Dundy County Hospital — procedure prices

Published prices for 232 procedures at Dundy County Hospital (Benkelman, NE), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $38 $42 $28 $51
Abdominal ultrasound $1,097 $1,219 $824 $100
Abscess incision and drainage $362 $402 $289 $174
Albumin blood test $50 $56 $37 $5
Aldosterone test $278 $309 $205 $41
Alkaline phosphatase test $59 $66 $44 $5
Allergy shots $24 $26 $19 $11
Alpha-fetoprotein (AFP) test $146 $162 $107 $17
ALT liver enzyme test $67 $74 $49 $5
Ammonia blood test $167 $185 $122 $15
Amylase test $99 $110 $75 $6
Annual physical (established patient) $211 $234 $173
Annual physical (new patient) $243 $269 $209
Anoscopy $107 $119 $79 $129
Antinuclear antibody (ANA) test $124 $138 $91 $12
Arterial blood gas (ABG) $219 $243 $166 $26
AST liver enzyme test $67 $74 $49 $5
Barium swallow study $734 $816 $539 $107
Basic metabolic panel $168 $187 $124 $8
Benign skin lesion removal $365 $405 $296 $171
Bilirubin blood test $67 $74 $49 $5
Blood clotting test (PT/INR) $77 $85 $56 $4
Blood crossmatch $45 $50 $33
Blood glucose test $63 $70 $53 $5
Blood transfusion $1,450 $1,612 $1,134 $47
Blood type and screen $91 $101 $76 $10
Blood type test $58 $64 $45 $3
BNP (heart failure) test $226 $251 $183 $39
Bone density scan (DEXA) $467 $519 $343 $39
Bone scan (nuclear) $1,874 $2,082 $1,374 $259
Botox for migraine $428 $475 $314 $157
Breast ultrasound $627 $697 $462 $92
Breathing tube insertion (intubation) $309 $343 $252 $133
Burn treatment $182 $202 $134 $129
C-reactive protein (CRP) $118 $131 $86 $5
CA 19-9 tumor marker test $213 $237 $157 $21
CA-125 ovarian marker test $213 $237 $157 $21
Calcium blood test $67 $74 $49 $5
Cardiac MRI $3,259 $3,621 $2,389 $322
Cardiac rehabilitation $170 $188 $133 $26
Cardiac stress test $963 $1,070 $706 $39
Carotid artery ultrasound $1,551 $1,723 $1,131 $156
CEA tumor marker test $188 $209 $138 $19
Celiac disease test $116 $129 $91 $12
Chemotherapy infusion $242 $269 $170 $81
Chest X-ray $357 $397 $261 $37
Chickenpox (varicella) vaccine $58 $65 $42
Circumcision $329 $366 $242 $167
CK-MB heart enzyme test $94 $104 $69 $12
Clotting time test (PTT) $97 $108 $72 $6
Colonoscopy $1,628 $1,809 $1,402 $480
Colposcopy $308 $342 $240 $161
Complete blood count (CBC) $101 $112 $80 $7
Complex wound repair $869 $966 $637 $390
Comprehensive metabolic panel $203 $225 $147 $11
Contraceptive implant (Nexplanon) $226 $251 $217 $115
Copper blood test $167 $186 $122 $12
Cortisol test $154 $171 $112 $16
COVID-19 PCR test $100 $111 $74 $51
CPAP titration study $632 $702 $450 $69
Creatine kinase (CK) test $115 $128 $96 $7
CT angiography of the chest $3,389 $3,765 $2,484 $281
CT angiography of the head $3,121 $3,468 $2,288 $274
CT scan of the abdomen $2,675 $2,972 $2,073 $230
CT scan of the abdomen and pelvis $4,115 $4,572 $3,325 $300
CT scan of the arm $2,088 $2,320 $1,724 $199
CT scan of the chest $2,741 $3,045 $2,176 $167
CT scan of the head $2,508 $2,787 $1,864 $148
CT scan of the leg $2,090 $2,322 $1,771 $166
CT scan of the lower back (lumbar spine) $2,489 $2,765 $2,042 $169
CT scan of the neck $2,357 $2,619 $1,897 $183
CT scan of the neck (cervical spine) $2,489 $2,765 $1,828 $168
CT scan of the pelvis $2,541 $2,823 $2,026 $226
CT scan of the sinuses $2,320 $2,578 $1,802 $152
D-dimer test $155 $172 $114 $10
DHEA-sulfate test $120 $133 $88 $22
Diagnostic mammogram $313 $348 $260 $140
Drug screen (urine) $283 $314 $195 $17
Echocardiogram $1,107 $1,230 $891 $138
Electrocardiogram (EKG) $42 $47 $38 $8
Electroencephalogram (EEG) $652 $724 $504 $448
Electrolyte panel $117 $130 $86 $7
Electromyography (EMG) $578 $642 $421 $141
Emergency department visit $266 $295 $197 $69
Endometrial biopsy $209 $232 $153 $98
Epidural steroid injection $683 $759 $485 $275
Estradiol (estrogen) test $205 $228 $151 $28
Facet joint injection (spine) $3,034 $3,371 $2,224 $99
Family therapy session $202 $224 $170 $110
Fecal occult blood (stool) test $17 $19 $13 $10
Feeding tube (PEG) placement $554 $615 $406 $178
Ferritin (iron) test $155 $172 $114 $14
Fibrinogen test $122 $136 $90 $10
Flu test $125 $139 $105 $17
Flu vaccine $19 $21 $17
Folate (folic acid) test $151 $168 $117 $15
Foreign body removal (skin) $338 $375 $248 $157
Free T4 thyroid test $93 $104 $72 $9
FSH hormone test $155 $172 $114 $19
Gallbladder removal (laparoscopic) $3,514 $3,904 $2,563 $658
Gallbladder scan (HIDA) $1,814 $2,016 $1,331 $334
Ganglion cyst removal $786 $873 $576 $321
GGT liver test $68 $75 $50 $7
Glucose tolerance test $189 $210 $139 $8
H. pylori test $205 $228 $151 $67
HDL cholesterol test $67 $74 $49 $8
Hematocrit test $45 $50 $33 $2
Hemoglobin A1c (diabetes test) $93 $103 $70 $10
Hepatitis A vaccine $50 $56 $38
Hepatitis B test $113 $126 $84 $10
Hepatitis B vaccine $38 $42 $29
Hepatitis C test $176 $196 $130 $14
HIV test $80 $89 $53 $19
Holter heart monitor $405 $449 $327 $26
HPV vaccine $155 $172 $95
Inguinal hernia repair $1,797 $1,997 $1,311 $538
Iron blood test $73 $81 $54 $6
IV infusion therapy $251 $279 $176 $44
Joint aspiration (small/intermediate) $113 $125 $82 $57
Kidney scan (nuclear) $1,575 $1,750 $1,175 $172
Kidney ultrasound $870 $966 $656 $84
Knee arthroscopy $3,943 $4,381 $2,891 $524
Knee joint injection $135 $150 $99 $69
Lactate test $119 $132 $91 $12
LDH test $68 $76 $57 $6
Leg vein ultrasound (Doppler) $1,145 $1,272 $973 $150
LH hormone test $159 $177 $117 $19
Lipase test $117 $130 $86 $7
Lipid (cholesterol) panel $163 $181 $120 $13
Liver function panel $120 $133 $88 $8
Lung function test (PFT) $216 $240 $177 $37
Lung scan (V/Q) $1,598 $1,775 $1,171 $291
Magnesium blood test $76 $84 $81 $7
MMR vaccine $64 $71 $45
MRA of the brain $3,378 $3,753 $2,476 $226
MRA of the neck $3,789 $4,210 $2,763 $245
MRI of the abdomen $3,470 $3,856 $2,897 $300
MRI of the ankle $3,666 $4,073 $2,793 $261
MRI of the brain $3,644 $4,049 $2,995 $269
MRI of the chest $3,259 $3,621 $2,716 $371
MRI of the knee $4,468 $4,964 $3,375 $315
MRI of the lower back (lumbar spine) $3,671 $4,079 $2,994 $270
MRI of the mid-back (thoracic spine) $3,695 $4,106 $2,983 $271
MRI of the neck (cervical spine) $3,740 $4,156 $3,026 $274
MRI of the pelvis $3,259 $3,621 $2,693 $268
MRI of the shoulder $3,762 $4,180 $3,135 $313
MRI of the wrist $3,666 $4,073 $3,049 $330
Nebulizer breathing treatment $192 $213 $138 $9
Newborn hospital care $72 $79 $56 $58
Nuclear cardiac stress test $4,531 $5,034 $3,322 $428
Occupational therapy evaluation $215 $239 $158 $101
Office visit (established patient) $126 $140 $109 $115
Office visit (new patient) $336 $374 $267 $177
Pap smear (cervical screening) $144 $160 $118 $20
Parathyroid hormone (PTH) test $237 $263 $174 $41
Pelvic ultrasound $628 $698 $538 $78
Phosphorus blood test $63 $70 $46 $5
Physical therapy evaluation $207 $230 $152 $98
Pilonidal cyst removal $739 $821 $607 $541
Platelet count $71 $79 $52 $4
Pneumonia vaccine $82 $91 $55
Pregnancy blood test (hCG) $131 $145 $96 $8
Pregnancy ultrasound $917 $1,018 $731 $126
Procalcitonin test $244 $271 $179 $27
Prolactin test $169 $188 $122 $19
Prostate test (PSA) $168 $187 $123 $18
Psychiatric evaluation $281 $312 $198 $188
Psychotherapy session $209 $232 $160 $140
Pulmonary rehabilitation $120 $133 $88 $87
Sacroiliac joint injection $205 $228 $151 $176
Scoliosis spine X-ray $369 $410 $271 $58
Screening mammogram $298 $331 $227 $126
Scrotal ultrasound $764 $849 $560 $99
Sedimentation rate (ESR) test $56 $62 $41 $3
Semen analysis $113 $125 $83 $12
Sex hormone binding globulin test $130 $144 $95 $22
Simple wound stitches $235 $261 $174 $127
Skin biopsy $229 $254 $168 $121
Skin cancer lesion removal $543 $603 $438 $240
Skin lesion freezing (cryotherapy) $153 $170 $105 $36
Skin tag removal $196 $218 $144 $92
Sleep study (polysomnography) $3,331 $3,701 $2,477 $691
Soft tissue ultrasound $581 $645 $507 $64
Speech therapy $297 $330 $218 $76
Spinal tap (lumbar puncture) $283 $314 $207 $165
Strep throat test $30 $33 $32 $17
Stress echocardiogram $1,354 $1,504 $992 $209
Swallow study $356 $396 $262 $85
T3 thyroid test $131 $145 $96 $14
Tdap (tetanus) vaccine $18 $20 $20
Testosterone test $123 $137 $134 $26
Thyroid test (TSH) $131 $146 $97 $17
Thyroid ultrasound $931 $1,034 $683 $109
Total IgE allergy test $153 $170 $113 $16
Total protein test $77 $85 $56 $4
Transvaginal ultrasound $886 $984 $649 $118
Trigger point injection $149 $165 $108 $56
Triglycerides test $67 $74 $49 $6
Troponin (heart) test $215 $239 $158 $12
Upper GI endoscopy (EGD) $1,018 $1,131 $803 $371
Uric acid (gout) test $64 $71 $47 $5
Urinalysis $6 $7 $5 $3
Urine microalbumin test $79 $88 $80 $5
Urine pregnancy test $32 $35 $25 $9
Vaccine administration $42 $46 $33 $19
Vasectomy $709 $788 $577 $347
Vitamin B12 test $186 $206 $157 $15
Vitamin D test $226 $251 $166 $30
Wart removal $268 $297 $209 $121
Well-child visit $181 $201 $148
Wound debridement $261 $290 $198 $186
X-ray of the abdomen $364 $405 $298 $36
X-ray of the ankle $355 $394 $314 $37
X-ray of the collarbone $311 $345 $302 $33
X-ray of the elbow $404 $449 $348 $33
X-ray of the facial bones $399 $443 $328 $39
X-ray of the foot $393 $437 $341 $34
X-ray of the forearm $339 $376 $294 $29
X-ray of the hand $377 $418 $331 $38
X-ray of the hip $348 $387 $289 $49
X-ray of the knee $377 $419 $367 $42
X-ray of the lower back (lumbar spine) $513 $570 $422 $47
X-ray of the lower leg $302 $335 $302 $31
X-ray of the mid-back (thoracic spine) $454 $504 $371 $36
X-ray of the neck (cervical spine) $481 $535 $395 $47
X-ray of the pelvis $459 $510 $362 $36
X-ray of the ribs $383 $425 $309 $42
X-ray of the shoulder $363 $404 $364 $36
X-ray of the skull $420 $467 $362 $40
X-ray of the upper arm $302 $335 $279 $32
X-ray of the wrist $313 $348 $285 $43
Zinc blood test $171 $190 $126 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.