Nebraska Orthopaedic Hospital

2808 South 143Rd Plaza, Omaha, NE 68144 · (402) 609-3000

Acute Care HospitalsPhysicianOmaha, NE-IA metro Website ↗

Price file

Prices published

File dated 2025-12-27

2,129 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$3 to $115

27 negotiated rates

$121

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$80 to $6,950

68 negotiated rates

$4,088

list

CT scan of the head, no contrast

CPT 70450

—

cash

$80 to $3,352

34 negotiated rates

$1,972

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$80 to $4,600

34 negotiated rates

$2,706

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,787 to $4,957

16 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$2,586 to $2,586

1 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$5,190 to $14,425

18 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$9 to $160

54 negotiated rates

$168

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$660 to $1,981

16 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$871 to $2,562

16 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,149 to $2,562

15 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$2 to $114

27 negotiated rates

$120

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$3 to $156

27 negotiated rates

$164

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$135 to $322

9 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$19 to $26

3 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$130 to $320

3 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$118 to $349

17 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$100 to $349

17 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$4,174 to $12,680

16 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$9 to $160

54 negotiated rates

$168

list

Group psychotherapy

CPT 90853

—

cash

$31 to $201

17 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$10,816 to $30,064

20 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$4,476 to $12,442

18 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$6,876 to $19,113

18 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,439 to $7,670

15 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$606 to $7,051

34 negotiated rates

$4,680

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$454 to $1,192

16 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$2,745 to $6,990

15 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$3 to $97

27 negotiated rates

$102

list

Liver function panel

CPT 80076

—

cash

$3 to $144

27 negotiated rates

$152

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$42 to $6,673

68 negotiated rates

$3,925

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$185 to $2,224

36 negotiated rates

$2,617

list

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

CPT 72148

—

cash

$42 to $5,636

34 negotiated rates

$3,315

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$42 to $5,384

34 negotiated rates

$3,167

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$13,581 to $37,748

19 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$235 to $1,935

66 negotiated rates

$858

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$89 to $238

3 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$151 to $365

3 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$196 to $454

3 negotiated rates

—

list

PSA test (prostate)

CPT 84153

—

cash

$18 to $49

9 negotiated rates

—

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$1 to $93

81 negotiated rates

$98

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$11 to $254

58 negotiated rates

$98

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$29 to $612

34 negotiated rates

$408

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$115 to $284

3 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$140 to $329

3 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$1,996 to $4,452

15 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$10,146 to $22,626

15 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$1 to $78

108 negotiated rates

$82

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$63 to $349

17 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$94 to $349

17 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$142 to $349

17 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,732 to $8,322

15 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$112 to $262

9 negotiated rates

—

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$606 to $4,834

23 negotiated rates

$3,855

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$557 to $2,211

17 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$235 to $1,935

33 negotiated rates

$1,121

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$235 to $1,623

66 negotiated rates

$1,069

list

TSH test (thyroid)

CPT 84443

—

cash

$4 to $99

27 negotiated rates

$104

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$531 to $12,856

33 negotiated rates

$6,829

list

Transvaginal ultrasound

CPT 76830

—

cash

$42 to $1,250

68 negotiated rates

$833

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$42 to $1,431

34 negotiated rates

$954

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$914 to $2,038

15 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$914 to $2,038

15 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $96

52 negotiated rates

$101

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,450 to $2,450

1 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,656 to $10,162

18 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,345 to $2,345

1 negotiated rates

—

list

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

CPT 72110

—

cash

$16 to $815

34 negotiated rates

$543

list

Source files

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

https://orthonebraska.pt.panaceainc.com/MRFDownload/orthonebraska/orthonebraska
OrthoNebraska · parsed · tall v3.0.0 · file dated 2025-12-27 · 330.5 MB · 2129 price rows read · read Nov 2026