Annie Jeffrey Memorial County Health Center

Osceola, NE · CMS ID: 281314

This hospital has pricing data for 30 procedures.

Procedures (30)

Chest X-Ray 1 View

71045

Cash Price

(No Insurance)

—

Gross Charge

$221

No payer-negotiated rates available

Chest X-Ray 2 Views

71046

Cash Price

(No Insurance)

—

Gross Charge

$287

No payer-negotiated rates available

Complete Blood Count (CBC)

85025

Cash Price

(No Insurance)

—

Gross Charge

$79

No payer-negotiated rates available

Comprehensive Metabolic Panel

80053

Cash Price

(No Insurance)

—

Gross Charge

$125

No payer-negotiated rates available

CT Abdomen/Pelvis with Contrast

74177

Cash Price

(No Insurance)

—

Gross Charge

$3,910

No payer-negotiated rates available

CT Abdomen/Pelvis without Contrast

74176

Cash Price

(No Insurance)

—

Gross Charge

$3,090

No payer-negotiated rates available

CT Chest with Contrast

71260

Cash Price

(No Insurance)

—

Gross Charge

$2,445

No payer-negotiated rates available

ER Visit Level 3

99283

Cash Price

(No Insurance)

—

Gross Charge

$475

No payer-negotiated rates available

ER Visit Level 4

99284

Cash Price

(No Insurance)

—

Gross Charge

$675

No payer-negotiated rates available

ER Visit Level 5

99285

Cash Price

(No Insurance)

—

Gross Charge

$925

No payer-negotiated rates available

Fetal Non-Stress Test

59025

Cash Price

(No Insurance)

—

Gross Charge

$295

No payer-negotiated rates available

Hemoglobin A1C

83036

Cash Price

(No Insurance)

—

Gross Charge

$65

No payer-negotiated rates available

Knee X-Ray

73560

Cash Price

(No Insurance)

—

Gross Charge

$245

No payer-negotiated rates available

Lipid Panel

80061

Cash Price

(No Insurance)

—

Gross Charge

$94

No payer-negotiated rates available

Mammogram Diagnostic

77066

Cash Price

(No Insurance)

—

Gross Charge

$315

No payer-negotiated rates available

Mammogram Screening

77067

Cash Price

(No Insurance)

—

Gross Charge

$232

No payer-negotiated rates available

MRI Brain

70551

Cash Price

(No Insurance)

—

Gross Charge

$3,193

No payer-negotiated rates available

MRI Brain with Contrast

70553

Cash Price

(No Insurance)

—

Gross Charge

$3,540

No payer-negotiated rates available

MRI Cervical Spine

72141

Cash Price

(No Insurance)

—

Gross Charge

$2,839

No payer-negotiated rates available

MRI Knee

73721

Cash Price

(No Insurance)

—

Gross Charge

$2,266

No payer-negotiated rates available

MRI Lumbar Spine

72148

Cash Price

(No Insurance)

—

Gross Charge

$2,884

No payer-negotiated rates available

MRI Shoulder

73221

Cash Price

(No Insurance)

—

Gross Charge

$2,266

No payer-negotiated rates available

Office Visit Level 3

99213

Cash Price

(No Insurance)

—

Gross Charge

$60

No payer-negotiated rates available

Office Visit Level 4

99214

Cash Price

(No Insurance)

—

Gross Charge

$65

No payer-negotiated rates available

Shoulder X-Ray

73030

Cash Price

(No Insurance)

—

Gross Charge

$318

No payer-negotiated rates available

TSH (Thyroid)

84443

Cash Price

(No Insurance)

—

Gross Charge

$90

No payer-negotiated rates available

Ultrasound Abdomen

76700

Cash Price

(No Insurance)

—

Gross Charge

$683

No payer-negotiated rates available

Ultrasound Pelvis

76856

Cash Price

(No Insurance)

—

Gross Charge

$712

No payer-negotiated rates available

Ultrasound Transvaginal

76830

Cash Price

(No Insurance)

—

Gross Charge

$635

No payer-negotiated rates available

Urinalysis

81001

Cash Price

(No Insurance)

—

Gross Charge

$54

No payer-negotiated rates available