Tri Valley Health System prices. From its own published file.

Tri Valley Health System in Cambridge, 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.

2,055prices published

Oct 2026file last updated

$5,548cash price for cesarean delivery, routine care (list $6,164)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$300	$333	$64.60–$711
Emergency visit, high (level 4) `99284`	$479	$532	$110–$988
Emergency visit, highest (level 5) `99285`	$753	$837	$160–$1,693
Comprehensive metabolic panel `80053`	$188	$209	$91.96–$205
Basic metabolic panel `80048`	$173	$192	$84.48–$188
Complete blood count (CBC) `85025`	$149	$167	$73.04–$164
Blood draw (venipuncture) `36415`	$39.60	$53.00	$19.36–$58.80
Urinalysis `81001`	$87.30	$97.00	$29.42–$95.06
Troponin (heart test) `84484`	$277	$308	$136–$302
EKG tracing `93005`	$472	$524	$87.12–$514
Chest X-ray, 2 views `71046`	$401	$445	$130–$436
CT head without contrast `70450`	$2,715	$3,017	$1,327–$2,957
CT abdomen and pelvis with contrast `74177`	$5,056	$5,618	$2,472–$5,506
MRI lower back without contrast `72148`	$3,688	$4,098	$1,803–$4,016
Ultrasound, abdomen `76700`	$1,065	$1,183	$521–$1,159
IV push, single drug `96374`	$264	$293	$129–$287
IV fluids, first hour `96360`	$485	$539	$237–$528
Ketorolac injection, 15 mg `J1885`	$21.60	$54.00	$10.56–$65.66
Ondansetron injection `J2405`	$45.00	$52.00	$22.00–$52.92
Colonoscopy, diagnostic `45378`	$718	$798	$153–$782
Upper GI endoscopy with biopsy `43239`	$796	$884	$115–$866
Knee arthroscopy `29881`	$203	$311	$99.00–$1,512
Vaginal delivery, routine care `59400`	$5,040	$5,600	$329–$5,488
Cesarean delivery, routine care `59510`	$5,548	$6,164	$329–$6,041

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: Tri Valley Health System 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.