▸ Hospital · NE · CCN 281310
Regional West Garden County Hospital
1100 WEST 2ND ST, OSHKOSH, NE, 69154-
10 bedsCritical Access Hospitals2
Compliance grade
A
97/100
Procedures tracked
91
of 209 target codes
Payers
6
with negotiated rates
Rates published
1,160
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 6 | $238 | $162 | $141 | $200 | $228 |
| Psychotherapy 30 minutes | CPT | 90832 | 6 | $138 | $94 | $82 | $116 | $132 |
| Psychotherapy 45 minutes | CPT | 90834 | 6 | $188 | $128 | $112 | $158 | $180 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $228 | $155 | $135 | $191.5 | $219 |
| ED visit level 2 | CPT | 99282 | 6 | $374 | $254 | $222 | $314 | $359 |
| ED visit level 3 | CPT | 99283 | 6 | $586 | $398 | $348 | $492 | $563 |
| ED visit level 4 | CPT | 99284 | 6 | $854 | $581 | $507 | $717.5 | $820 |
| ED visit level 5 | CPT | 99285 | 6 | $1,362 | $926 | $809 | $1,144 | $1,308 |
| Critical care, first hour | CPT | 99291 | 6 | $1,969 | $1,339 | $1,170 | $1,654 | $1,890 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 6 | $2,654 | $1,805 | $1,576 | $2,229.5 | $2,548 |
| CT head with contrast | CPT | 70460 | 6 | $3,004 | $2,043 | $1,784 | $2,523 | $2,884 |
| CT head with and without contrast | CPT | 70470 | 6 | $3,648 | $2,481 | $2,167 | $3,064.5 | $3,502 |
| CT neck with contrast | CPT | 70491 | 6 | $3,381 | $2,299 | $2,008 | $2,840 | $3,246 |
| MRI brain without contrast | CPT | 70551 | 6 | $4,786 | $3,254 | $2,843 | $4,020 | $4,595 |
| MRI brain with contrast | CPT | 70552 | 6 | $5,291 | $3,598 | $3,143 | $4,444.5 | $5,079 |
| MRI brain with and without contrast | CPT | 70553 | 6 | $6,248 | $4,249 | $3,711 | $5,248.5 | $5,998 |
| Chest X-ray single view | CPT | 71045 | 6 | $332 | $226 | $197 | $279 | $319 |
| Chest X-ray 2 views | CPT | 71046 | 6 | $446 | $303 | $265 | $374.5 | $428 |
| Chest X-ray 3 views | CPT | 71047 | 6 | $595 | $405 | $353 | $500 | $571 |
| CT chest without contrast | CPT | 71250 | 6 | $3,849 | $2,617 | $1,775 | $2,844 | $3,695 |
| CT chest with contrast | CPT | 71260 | 6 | $3,305 | $2,247 | $1,963 | $2,776 | $3,173 |
| CT chest with and without contrast | CPT | 71270 | 6 | $3,803 | $2,586 | $2,259 | $3,194.5 | $3,651 |
| MRI chest without contrast | CPT | 71550 | 6 | $4,949 | $3,365 | $2,940 | $4,157.5 | $4,751 |
| Lumbosacral spine X-ray | CPT | 72100 | 6 | $581 | $395 | $345 | $488 | $558 |
| CT cervical spine without contrast | CPT | 72125 | 6 | $3,113 | $2,117 | $1,849 | $2,615 | $2,988 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $2,933 | $1,994 | $1,742 | $2,463.5 | $2,816 |
| CT lumbar spine without contrast | CPT | 72131 | 6 | $2,990 | $2,033 | $1,776 | $2,512 | $2,870 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $4,366 | $2,969 | $2,593 | $3,667.5 | $4,191 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $4,477 | $3,044 | $2,659 | $3,760.5 | $4,298 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $4,325 | $2,941 | $2,569 | $3,633 | $4,152 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 6 | $4,829 | $3,284 | $2,868 | $4,056.5 | $4,636 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $5,726 | $3,894 | $3,401 | $4,810 | $5,497 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $5,677 | $3,860 | $3,372 | $4,768.5 | $5,450 |
| CT pelvis without contrast | CPT | 72192 | 6 | $2,933 | $1,994 | $1,742 | $2,463.5 | $2,816 |
| CT pelvis with contrast | CPT | 72193 | 6 | $3,299 | $2,243 | $1,960 | $2,771 | $3,167 |
| Shoulder X-ray | CPT | 73030 | 6 | $491 | $334 | $292 | $412.5 | $471 |
| Humerus X-ray | CPT | 73060 | 6 | $422 | $287 | $251 | $354.5 | $405 |
| Hand X-ray 3 views | CPT | 73130 | 6 | $408 | $277 | $242 | $343 | $392 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $3,374 | $2,294 | $2,004 | $2,834 | $3,239 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 6 | $5,016 | $3,411 | $2,980 | $4,213.5 | $4,815 |
| Knee X-ray 1-2 views | CPT | 73560 | 6 | $450 | $306 | $127 | $235.5 | $432 |
| Ankle X-ray 3 views | CPT | 73610 | 6 | $433 | $294 | $257 | $363.5 | $416 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $3,429 | $2,332 | $2,037 | $2,880.5 | $3,292 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $4,414 | $3,002 | $2,622 | $3,708 | $4,237 |
| CT abdomen without contrast | CPT | 74150 | 6 | $4,372 | $2,973 | $2,597 | $3,672.5 | $4,197 |
| CT abdomen with contrast | CPT | 74160 | 6 | $4,797 | $3,262 | $2,849 | $4,029.5 | $4,605 |
| CT abdomen with and without contrast | CPT | 74170 | 6 | $5,621 | $3,822 | $3,339 | $4,721.5 | $5,396 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 6 | $5,466 | $3,717 | $3,247 | $4,591.5 | $5,247 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 6 | $5,999 | $4,079 | $3,563 | $5,039 | $5,759 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 6 | $7,025 | $4,777 | $4,173 | $5,901 | $6,744 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $4,098 | $2,787 | $2,434 | $3,442 | $3,934 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $5,330 | $3,624 | $3,166 | $4,477.5 | $5,117 |
| Abdominal ultrasound complete | CPT | 76700 | 6 | $1,064 | $724 | $632 | $893.5 | $1,021 |
| Abdominal ultrasound limited | CPT | 76705 | 6 | $860 | $585 | $511 | $722.5 | $826 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 6 | $933 | $634 | $554 | $783.5 | $896 |
| Obstetric ultrasound first trimester | CPT | 76801 | 6 | $916 | $623 | $544 | $769.5 | $879 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 6 | $1,029 | $700 | $611 | $864.5 | $988 |
| Transvaginal ultrasound | CPT | 76830 | 6 | $870 | $592 | $517 | $731 | $835 |
| Pelvic ultrasound complete | CPT | 76856 | 6 | $983 | $668 | $584 | $826 | $944 |
| Scrotal ultrasound | CPT | 76870 | 6 | $857 | $583 | $509 | $719.5 | $823 |
| EKG tracing only | CPT | 93005 | 6 | $402 | $273 | $239 | $338 | $386 |
| Transthoracic echocardiogram complete | CPT | 93306 | 6 | $2,663 | $1,811 | $1,582 | $2,237 | $2,556 |
| Stress echocardiogram | CPT | 93350 | 6 | $1,975 | $1,343 | $1,173 | $1,659 | $1,896 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 6 | $225 | $153 | $134 | $189 | $216 |
| Electrolyte panel | CPT | 80051 | 6 | $182 | $124 | $108 | $153 | $175 |
| Comprehensive metabolic panel | CPT | 80053 | 6 | $281 | $191 | $167 | $236 | $270 |
| Lipid panel | CPT | 80061 | 6 | $167 | $114 | $99 | $140.5 | $160 |
| Renal function panel | CPT | 80069 | 6 | $209 | $142 | $124 | $175.5 | $201 |
| Hepatic function panel | CPT | 80076 | 6 | $202 | $137 | $120 | $170 | $194 |
| Urinalysis non-automated | CPT | 81002 | 6 | $32 | $22 | $19 | $27 | $31 |
| Urinalysis automated | CPT | 81003 | 6 | $66 | $45 | $39 | $55.5 | $63 |
| Glucose quantitative | CPT | 82947 | 6 | $92 | $63 | $55 | $77 | $88 |
| Hemoglobin A1c | CPT | 83036 | 6 | $111 | $75 | $66 | $93 | $107 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 6 | $167 | $114 | $99 | $140.5 | $160 |
| Complete blood count with automated differential | CPT | 85025 | 6 | $147 | $100 | $87 | $123.5 | $141 |
| Complete blood count without differential | CPT | 85027 | 6 | $142 | $97 | $84 | $119.5 | $136 |
| Urine culture identification | CPT | 87088 | 6 | $142 | $97 | $84 | $119.5 | $136 |
| Tissue exam by pathologist level IV | CPT | 88305 | 6 | $384 | $261 | $228 | $322.5 | $369 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 6 | $4,907 | $3,337 | $2,915 | $4,122 | $4,711 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $176 | $120 | $105 | $148 | $169 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 6 | $251 | $171 | $149 | $210.5 | $241 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 6 | $385 | $262 | $229 | $323.5 | $370 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 6 | $483 | $328 | $287 | $406 | $464 |
| Office visit, established patient, 5 min | CPT | 99211 | 6 | $126 | $86 | $32 | $51.5 | $121 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 6 | $103 | $70 | $61 | $86.5 | $99 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 6 | $170 | $116 | $101 | $143 | $163 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 6 | $251 | $171 | $149 | $210.5 | $241 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 6 | $342 | $233 | $203 | $287.5 | $328 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $566 | $385 | $336 | $475.5 | $543 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 6 | $740 | $503 | $440 | $621.5 | $710 |
| Colonoscopy with biopsy | CPT | 45380 | 6 | $853 | $580 | $507 | $716.5 | $819 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 6)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 91 | $823 |
| Blue Cross Blue Shield | 91 | $728 |
| medica | 91 | $711 |
| midlands choice | 91 | $814 |
| nebraska total care | 91 | $509 |
| UnitedHealthcare | 91 | $634 |