Hospital Profile Critical Access Hospitals Government - Local

Chase County Community Hospital

600 W 12TH ST, Imperial, NE 69033

CMS Overall Rating No CMS Rating
Factual Overview

Chase County Community Hospital is a Critical Access Hospitals (Government - Local) operating in Imperial, NE. Mapped commercial insurance prices across 83 procedures average 7.97x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 15 Beds Teaching Status: Non-Teaching Annual Discharges: 108

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 131 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 83 codes Avg Markup vs Medicare: 7.97x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
$823 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
$1,091 Calc
Blood transfusion
CPT Code: 36430
$1,260 Calc
Upper endoscopy with biopsy
CPT Code: 43239
$1,622 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
$1,642 Calc
Colonoscopy with biopsy
CPT Code: 45380
$1,658 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
$5,468 Calc
Inguinal hernia repair
CPT Code: 49505
$1,024 Calc
Vaginal delivery (full package)
CPT Code: 59400
$4,635 Calc
C-section delivery (full package)
CPT Code: 59510
$5,098 Calc
CT scan, head (no contrast)
CPT Code: 70450
$3,371 Calc
CT scan, head (with contrast)
CPT Code: 70460
$3,708 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
$4,262 Calc
CT scan, sinuses
CPT Code: 70486
$2,620 Calc
MRI, brain (no contrast)
CPT Code: 70551
$4,598 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
$5,817 Calc
X-ray, chest (single view)
CPT Code: 71045
$376 Calc
X-ray, chest (two views)
CPT Code: 71046
$477 Calc
CT scan, chest (no contrast)
CPT Code: 71250
$3,886 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
$474 Calc
X-ray, lower back
CPT Code: 72110
$626 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
$3,746 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
$3,902 Calc
MRI, lower back (no contrast)
CPT Code: 72148
$5,421 Calc
X-ray, pelvis
CPT Code: 72170
$517 Calc
CT scan, pelvis
CPT Code: 72192
$4,706 Calc
X-ray, shoulder
CPT Code: 73030
$489 Calc
X-ray, hand
CPT Code: 73130
$682 Calc
X-ray, hip
CPT Code: 73502
$415 Calc
X-ray, ankle
CPT Code: 73610
$618 Calc
X-ray, foot
CPT Code: 73630
$678 Calc
MRI, knee or other leg joint
CPT Code: 73721
$3,869 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$5,517 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$6,471 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
$963 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
$1,143 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
$582 Calc
Ultrasound, pelvis
CPT Code: 76856
$1,036 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
$537 Calc
Screening mammogram (both breasts)
CPT Code: 77067
$447 Calc
Blood test, basic metabolic panel
CPT Code: 80048
$127 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
$269 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
$120 Calc
Blood test, liver function panel
CPT Code: 80076
$197 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
$96 Calc
Blood test, amylase
CPT Code: 82150
$82 Calc
Blood test, vitamin D
CPT Code: 82306
$107 Calc
Blood test, calcium
CPT Code: 82310
$52 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
$89 Calc
Blood test, vitamin B12
CPT Code: 82607
$37 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
$234 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
$80 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
$79 Calc
Blood test, lipase
CPT Code: 83690
$115 Calc
Blood test, magnesium
CPT Code: 83735
$86 Calc
Blood test, potassium
CPT Code: 84132
$86 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
$161 Calc
Blood test, sodium
CPT Code: 84295
$40 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
$196 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
$52 Calc
Blood test, hemoglobin
CPT Code: 85018
$52 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
$122 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
$42 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
$65 Calc
Hepatitis C antibody test
CPT Code: 86803
$149 Calc
Blood antibody screen
CPT Code: 86850
$162 Calc
Culture, blood
CPT Code: 87040
$190 Calc
Culture, bacterial
CPT Code: 87070
$162 Calc
Speech therapy (language evaluation)
CPT Code: 92507
$442 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
$378 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
$3,048 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
$1,935 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
$271 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
$160 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
$152 Calc
Physical therapy (gait training)
CPT Code: 97116
$150 Calc
Physical therapy (manual therapy)
CPT Code: 97140
$152 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
$150 Calc
Occupational therapy (self-care training)
CPT Code: 97535
$452 Calc
Orthotic fitting and training
CPT Code: 97760
$150 Calc
New patient office visit (30-44 min)
CPT Code: 99203
$246 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
$123 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
$328 Calc