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HARLAN COUNTY HEALTH SYSTEM

Hospital

P O BOX 836, 717 BROWN ST

ALMA, NE, 68920

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Procedure Prices at HARLAN COUNTY HEALTH SYSTEM

BLOOD ALCOHOL DRAW

CPT 36415

$26.88

Mechanical Traction

CPT 97012

$77.22

Therapeutic Exercises

CPT 97110

$89.1

Therapeutic Activities

CPT 97530

$89.1

COMPLETE BLOOD COUNT /W DIF

CPT 85025

$89.92

OUTPT VISIT EST MODERATE

CPT 99213

$107.1

Vaginal Delivery

CPT 59400

$139.5

COMPREHENSIVE METABOLIC PANEL

CPT 80053

$144.61

TRANSFORAMINAL EPI W/FLUORO/CT

CPT 64483

$202.71

Chest X-Ray (1 view)

CPT 71045

$227.7

EKG Tracing

CPT 93005

$255.6

ER Visit — Low-Moderate Complexity

CPT 99283

$260.1

Chest X-Ray (2 views)

CPT 71046

$278.42

Diagnostic Mammogram (unilateral)

CPT 77065

$291.43

ER Visit — High Complexity

CPT 99285

$312.9

Screening Mammogram (bilateral)

CPT 77067

$351.64

INDV THERAPY 53-67 MIN

CPT 90837

$391.5

Diagnostic Mammogram (bilateral)

CPT 77066

$395.87

Thoracic Spine X-Ray

CPT 72072

$440.91

Abdominal Ultrasound — Limited

CPT 76705

$585.9

Retroperitoneal Ultrasound

CPT 76770

$621.6

OB Ultrasound

CPT 76805

$654.36

Abdominal Ultrasound

CPT 76700

$748.44

ER Visit — Moderate Complexity

CPT 99284

$917.44

Knee Arthroscopy

CPT 29881

$947.89

Recurrent Inguinal Hernia Repair

CPT 49520

$1,076.5

Appendectomy

CPT 44950

$1,088.59

Laparoscopic Cholecystectomy

CPT 47562

$1,155.75

Colonoscopy

CPT 45378

$1,655.1

Echocardiogram w/ Doppler

CPT 93306

$1,732.5

Echocardiogram

CPT 93307

$1,732.5

SHOULDER SCOPE W/ROTATOR CUF

CPT 29827

$1,856.27

Colonoscopy w/ Biopsy

CPT 45380

$1,873.53

MRI Joint of Lower Extremity

CPT 73721

$1,916

CT Chest

CPT 71250

$1,949.4

TX FEMORAL FX W/INTRA IMPLANT

CPT 27245

$2,120.46

Knee Replacement

CPT 27447

$2,212.79

Hip Replacement

CPT 27130

$2,214.74

Cataract Surgery

CPT 66984

$2,250

Upper GI Endoscopy w/ Biopsy

CPT 43239

$2,388.26

MRI Brain w/o Contrast

CPT 70551

$2,595.2

Inguinal Hernia Repair

CPT 49505

$2,864.7

MRI Brain w/ Contrast

CPT 70553

$2,888

CT Abdomen & Pelvis

CPT 74177

$3,923.1

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.