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Jennie M Melham Memorial Medical Center prices. From its own published file.

Jennie M Melham Memorial Medical Center in Broken Bow, 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.

1,122prices published
Jul 2026file last updated
$3,595cash price for upper gi endoscopy with biopsy (list $3,595)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$775$775$481–$775
Emergency visit, high (level 4)
99284
$1,200$1,200$744–$1,200
Emergency visit, highest (level 5)
99285
$1,925$1,925$1,194–$1,925
Comprehensive metabolic panel
80053
$150$150$93.19–$150
Basic metabolic panel
80048
$147$147$91.33–$147
Complete blood count (CBC)
85025
$102$102$63.49–$102
Blood draw (venipuncture)
36415
$32.21$32.21$19.97–$32.21
Troponin (heart test)
84484
$195$195$121–$195
EKG tracing
93005
$358$358$177–$358
Chest X-ray, 2 views
71046
$348$348$137–$348
CT head without contrast
70450
$2,167$2,167$1,343–$2,167
CT abdomen and pelvis with contrast
74177
$4,794$4,794$2,859–$4,794
MRI lower back without contrast
72148
$3,442$3,442$2,053–$3,442
Ultrasound, abdomen
76700
$938$938$582–$938
IV push, single drug
96374
$369$369$229–$369
IV fluids, first hour
96360
$505$505$313–$505
Colonoscopy, diagnostic
45378
$3,958$3,958$2,454–$3,958
Upper GI endoscopy with biopsy
43239
$3,595$3,595$2,229–$3,595
Knee arthroscopy
29881
$8,011$8,011$4,967–$8,011

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: Jennie M Melham Memorial Medical Center price transparency page.

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