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West Holt Memorial Hospital prices. From its own published file.

West Holt Memorial Hospital in Atkinson, 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.

1,472prices published
—file last updated
$8,402cash price for upper gi endoscopy with biopsy (list $10,503)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$154$414$65.00–$604
Emergency visit, high (level 4)
99284
$282$639$110–$879
Emergency visit, highest (level 5)
99285
$394$974$160–$1,383
Comprehensive metabolic panel
80053
$195$244$6.00–$229
Basic metabolic panel
80048
$167$209$5.00–$196
Complete blood count (CBC)
85025
$97.00$137$5.00–$143
Blood draw (venipuncture)
36415
$36.00$45.00$3.00–$42.00
Urinalysis
81001
$34.00$42.00$3.00–$39.00
Troponin (heart test)
84484
$194$252$7.00–$285
EKG tracing
93005
$318$437$13.00–$429
Chest X-ray, 2 views
71046
$309$386$28.00–$363
CT head without contrast
70450
$1,974$2,468$136–$2,320
CT abdomen and pelvis with contrast
74177
$4,528$5,660$424–$5,320
MRI lower back without contrast
72148
$3,273$4,091$273–$3,846
Ultrasound, abdomen
76700
$838$1,048$106–$985
IV push, single drug
96374
$91.00$205$55.00–$280
IV fluids, first hour
96360
$420$525$55.00–$494
Ketorolac injection, 15 mg
J1885
$16.00$24.50$10.00–$28.00
Ondansetron injection
J2405
$16.00$29.00$10.00–$28.00
Colonoscopy, diagnostic
45378
$8,013$10,016$184–$9,515
Upper GI endoscopy with biopsy
43239
$8,402$10,503$212–$9,978
Knee arthroscopy
29881
$7,381$9,226$705–$8,765

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: West Holt Memorial Hospital price transparency page.

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