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Callaway District Hospital prices. From its own published file.

Callaway District Hospital in Callaway, NE publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,028prices published
—file last updated
$4,416cash price for ct abdomen and pelvis with contrast (list $4,907)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$157$383$65.00–$580
Emergency visit, high (level 4)
99284
$266$564$110–$816
Emergency visit, highest (level 5)
99285
$384$863$160–$1,272
Comprehensive metabolic panel
80053
$162$180$85.00–$176
Basic metabolic panel
80048
$140$156$73.00–$153
Complete blood count (CBC)
85025
$103$114$54.00–$112
Blood draw (venipuncture)
36415
$70.00$78.00$37.00–$76.00
Urinalysis
81001
$60.00$67.00$31.00–$66.00
EKG tracing
93005
$311$345$162–$338
Chest X-ray, 2 views
71046
$344$382$180–$374
CT head without contrast
70450
$2,022$2,247$1,056–$2,202
CT abdomen and pelvis with contrast
74177
$4,416$4,907$2,306–$4,809
MRI lower back without contrast
72148
$3,362$3,735$1,755–$3,660
Ultrasound, abdomen
76700
$850$944$444–$925
IV push, single drug
96374
$220$244$115–$239
IV fluids, first hour
96360
$365$406$191–$398
Ketorolac injection, 15 mg
J1885
$27.00$30.00$14.00–$29.00
Colonoscopy, diagnostic
45378
$1,655$1,839$864–$1,802
Upper GI endoscopy with biopsy
43239
$2,434$2,704$1,271–$2,650

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Callaway District Hospital price transparency page.

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