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OSMOND GENERAL HOSPITAL

Hospital

402 NORTH MAPLE ST

OSMOND, NE, 68765

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Procedure Prices at OSMOND GENERAL HOSPITAL

EKG Interpretation

CPT 93010

$10.02

36415 Routine Venipuncture

CPT 36415

$10.56

CBC POC (85025)

CPT 85025

$25.52

AV 80053 Comprehensive Panel

CPT 80053

$34.32

Mechanical Traction

CPT 97012

$72.16

EKG

CPT 93000

$78.84

99213 Office visit for the E/M of an established pt low or 20-29 min

CPT 99213

$80.57

Therapeutic Activities

CPT 97530

$96.8

Therapeutic Exercises

CPT 97110

$105.6

ER Visit — Low-Moderate Complexity

CPT 99283

$122.04

Chest X-Ray (2 views)

CPT 71046

$127.6

EKG Tracing

CPT 93005

$164.8

ER Visit — Moderate Complexity

CPT 99284

$206.7

Chest X-Ray (1 view)

CPT 71045

$269.72

Screening Mammogram (bilateral)

CPT 77067

$308

PSYCHOTHERAPY PT &/OR FAMILY 60 MIN Charge

CPT 90837

$343.2

Abdominal Ultrasound — Limited

CPT 76705

$698.28

Retroperitoneal Ultrasound

CPT 76770

$806.08

Abdominal Ultrasound

CPT 76700

$836

OR 64483 INJ TRANSFORAMINAL EPI LS SNGL W/ IMAGING Charge

CPT 64483

$865.92

ER Visit — High Complexity

CPT 99285

$1,100

CT Chest

CPT 71250

$1,222

CT Abdomen & Pelvis

CPT 74177

$1,222

MRI Joint of Lower Extremity

CPT 73721

$1,455.39

Colonoscopy

CPT 45378

$1,835.24

Colonoscopy w/ Biopsy

CPT 45380

$2,013.44

MRI Brain w/o Contrast

CPT 70551

$2,040

Upper GI Endoscopy w/ Biopsy

CPT 43239

$2,100.12

Echocardiogram w/ Doppler

CPT 93306

$2,283.6

MRI Brain w/ Contrast

CPT 70553

$4,016.32

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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.