Midwest Surgical Hospital LLC

7915 Farnam Drive, Omaha, NE 68114 · (402) 399-1900

Acute Care HospitalsPhysicianOmaha, NE-IA metro Part of Surgery Center Holdings · 8 hospitals Website ↗

Price file

Prices published

File dated 2026-03-05

476 price rows for 22 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

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

$44

cash

$8 to $17

18 negotiated rates

$58

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$7,103 to $14,206

10 negotiated rates

—

list

Complete blood count (CBC) with differential

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

$52

cash

$8 to $16

27 negotiated rates

$69

list

Comprehensive metabolic panel (blood test)

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

$44

cash

$11 to $22

18 negotiated rates

$58

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$14,290 to $28,579

10 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$5,775 to $11,551

10 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,191 to $18,383

10 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $1,749

$3,251

cash

$3,381 to $6,897

20 negotiated rates

$4,334

list

Liver function panel

CPT 80076 · metro median $53

$53

cash

$8 to $17

9 negotiated rates

$71

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$18,086 to $36,171

10 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,144

$1,561

cash

$914 to $4,137

9 negotiated rates

$2,081

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $221

$283

cash

$67 to $137

7 negotiated rates

$377

list

New patient office visit (about 45 minutes)

CPT 99204 · metro median $291

$359

cash

$110 to $225

7 negotiated rates

$478

list

Partial thromboplastin time (blood clotting test)

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

$40

cash

$6 to $12

36 negotiated rates

$53

list

Prothrombin time (blood clotting test)

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

$24

cash

$4 to $9

36 negotiated rates

$32

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $2,286

$5,174

cash

$133 to $6,059

30 negotiated rates

$6,899

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $629

$1,561

cash

$914 to $4,137

9 negotiated rates

$2,081

list

Spinal injection, lower back, with imaging guidance

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

$1,486

cash

$729 to $4,137

18 negotiated rates

$1,981

list

TSH test (thyroid)

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

$99

cash

$17 to $34

18 negotiated rates

$132

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $560

$6,218

cash

$4,315 to $12,479

20 negotiated rates

$8,291

list

Urinalysis with microscope

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

$23

cash

$3 to $6

18 negotiated rates

$31

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,995 to $9,989

10 negotiated rates

—

list

Source files

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

https://apim.services.craneware.com/api-pricing-transparency/api/public/14677e342f2d86ddd5320d28b4b4eb86/charges/mrf
Midwest Surgical Hospital · parsed · wide v3.0.0 · file dated 2026-03-05 · 24.4 MB · 476 price rows read · read Nov 2026