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Jefferson Community Health Center prices. From its own published file.

Jefferson Community Health Center in Fairbury, 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.

1,593prices published
Jul 2026file last updated

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283		—$392$77.00–$605
Emergency visit, high (level 4)
99284		—$646$131–$989
Emergency visit, highest (level 5)
99285		—$978$189–$1,515
Comprehensive metabolic panel
80053		—$196$98.00–$188
Basic metabolic panel
80048		—$166$83.00–$159
Complete blood count (CBC)
85025		—$124$62.00–$119
Blood draw (venipuncture)
36415		—$37.00$17.50–$35.52
Urinalysis
81001		—$73.00$29.36–$70.08
Troponin (heart test)
84484		—$278$139–$267
EKG tracing
93005		—$378$168–$363
Chest X-ray, 2 views
71046		—$395$130–$379
CT head without contrast
70450		—$2,362$1,181–$2,268
CT abdomen and pelvis with contrast
74177		—$4,962$2,481–$4,764
MRI lower back without contrast
72148		—$3,639$1,820–$3,493
Ultrasound, abdomen
76700		—$998$499–$958
IV push, single drug
96374		—$310$155–$298
IV fluids, first hour
96360		—$331$166–$318
Ketorolac injection, 15 mg
J1885		—$40.00$7.08–$51.00
Ondansetron injection
J2405		—$27.38$15.05–$66.00
Colonoscopy, diagnostic
45378		—$1,635$365–$2,438
Upper GI endoscopy with biopsy
43239		—$1,733$404–$2,552
Vaginal delivery, routine care
59400		—$4,972$2,933–$4,972
Cesarean delivery, routine care
59510		—$5,473$3,229–$5,473

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: Jefferson Community Health Center price transparency page.

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