How many shoppable procedure prices are published for Boys Town National Research Hospital?

Boys Town National Research Hospital in Boys Town, NE currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Boys Town National Research Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Boys Town National Research Hospital's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Children's Hospital Voluntary non-profit - Private 52 Beds · urban Updated: 2025-12-29

Boys Town National Research Hospital

14000 Boys Town Hospital Road, Boys Town, NE 68010 · 124 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.86×vs. Fair Market Price

Typical commercial prices here are +86% above the fair benchmark (1.86×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness85

Price Logic72

Peer Alignment74

Clean Billing83

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Boys Town National Research Hospital prices shoppable and inpatient services (2.0× to 1.9× Medicare, divergence 0.95×) in alignment with regional hospital peers (1.86× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#36 of 60 in NE · 58th State Percentile#2,993 of 3,385 in U.S. · 88th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.23× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (74.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Commercial insurance median sits at 1.93× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.34×) jump +21% above the median procedure ratio (Q50 1.93×)
Unnegotiated chargemaster list prices average 8.4× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.95× Divergence

1.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+21% Upper Tail

Q25 1.23× · Q50 1.93× · Q75 2.34×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.3× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

29% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Boys Town National Research Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$19,245	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$19,245	$13,523	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$11,684	$19,432	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,330	$8,223	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$11,330	$19,087	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$4,553	$6,109	0.7×
Inguinal hernia repair CPT Code: `49505`	—	$3,094	$3,629	0.9×
Breast lump removal CPT Code: `19120`	—	$3,003	$3,875	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,600	$3,372	0.8×
Bunion correction surgery CPT Code: `28296`	—	$2,600	$3,446	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,886	$2,540	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,275	$1,603	$1,021	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$1,314	$1,314	$86	unverified
Neurobehavioral status check CPT Code: `96116`	—	$1,184	$231	unverified
Psychological testing by technician CPT Code: `96138`	—	$1,184	$395	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$1,054	$257	4.1×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$1,054	$269	3.9×
Behavioral health day treatment HCPCS Code: `H0010`	—	$1,054	$343	3.1×
Behavioral health residential care HCPCS Code: `H0011`	—	$1,054	$364	2.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,006	$1,453	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,811	$961	$511	1.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$946	$1,256	0.8×
Behavioral health day program HCPCS Code: `H2012`	—	$948	$100	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,208	$878	$583	1.5×
Blood transfusion CPT Code: `36430`	$877	$819	$498	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$2,429	$793	$338	2.3×
MRI, brain (no contrast) CPT Code: `70551`	$2,429	$793	$343	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,429	$793	$369	2.1×
Residential mental health treatment HCPCS Code: `H2036`	—	$721	$406	1.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,661	$731	$855	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$726	$981	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$721	$987	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,090	$617	$160	3.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,821	$617	$242	2.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,821	$617	$258	2.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,429	$617	$303	2.0×
Rabies immune globulin HCPCS Code: `90375`	—	$635	$322	2.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,811	$617	$448	1.4×
Mental health services (assessment) HCPCS Code: `H0031`	—	$504	$140	3.6×
Behavioral health assessment HCPCS Code: `H0001`	—	$504	$157	3.2×
CT scan, pelvis CPT Code: `72192`	$1,090	$396	$163	2.4×
CT scan, sinuses CPT Code: `70486`	$1,090	$396	$166	2.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,090	$396	$167	2.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,090	$396	$168	2.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,090	$396	$169	2.3×
Care planning with family CPT Code: `90887`	—	$342	$107	3.2×
Ultrasound, pelvis CPT Code: `76856`	$503	$341	$130	2.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$503	$341	$134	2.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,128	$341	$272	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$246	$307	$123	2.5×
Behavioral health living support HCPCS Code: `H2019`	—	$262	$34	7.7×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$262	$88	3.0×
Mental health services (therapy) HCPCS Code: `H0032`	—	$201	$65	3.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$166	$208	$87	2.4×
Review of medical records for care CPT Code: `90889`	—	$201	$114	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$503	$222	$126	1.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$503	$222	$132	1.7×
X-ray, chest (single view) CPT Code: `71045`	$415	$114	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$596	$114	$92	1.2×
X-ray, foot CPT Code: `73630`	$590	$114	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$415	$114	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$408	$114	$93	1.2×
X-ray, hand CPT Code: `73130`	$580	$114	$93	1.2×
X-ray, hip CPT Code: `73502`	$348	$114	$93	1.2×
X-ray, ankle CPT Code: `73610`	$618	$114	$93	1.2×
X-ray, pelvis CPT Code: `72170`	$351	$114	$110	1.0×
X-ray, lower back CPT Code: `72110`	$503	$114	$112	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$127	$166	0.8×
Family therapy session CPT Code: `90847`	—	$127	$173	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$127	$181	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$110	$117	$201	0.6×
Speech therapy (group session) CPT Code: `92508`	$430	$88	$27	3.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$97	$35	2.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$88	$38	2.3×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$88	$38	2.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$144	$88	$40	2.2×
Prosthetic fitting and training CPT Code: `97761`	—	$88	$45	2.0×
Orthotic fitting and training CPT Code: `97760`	—	$88	$51	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$116	$88	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	$88	$34	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$104	$104	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$303	$228	$347	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$187	$187	$140	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$146	$146	$203	0.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$110	$110	$14	7.9×
Blood test, vitamin B12 CPT Code: `82607`	$121	$121	$16	unverified
Blood test, lipase CPT Code: `83690`	$55	$55	$7	7.9×
Physical therapy (gait training) CPT Code: `97116`	$116	$74	$33	2.2×
Occupational therapy (self-care training) CPT Code: `97535`	—	$74	$38	1.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$79	$49	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$47	$47	$10	4.7×
Blood test, vitamin D CPT Code: `82306`	$237	$61	$31	2.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$145	$52	$64	0.8×
Group therapy session CPT Code: `90853`	—	$66	$100	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$40	$40	$49	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$50	$50	$48	unverified
Blood test, hemoglobin CPT Code: `85018`	$19	$19	$3	6.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$26	$7	$3	2.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$9	$4	2.3×
Blood test, calcium CPT Code: `82310`	$42	$11	$5	2.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$42	$11	$5	2.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$85	$22	$11	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$42	$28	$14	2.0×
Blood test, magnesium CPT Code: `83735`	$54	$14	$7	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$147	$38	$19	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$9	$4	2.3×
Blood test, potassium CPT Code: `84132`	$38	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$39	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$62	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$49	$12	$6	2.0×
Culture, bacterial CPT Code: `87070`	$69	$18	$9	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$96	$35	$18	1.9×
Hepatitis C antibody test CPT Code: `86803`	$114	$29	$15	1.9×
Culture, blood CPT Code: `87040`	$83	$21	$11	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$43	$37	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$44	$43	$39	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$74	$43	$56	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$74	$43	$111	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$68	$17	$9	1.9×
Blood test, liver function panel CPT Code: `80076`	$66	$17	$9	1.9×
Blood test, amylase CPT Code: `82150`	$36	$13	$7	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$9	$5	1.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$32	$32	$25	1.3×
Blood antibody screen CPT Code: `86850`	$78	$20	$46	0.4×

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 74.0%

Audit a Bill or Quote at Boys Town National Research Hospital (Zero PHI Required)

CMS CCN: 283300

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $19,245

1. Amount on Your Bill or Quote ($) Pre-filled with Boys Town National Research Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $34,179 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $34,179

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (74.0% of gross = $34,179).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Boys Town National Research Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$32,775 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($46,188) is $32,775 above the denoised Fair BaseRate ($13,413) and 3.5× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (74.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Boys Town National Research Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-14·administrative_or_closure
Closure Notice
Recorded
2026-04-13·warning_notice
Warning Notice
Recorded
2025-08-04·administrative_or_closure
Closure Notice
Recorded
2025-07-18·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Boys Town National Research Hospital.

Price Index: 1.63× regional baseline

Quality: 54/100 CMS composite

Median Household Income$79,081U.S. Census ACS

Local Uninsured Share8.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 283300

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 283300) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filecost-estimates-spreadsheet-2026_xlc7uv.zip!47376606_boys-town-national-research-hospital_standardcharges.csv

Publication / Vintage2025-12-29 · 1.60 MB

Validated Rate Rows1,894 (CMS v3.0.0)

File Integrity Digest6c8e6a66b35a11e7d2b6…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy