Harlan County Healthsystem prices. From its own published file.

Harlan County Healthsystem in Alma, 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.

2,213prices published

Sep 2026file last updated

$3,314cash price for knee arthroscopy (list $5,774)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$231	$520	$20.40–$510
Emergency visit, high (level 4) `99284`	$289	$774	$20.40–$759
Emergency visit, highest (level 5) `99285`	$371	$1,215	$20.40–$1,191
Comprehensive metabolic panel `80053`	$130	$162	$17.11–$159
Basic metabolic panel `80048`	$104	$130	$11.00–$127
Complete blood count (CBC) `85025`	$80.80	$101	$7.85–$98.98
Blood draw (venipuncture) `36415`	$26.40	$33.00	$3.08–$32.34
Urinalysis `81001`	$45.60	$57.00	$1.81–$55.86
Troponin (heart test) `84484`	$170	$213	$26.56–$209
EKG tracing `93005`	$229	$286	$151–$280
Chest X-ray, 2 views `71046`	$274	$342	$137–$335
CT head without contrast `70450`	$1,566	$1,958	$1,034–$1,919
CT abdomen and pelvis with contrast `74177`	$3,957	$4,946	$2,611–$4,847
MRI lower back without contrast `72148`	$3,301	$4,126	$2,053–$4,043
Ultrasound, abdomen `76700`	$685	$857	$452–$839
IV push, single drug `96374`	$202	$252	$133–$247
IV fluids, first hour `96360`	$286	$358	$189–$399
Ketorolac injection, 15 mg `J1885`	$23.85	$33.07	$15.74–$35.60
Ondansetron injection `J2405`	$3.20	$13.71	$2.11–$22.95
Colonoscopy, diagnostic `45378`	$1,217	$1,680	$20.40–$1,747
Upper GI endoscopy with biopsy `43239`	$1,508	$1,893	$20.40–$1,862
Knee arthroscopy `29881`	$3,314	$5,774	$20.40–$7,258
Vaginal delivery, routine care `59400`	$124	$155	$20.40–$5,822

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: Harlan County Healthsystem price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.