Providence Medical Center prices. From its own published file.

Providence Medical Center in Wayne, 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.

1,817prices published

Oct 2025file last updated

$4,656cash price for ct abdomen and pelvis with contrast (list $4,901)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$346	$451	$215–$469
Emergency visit, high (level 4) `99284`	$643	$692	$399–$890
Emergency visit, highest (level 5) `99285`	$968	$1,023	$601–$1,310
Comprehensive metabolic panel `80053`	$157	$165	$97.35–$162
Basic metabolic panel `80048`	$133	$140	$82.60–$137
Complete blood count (CBC) `85025`	$85.50	$92.00	$53.10–$92.12
Blood draw (venipuncture) `36415`	$11.40	$35.50	$7.08–$37.24
Urinalysis `81001`	$57.00	$60.00	$30.91–$58.80
Troponin (heart test) `84484`	$217	$228	$135–$223
EKG tracing `93005`	$190	$200	$118–$196
Chest X-ray, 2 views `71046`	$276	$290	$137–$284
CT head without contrast `70450`	$1,626	$1,712	$1,010–$1,678
CT abdomen and pelvis with contrast `74177`	$4,656	$4,901	$2,859–$4,803
MRI lower back without contrast `72148`	$2,211	$2,327	$1,373–$2,280
Ultrasound, abdomen `76700`	$808	$851	$502–$834
IV push, single drug `96374`	$289	$306	$179–$315
IV fluids, first hour `96360`	$303	$319	$188–$322
Ketorolac injection, 15 mg `J1885`	$42.75	$45.00	$26.55–$51.78
Ondansetron injection `J2405`	$42.75	$45.00	$26.55–$44.10
Colonoscopy, diagnostic `45378`	$2,277	$2,397	$1,414–$2,394
Upper GI endoscopy with biopsy `43239`	$2,385	$2,511	$1,481–$2,461

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: Providence Medical Center price transparency page.

Got a bill from Providence Medical Center?

Snap a photo. We check every line against these prices and coding rules, free, in about a minute.

Scan my bill

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.