Boys Town National Research Hospital

14000 Boys Town Hospital Road, Boys Town, NE 68010 · (531) 355-6594

ChildrensVoluntary non-profit - PrivateOmaha, NE-IA metro Website ↗

Price file

Prices published

File dated 2025-12-29

887 price rows for 56 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $59

$68

cash

$15 to $82

22 negotiated rates

$85

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,051

$3,811

cash

$322 to $4,621

23 negotiated rates

$4,764

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $674

$1,090

cash

$93 to $1,321

23 negotiated rates

$1,362

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,052

$1,821

cash

$158 to $2,208

23 negotiated rates

$2,276

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,886 to $1,886

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$5,344 to $10,384

3 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $95

$106

cash

$71 to $140

22 negotiated rates

$132

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$726 to $726

1 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$946 to $946

1 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$946 to $946

1 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $52

$62

cash

$10 to $76

22 negotiated rates

$78

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $73

$85

cash

$15 to $103

22 negotiated rates

$106

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $85

$330

cash

$206 to $412

21 negotiated rates

$412

list

Family psychotherapy with the patient

CPT 90847

—

cash

$127 to $127

1 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$127 to $127

1 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$4,553 to $4,553

1 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $83

$116

cash

$71 to $141

22 negotiated rates

$145

list

Group psychotherapy

CPT 90853

—

cash

$66 to $66

1 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$11,330 to $16,200

4 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$3,925 to $16,200

4 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$5,441 to $16,200

4 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,094 to $3,094

1 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$2,600 to $2,600

1 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$464 to $464

1 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$2,584 to $2,584

1 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $5

$42

cash

$15 to $54

22 negotiated rates

$53

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $53

$66

cash

$15 to $80

22 negotiated rates

$82

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,864

$3,811

cash

$322 to $4,621

23 negotiated rates

$4,764

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,258

$2,429

cash

$204 to $2,581

3 negotiated rates

$3,036

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,425

$2,429

cash

$204 to $2,945

23 negotiated rates

$3,036

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,425

$2,429

cash

$204 to $2,945

23 negotiated rates

$3,036

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$11,330 to $16,200

4 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$744 to $744

1 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $93

$147

cash

$20 to $178

22 negotiated rates

$184

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $40

$49

cash

$7 to $59

22 negotiated rates

$61

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $57

$115

cash

$122 to $123

2 negotiated rates

$144

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $503

$503

cash

$93 to $610

23 negotiated rates

$629

list

Prostate biopsy

CPT 55700

—

cash

$1,620 to $1,620

1 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$7,938 to $7,938

1 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $28

$34

cash

$7 to $42

22 negotiated rates

$43

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$127 to $127

1 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$127 to $127

1 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$127 to $127

1 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,003 to $3,003

1 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $1,991

$2,275

cash

$816 to $2,759

23 negotiated rates

$2,844

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$744 to $744

1 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,144

$1,428

cash

$563 to $1,731

23 negotiated rates

$1,785

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $96

$96

cash

$22 to $116

22 negotiated rates

$120

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$4,664 to $4,664

1 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $417

$503

cash

$93 to $610

23 negotiated rates

$629

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $525

$503

cash

$93 to $610

23 negotiated rates

$629

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$721 to $721

1 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$721 to $721

1 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $23

$26

cash

$5 to $31

22 negotiated rates

$32

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,665 to $6,489

3 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $352

$503

cash

$93 to $610

23 negotiated rates

$629

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://media.boystown.org/raw/upload/v1776093630/cost-estimates-spreadsheet-2026_xlc7uv.zip
Boys Town National Research Hospital · parsed · tall v3.0.0 · file dated 2025-12-29 · 1.6 MB · 887 price rows read · read Nov 2026