCHG RAD NM LUNG PERFUSION SCAN	$1,716Insurance typically pays $998Sticker price $1,716	Pricier than 85% of hospitals	$998	$1,716
HCHG RAD NM LUNG VENTILATION AND PERFUSION QUANTIT	$2,517Insurance typically pays $1,463Sticker price $2,517	Pricier than 87% of hospitals	$1,463	$2,517
HCHG RAD US ARTERIAL UPPER EXTREMITY BILATERAL COM	$1,354Insurance typically pays $787Sticker price $1,354	Pricier than 81% of hospitals	$787	$1,354
HCHG RAD XRAY CHEST FRONTAL 1 VIEW	$308Insurance typically pays $179Sticker price $308	Pricier than 81% of hospitals	$179	$308
HCHG RAD XRAY FEMUR 1 VIEW UNILATERAL	$306Insurance typically pays $178Sticker price $306	Pricier than 77% of hospitals	$178	$306
HCHG RAD XRAY FOOT 2 VIEWS	$281Insurance typically pays $163Sticker price $281	Pricier than 68% of hospitals	$163	$281
HCHG RAD XRAY KNEE 3 VIEWS	$415Insurance typically pays $241Sticker price $415	Pricier than 78% of hospitals	$241	$415
HCHG RAD XRAY KNEES STANDING BILATERAL	$291Insurance typically pays $169Sticker price $291	Pricier than 70% of hospitals	$169	$291
HCHG RAD XRAY MANDIBLE MINIMUM OF FOUR VIEWS	$466Insurance typically pays $271Sticker price $466	Pricier than 78% of hospitals	$271	$466
HCHG RAD XRAY RIBS 3 VIEWS BILATERAL	$487Insurance typically pays $283Sticker price $487	Pricier than 76% of hospitals	$283	$487
HCHG RESPIRATORY DISEASE MULTIPLEX PCR PANEL	$541Insurance typically pays $315Sticker price $541	Cheaper than 57% of hospitals	$315	$541
HCHG REVERSE T3 SERUM LC	$260Insurance typically pays $151Sticker price $260	Pricier than 94% of hospitals	$151	$260
HCHG SELENIUM SERUM/PLASMA LC	$144Insurance typically pays $96Sticker price $144	Pricier than 81% of hospitals	$96	$144
HCHG SLP EVAL ORAL/PHAR SWALLOWING	$404Insurance typically pays $235Sticker price $404	Pricier than 82% of hospitals	$235	$404
HCHG SLP EVAL SPEECH SOUND W LANGUAGE COMP	$439Insurance typically pays $255Sticker price $439	Pricier than 71% of hospitals	$255	$439
HCHG SLP INDIV TX COMMUNICATION	$325Insurance typically pays $189Sticker price $325	Pricier than 84% of hospitals	$189	$325
HCHG SODIUM URINE	$53Insurance typically pays $31Sticker price $53	Pricier than 70% of hospitals	$31	$53
HCHG SP STAIN 1 ORG	$191Insurance typically pays $111Sticker price $191	Pricier than 78% of hospitals	$111	$191
HCHG STONE ANALYSIS LC	$156Insurance typically pays $91Sticker price $156	Pricier than 90% of hospitals	$91	$156
HCHG STOOL CULTURE AEROBIC BACTERIA LC	$156Insurance typically pays $91Sticker price $156	Pricier than 82% of hospitals	$91	$156
HCHG T3 FREE	$297Insurance typically pays $173Sticker price $297	Pricier than 93% of hospitals	$173	$297
HCHG T4 FREE	$122Insurance typically pays $71Sticker price $122	Pricier than 71% of hospitals	$71	$122
HCHG TACROLIMUS AHL	$328Insurance typically pays $191Sticker price $328	Pricier than 93% of hospitals	$191	$328
HCHG TESTOSTERONE FREE EQUILIBRIUM ULTRAFILTRATION	$219Insurance typically pays $127Sticker price $219	Pricier than 92% of hospitals	$127	$219
HCHG THY PEROXIDASE ABY	$96Insurance typically pays $65Sticker price $96	Pricier than 68% of hospitals	$65	$96
HCHG THYROGLOBULIN ABY LC	$136Insurance typically pays $89Sticker price $136	Pricier than 86% of hospitals	$89	$136
HCHG THYROGLOBULIN TUMOR MARKER FNA ASP BX NEEDLE	$147Insurance typically pays $85Sticker price $147	Pricier than 79% of hospitals	$85	$147
HCHG TISSUE LEVEL 2	$123Insurance typically pays $72Sticker price $123	Pricier than 59% of hospitals	$72	$123
HCHG TOTAL T CELLS	$167Insurance typically pays $97Sticker price $167	Pricier than 72% of hospitals	$97	$167
HCHG URIC ACID URINE	$82Insurance typically pays $51Sticker price $82	Pricier than 84% of hospitals	$51	$82
HCHG US ABDOMEN LIMITED	$772Insurance typically pays $449Sticker price $772	Pricier than 77% of hospitals	$449	$772
HCHG VALPROIC ACID	$212Insurance typically pays $123Sticker price $212	Pricier than 87% of hospitals	$123	$212
HCHG VANILLYLMANDELIC ACID 24-HR U LC	$240Insurance typically pays $145Sticker price $240	Pricier than 95% of hospitals	$145	$240
HCHG VEDOLIZUMAB QUANT LC	$258Insurance typically pays $150Sticker price $258	Pricier than 71% of hospitals	$150	$258
HCHG VITAMIN A SERUM LC	$231Insurance typically pays $134Sticker price $231	Pricier than 95% of hospitals	$134	$231
HCHG VITAMIN B6 PLASMA LC	$254Insurance typically pays $148Sticker price $254	Pricier than 86% of hospitals	$148	$254
Heart ultrasound	$2,940Insurance typically pays $1,709Sticker price $2,940	Pricier than 82% of hospitals	$1,709	$2,940
Hemorrhoid banding	$574Insurance typically pays $181Sticker price $574	Cheaper than 73% of hospitals	$181	$574
Hemorrhoid removal	$963Insurance typically pays $484Sticker price $963	Cheaper than 72% of hospitals	$484	$963
Hernia repair (inguinal)	$1,025Insurance typically pays $533Sticker price $1,025	Cheaper than 78% of hospitals	$533	$1,025
Hip fracture repair with pins or screws	$2,373Insurance typically pays $1,362Sticker price $2,373	Cheaper than 54% of hospitals	$1,362	$2,373
Hip fracture repair with plate and screws	$2,439Insurance typically pays $1,151Sticker price $2,439	Cheaper than 52% of hospitals	$1,151	$2,439
Hip replacement (total)	$2,543Insurance typically pays $1,570Sticker price $2,543	Cheaper than 66% of hospitals	$1,570	$2,543
Hormonal chemotherapy injection	$277Insurance typically pays $161Sticker price $277	Pricier than 75% of hospitals	$161	$277
Hospital admission visit	$356Insurance typically pays $150Sticker price $356	Cheaper than 51% of hospitals	$150	$356
Hospital admission visit	$267Insurance typically pays $112Sticker price $267	Pricier than 55% of hospitals	$112	$267
Hospital discharge visit	$166Insurance typically pays $79Sticker price $166	Pricier than 60% of hospitals	$79	$166
Hospital discharge visit, extended	$235Insurance typically pays $121Sticker price $235	Pricier than 61% of hospitals	$121	$235
Hospital follow-up visit	$162Insurance typically pays $70Sticker price $162	Pricier than 67% of hospitals	$70	$162
Hospital follow-up visit, complex	$243Insurance typically pays $103Sticker price $243	Pricier than 69% of hospitals	$103	$243
Hysteroscopy with biopsy	$2,661Insurance typically pays $232Sticker price $2,661	Pricier than 53% of hospitals	$232	$2,661
Inguinal hernia repair, incarcerated, open	$1,151Insurance typically pays $659Sticker price $1,151	Cheaper than 69% of hospitals	$659	$1,151
Iron test	$94Insurance typically pays $55Sticker price $94	Pricier than 74% of hospitals	$55	$94
Irrigation of implanted venous access (port flush)	$202Insurance typically pays $117Sticker price $202	Pricier than 73% of hospitals	$117	$202
IV hydration infusion, additional hour	$148Insurance typically pays $86Sticker price $148	Pricier than 63% of hospitals	$86	$148
IV hydration infusion, first hour	$405Insurance typically pays $235Sticker price $405	Pricier than 62% of hospitals	$235	$405
IV infusion, additional drug or sequence	$218Insurance typically pays $127Sticker price $218	Pricier than 68% of hospitals	$127	$218
IV infusion, additional hour	$152Insurance typically pays $88Sticker price $152	Pricier than 57% of hospitals	$88	$152
IV infusion, first hour	$410Insurance typically pays $238Sticker price $410	Pricier than 54% of hospitals	$238	$410
IV placement (needle into vein)	$61Insurance typically pays $58Sticker price $61	Cheaper than 76% of hospitals	$58	$61
IV push injection	$332Insurance typically pays $193Sticker price $332	Pricier than 76% of hospitals	$193	$332
Joint injection, large joint	$320Insurance typically pays $182Sticker price $320	Cheaper than 67% of hospitals	$182	$320
Joint injection, medium joint	$112Insurance typically pays $32Sticker price $112	Cheaper than 89% of hospitals	$32	$112
Kidney function panel	$175Insurance typically pays $102Sticker price $175	Pricier than 70% of hospitals	$102	$175
Laparoscopic removal of ovary	$1,308Insurance typically pays $745Sticker price $1,308	Cheaper than 66% of hospitals	$745	$1,308
LDH test	$82Insurance typically pays $48Sticker price $82	Pricier than 78% of hospitals	$48	$82
LEEP conization of cervix	$614Insurance typically pays $276Sticker price $614	Cheaper than 74% of hospitals	$276	$614
Leg vein ultrasound	$1,835Insurance typically pays $1,067Sticker price $1,835	Pricier than 88% of hospitals	$1,067	$1,835
Liver biopsy	$604Insurance typically pays $75Sticker price $604	Cheaper than 85% of hospitals	$75	$604
Liver function panel	$182Insurance typically pays $106Sticker price $182	Pricier than 79% of hospitals	$106	$182
Lysis of bowel adhesions, open	$2,117Insurance typically pays $915Sticker price $2,117	Cheaper than 54% of hospitals	$915	$2,117
Molecular pathology procedure level 6 genetic analysis	$668Insurance typically pays $388Sticker price $668	Pricier than 57% of hospitals	$388	$668
MRI brain with and without contrast	$4,935Insurance typically pays $2,869Sticker price $4,935	Pricier than 89% of hospitals	$2,869	$4,935
MRI brain without contrast	$4,040Insurance typically pays $2,349Sticker price $4,040	Pricier than 91% of hospitals	$2,349	$4,040
MRI lower back with and without contrast	$3,945Insurance typically pays $2,294Sticker price $3,945	Pricier than 80% of hospitals	$2,294	$3,945
MRI lower back without contrast	$2,940Insurance typically pays $1,709Sticker price $2,940	Pricier than 83% of hospitals	$1,709	$2,940
Nail avulsion, additional nail	$67Insurance typically pays $30Sticker price $67	Cheaper than 74% of hospitals	$30	$67
Nail avulsion (ingrown nail removal)	$235Insurance typically pays $48Sticker price $235	Cheaper than 59% of hospitals	$48	$235
Nail bed removal	$330Insurance typically pays $131Sticker price $330	Cheaper than 76% of hospitals	$131	$330
Nail trimming, 6 or more nails	$91Insurance typically pays $37Sticker price $91	Cheaper than 65% of hospitals	$37	$91
Nebulizer treatment	$168Insurance typically pays $124Sticker price $168	Pricier than 52% of hospitals	$124	$168
Neck artery ultrasound	$1,822Insurance typically pays $1,059Sticker price $1,822	Pricier than 89% of hospitals	$1,059	$1,822
Nuclear heart stress test	$3,786Insurance typically pays $2,201Sticker price $3,786	Pricier than 65% of hospitals	$2,201	$3,786
Obstetric ultrasound	$693Insurance typically pays $403Sticker price $693	Pricier than 69% of hospitals	$403	$693
Occipital nerve block	$148Insurance typically pays $44Sticker price $148	Cheaper than 88% of hospitals	$44	$148
Partial colectomy	$2,607Insurance typically pays $1,142Sticker price $2,607	Cheaper than 51% of hospitals	$1,142	$2,607
Peripheral nerve block	$152Insurance typically pays $37Sticker price $152	Cheaper than 90% of hospitals	$37	$152
Precancerous skin spot removal	$138Insurance typically pays $52Sticker price $138	Cheaper than 67% of hospitals	$52	$138
Precancerous skin spots removal, 15+	$341Insurance typically pays $141Sticker price $341	Cheaper than 61% of hospitals	$141	$341
Precancerous skin spots removal, 2-14	$13Insurance typically pays $4Sticker price $13	Cheaper than 80% of hospitals	$4	$13
Salpingo-oophorectomy (tube and ovary removal)	$1,526Insurance typically pays $865Sticker price $1,526	Cheaper than 50% of hospitals	$865	$1,526
Screening colonoscopy	$758Insurance typically pays $260Sticker price $758	Cheaper than 70% of hospitals	$260	$758
Screening mammogram (3D)	$285Insurance typically pays $207Sticker price $285	Pricier than 62% of hospitals	$207	$285
Shot in muscle or under skin	$160Insurance typically pays $93Sticker price $160	Pricier than 74% of hospitals	$93	$160
Sigmoidoscopy	$586Insurance typically pays $64Sticker price $586	Cheaper than 65% of hospitals	$64	$586
Sigmoidoscopy with biopsy	$451Insurance typically pays $90Sticker price $451	Pricier than 60% of hospitals	$90	$451
Simple drainage of abscess of finger	$696Insurance typically pays $133Sticker price $696	Pricier than 86% of hospitals	$133	$696
Skin biopsy, shave	$204Insurance typically pays $74Sticker price $204	Cheaper than 71% of hospitals	$74	$204
Skin cancer removal	$499Insurance typically pays $129Sticker price $499	Cheaper than 56% of hospitals	$129	$499
Sleep study (polysomnography)	$4,579Insurance typically pays $2,662Sticker price $4,579	Pricier than 82% of hospitals	$2,662	$4,579
Sleep study with CPAP initiation	$5,054Insurance typically pays $2,938Sticker price $5,054	Pricier than 80% of hospitals	$2,938	$5,054
Small bowel resection	$2,367Insurance typically pays $1,126Sticker price $2,367	Cheaper than 54% of hospitals	$1,126	$2,367
Spirometry before and after bronchodilator	$760Insurance typically pays $442Sticker price $760	Pricier than 79% of hospitals	$442	$760
Spirometry (lung function test)	$332Insurance typically pays $193Sticker price $332	Pricier than 67% of hospitals	$193	$332
Stool blood test	$50Insurance typically pays $29Sticker price $50	Pricier than 76% of hospitals	$29	$50
Tdap vaccine	$144Insurance typically pays $84Sticker price $144	Pricier than 66% of hospitals	$84	$144
Tendon insertion injection	$117Insurance typically pays $33Sticker price $117	Cheaper than 83% of hospitals	$33	$117
Tendon sheath injection	$117Insurance typically pays $33Sticker price $117	Cheaper than 85% of hospitals	$33	$117
Thyroid biopsy, open	$223Insurance typically pays $84Sticker price $223	Cheaper than 89% of hospitals	$84	$223
Thyroid (TSH) test	$110Insurance typically pays $68Sticker price $110	Pricier than 64% of hospitals	$68	$110
Tissue lab exam (pathology)	$196Insurance typically pays $114Sticker price $196	Pricier than 53% of hospitals	$114	$196
Tonsillectomy	$523Insurance typically pays $314Sticker price $523	Cheaper than 69% of hospitals	$314	$523
Total abdominal hysterectomy	$2,040Insurance typically pays $1,059Sticker price $2,040	Cheaper than 57% of hospitals	$1,059	$2,040
Total thyroidectomy	$1,815Insurance typically pays $1,182Sticker price $1,815	Cheaper than 65% of hospitals	$1,182	$1,815
Trigger finger release	$1,193Insurance typically pays $264Sticker price $1,193	Cheaper than 64% of hospitals	$264	$1,193
Trigger point injection	$107Insurance typically pays $37Sticker price $107	Cheaper than 85% of hospitals	$37	$107
Trigger point injections, multiple	$123Insurance typically pays $79Sticker price $123	Cheaper than 84% of hospitals	$79	$123
Upper endoscopy	$607Insurance typically pays $173Sticker price $607	Cheaper than 76% of hospitals	$173	$607
Upper endoscopy (EGD)	$777Insurance typically pays $195Sticker price $777	Cheaper than 70% of hospitals	$195	$777
Urinalysis	$68Insurance typically pays $39Sticker price $68	Pricier than 68% of hospitals	$39	$68
Vaginal delivery only	$1,531Insurance typically pays $827Sticker price $1,531	Cheaper than 70% of hospitals	$827	$1,531
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	$7,964Insurance typically pays $4,168Sticker price $7,964	Pricier than 52% of hospitals	$4,168	$7,964
Vaginal delivery with routine obstetric care	$4,690Insurance typically pays $1,967Sticker price $4,690	Pricier than 70% of hospitals	$1,967	$4,690
Voice box scope	$261Insurance typically pays $76Sticker price $261	Cheaper than 62% of hospitals	$76	$261
Wound repair, layered stitches	$534Insurance typically pays $125Sticker price $534	Pricier than 53% of hospitals	$125	$534

Source: this hospital's own published price file. Original file · Methodology