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Bellevue Medical Center, Llc
Bellevue, NE · CMS ID: 280132
This hospital has pricing data for 43 procedures ranging from $1 to $10,315.
Procedures (43)
Cash Price
(No Insurance)
$3
Gross Charge
$5
Insurance Negotiated Rates
Aetna$2
Cataract Surgery
66984Cash Price
(No Insurance)
$3,605
Gross Charge
$3,605
Medicare Rate
$445
Insurance Negotiated Rates
Aetna$2,089
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$169
Gross Charge
$290
Medicare Rate
$24
Insurance Negotiated Rates
Aetna$168
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$190
Gross Charge
$325
Medicare Rate
$31
Insurance Negotiated Rates
Aetna$188
Cash Price
(No Insurance)
$2,121
Gross Charge
$2,240
Medicare Rate
$356
Insurance Negotiated Rates
Aetna$1,298
Cash Price
(No Insurance)
$2,121
Gross Charge
$2,197
Medicare Rate
$450
Insurance Negotiated Rates
Aetna$1,273
Cash Price
(No Insurance)
$17
Gross Charge
$35
Insurance Negotiated Rates
Aetna$10
Cash Price
(No Insurance)
$38
Gross Charge
$52
Insurance Negotiated Rates
Aetna$14
Cash Price
(No Insurance)
$530
Gross Charge
$2,100
Medicare Rate
$280
Insurance Negotiated Rates
Aetna$530
Cash Price
(No Insurance)
$271
Gross Charge
$1,680
Medicare Rate
$172
Insurance Negotiated Rates
Aetna$271
Cash Price
(No Insurance)
$402
Gross Charge
$1,500
Medicare Rate
$156
Insurance Negotiated Rates
Aetna$402
Cash Price
(No Insurance)
$18
Gross Charge
$30
Medicare Rate
$15
Insurance Negotiated Rates
Aetna$17
Exercise Session
G0108Cash Price
(No Insurance)
$64
Gross Charge
$110
Medicare Rate
$54
Insurance Negotiated Rates
Aetna$64
Cash Price
(No Insurance)
$44
Gross Charge
$214
Medicare Rate
$48
Insurance Negotiated Rates
Aetna$44
Cash Price
(No Insurance)
$1
Gross Charge
$2
Insurance Negotiated Rates
Aetna$1
Knee X-Ray
73560Cash Price
(No Insurance)
$54
Gross Charge
$315
Medicare Rate
$32
Insurance Negotiated Rates
Aetna$54
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$154
Gross Charge
$264
Medicare Rate
$146
Insurance Negotiated Rates
Aetna$153
Mammogram Screening
77067Cash Price
(No Insurance)
$149
Gross Charge
$255
Medicare Rate
$118
Insurance Negotiated Rates
Aetna$148
MRI Brain
70551Cash Price
(No Insurance)
$376
Gross Charge
$2,500
Medicare Rate
$183
Insurance Negotiated Rates
Aetna$376
Cash Price
(No Insurance)
$633
Gross Charge
$2,350
Medicare Rate
$296
Insurance Negotiated Rates
Aetna$633
MRI Cervical Spine
72141Cash Price
(No Insurance)
$360
Gross Charge
$1,725
Medicare Rate
$179
Insurance Negotiated Rates
Aetna$360
MRI Knee
73721Cash Price
(No Insurance)
$405
Gross Charge
$1,725
Medicare Rate
$191
Insurance Negotiated Rates
Aetna$405
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$357
Gross Charge
$1,725
Medicare Rate
$180
Insurance Negotiated Rates
Aetna$357
MRI Shoulder
73221Cash Price
(No Insurance)
$404
Gross Charge
$1,725
Medicare Rate
$191
Insurance Negotiated Rates
Aetna$404
Office Visit Level 3
99213Cash Price
(No Insurance)
$70
Gross Charge
$120
Medicare Rate
$91
Insurance Negotiated Rates
Aetna$70
Office Visit Level 4
99214Cash Price
(No Insurance)
$76
Gross Charge
$130
Medicare Rate
$130
Insurance Negotiated Rates
Aetna$75
Cash Price
(No Insurance)
$1
Gross Charge
$2
Insurance Negotiated Rates
Aetna$1
Shoulder X-Ray
73030Cash Price
(No Insurance)
$46
Gross Charge
$293
Medicare Rate
$33
Insurance Negotiated Rates
Aetna$46
Cash Price
(No Insurance)
$10,315
Gross Charge
$17,662
Insurance Negotiated Rates
Aetna$8,107
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$200
Gross Charge
$511
Medicare Rate
$107
Insurance Negotiated Rates
Aetna$200
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$183
Gross Charge
$600
Medicare Rate
$98
Insurance Negotiated Rates
Aetna$183
Cash Price
(No Insurance)
$213
Gross Charge
$445
Medicare Rate
$109
Insurance Negotiated Rates
Aetna$213
Cash Price
(No Insurance)
$1,824
Gross Charge
$1,824
Medicare Rate
$301
Insurance Negotiated Rates
Aetna$1,057
Cash Price
(No Insurance)
$2,121
Gross Charge
$2,125
Medicare Rate
$390
Insurance Negotiated Rates
Aetna$1,232
Cash Price
(No Insurance)
$964
Gross Charge
$1,650
Medicare Rate
$85
Insurance Negotiated Rates
Aetna$956