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Gordon Memorial Hospital District prices. From its own published file.

Gordon Memorial Hospital District in Gordon, 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.

2,046prices published
—file last updated
$1,322cash price for knee arthroscopy (list $6,661)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$157$641$65.00–$903
Emergency visit, high (level 4)
99284
$265$951$110–$1,283
Emergency visit, highest (level 5)
99285
$384$1,327$160–$1,710
Comprehensive metabolic panel
80053
$191$200$20.00–$196
Basic metabolic panel
80048
$163$173$16.00–$163
Complete blood count (CBC)
85025
$123$131$15.00–$130
Blood draw (venipuncture)
36415
$14.00$26.50$4.00–$37.00
Urinalysis
81001
$69.00$71.00$6.00–$69.00
Troponin (heart test)
84484
$274$278$21.00–$275
EKG tracing
93005
$20.00$346$10.00–$325
Chest X-ray, 2 views
71046
$415$415$63.00–$390
CT head without contrast
70450
$2,550$2,550$233–$2,397
CT abdomen and pelvis with contrast
74177
$5,500$5,500$641–$5,170
MRI lower back without contrast
72148
$4,050$4,050$445–$3,807
Ultrasound, abdomen
76700
$1,045$1,045$245–$982
IV push, single drug
96374
$290$290$139–$276
IV fluids, first hour
96360
$390$390$63.00–$371
Colonoscopy, diagnostic
45378
$1,249$2,375$153–$3,325
Upper GI endoscopy with biopsy
43239
$236$1,618$115–$2,850
Knee arthroscopy
29881
$1,322$6,661$468–$11,400
Vaginal delivery, routine care
59400
$3,492$3,492$1,676–$3,317

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: Gordon Memorial Hospital District price transparency page.

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