Niobrara Valley Hospital prices. From its own published file.

Niobrara Valley Hospital in Lynch, 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.

785prices published

Mar 2026file last updated

$45.00cash price for ekg tracing (list $242)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$226	$226	—
Emergency visit, high (level 4) `99284`	$302	$302	—
Emergency visit, highest (level 5) `99285`	$503	$503	—
Comprehensive metabolic panel `80053`	$263	$263	$129–$129
Basic metabolic panel `80048`	$231	$231	$108–$108
Complete blood count (CBC) `85025`	$109	$109	$78.28–$78.28
Blood draw (venipuncture) `36415`	$31.00	$31.00	$27.81–$27.81
Urinalysis `81001`	$89.50	$89.50	$28.84–$28.84
Troponin (heart test) `84484`	$273	$273	$165–$165
EKG tracing `93005`	$45.00	$242	$165–$165
Chest X-ray, 2 views `71046`	$420	$420	$128–$128
CT head without contrast `70450`	$2,652	$2,652	$1,344–$1,344
CT abdomen and pelvis with contrast `74177`	$6,274	$6,274	$2,668–$2,668
MRI lower back without contrast `72148`	$4,715	$4,715	$1,916–$1,916
Ultrasound, abdomen `76700`	$1,229	$1,229	$680–$680
IV push, single drug `96374`	$262	$300	—
IV fluids, first hour `96360`	$369	$494	—
Ketorolac injection, 15 mg `J1885`	$30.00	$30.00	—
Ondansetron injection `J2405`	$30.00	$30.00	—
Colonoscopy, diagnostic `45378`	$2,416	$2,416	—
Upper GI endoscopy with biopsy `43239`	$3,297	$3,297	—

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: Niobrara Valley Hospital 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.