Hospital Profile Critical Access Hospitals Government - Local

Dundy County Hospital

1313 N CHEYENNE ST, Benkelman, NE 69021

CMS Overall Rating No CMS Rating

Dundy County Hospital publishes prices for 106 shoppable procedures in Benkelman, NE. It's classified by CMS as Critical Access Hospitals (Government - Local). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 12 Beds Teaching Status: Non-Teaching Annual Discharges: 110

Patient Experience

Recommendation Rate: 91% High Patient Rating: 74% ER Wait Time (Med): 146 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 106 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at Dundy County Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Blood test, potassium CPT Code: `84132`	$64	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,445	—	—	—
X-ray, lower back CPT Code: `72110`	$584	—	—	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$58	—	—	—
X-ray, hand CPT Code: `73130`	$377	—	—	—
Breast lump removal CPT Code: `19120`	$1,015	—	—	—
X-ray, ankle CPT Code: `73610`	$377	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$97	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$77	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$69	—	—	—
X-ray, shoulder CPT Code: `73030`	$363	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$168	—	—	—
Prosthetic fitting and training CPT Code: `97761`	$101	—	—	—
Psychiatric evaluation (first visit) CPT Code: `90791`	$162	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$93	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$18	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$82	—	—	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$42	—	—	—
Blood transfusion CPT Code: `36430`	$1,450	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$176	—	—	—
C-section delivery (full package) CPT Code: `59510`	$4,179	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$186	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$68	—	—	—
Extended office visit (prolonged) HCPCS Code: `G2212`	$38	—	—	—
Blood test, magnesium CPT Code: `83735`	$76	—	—	—
Physical therapy (functional capacity test) CPT Code: `97750`	$95	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$167	—	—	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$101	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$55	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$32	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$155	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$147	—	—	—
Colonoscopy with biopsy CPT Code: `45380`	$2,710	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,234	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$931	—	—	—
Family therapy session CPT Code: `90847`	$202	—	—	—
Orthotic fitting and training CPT Code: `97760`	$101	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$29	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,694	—	—	—
Electrical stimulation therapy HCPCS Code: `G0283`	$70	—	—	—
Psychological testing by technician CPT Code: `96138`	$60	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$68	—	—	—
X-ray, hip CPT Code: `73502`	$410	—	—	—
Blood test, calcium CPT Code: `82310`	$67	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$296	—	—	—
Psychological testing evaluation CPT Code: `96136`	$76	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$44	—	—	—
Culture, bacterial CPT Code: `87070`	$135	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$26	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,535	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$97	—	—	—
CT scan, sinuses CPT Code: `70486`	$1,872	—	—	—
Culture, blood CPT Code: `87040`	$222	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$297	—	—	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,943	—	—	—
X-ray, pelvis CPT Code: `72170`	$300	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,134	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$356	—	—	—
Blood antibody screen CPT Code: `86850`	$91	—	—	—
MRI, lower back (no contrast) CPT Code: `72148`	$3,671	—	—	—
Colonoscopy (diagnostic) CPT Code: `45378`	$1,157	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$252	—	—	—
Inguinal hernia repair CPT Code: `49505`	$1,706	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$111	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$122	—	—	—
Blood test, vitamin D CPT Code: `82306`	$226	—	—	—
Trauma team activation HCPCS Code: `G0390`	$1,906	—	—	—
Psychotherapy session (60 minutes) CPT Code: `90837`	$240	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$2,299	—	—	—
Blood test, lipase CPT Code: `83690`	$118	—	—	—
Psychotherapy session (45 minutes) CPT Code: `90834`	$160	—	—	—
Blood test, amylase CPT Code: `82150`	$99	—	—	—
Vaginal delivery (full package) CPT Code: `59400`	$3,671	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$1,013	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$19	—	—	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$358	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$95	—	—	—
X-ray, foot CPT Code: `73630`	$455	—	—	—
CT scan, head (with contrast) CPT Code: `70460`	$2,508	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,315	—	—	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$151	—	—	—
Sleep study (overnight, in lab) CPT Code: `95810`	$3,250	—	—	—
Screening mammogram (both breasts) CPT Code: `77067`	$306	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$63	—	—	—
Blood test, liver function panel CPT Code: `80076`	$120	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$188	—	—	—
Typhoid vaccine HCPCS Code: `90675`	$484	—	—	—
Upper endoscopy with biopsy CPT Code: `43239`	$1,081	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$63	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$2,523	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$102	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$2,603	—	—	—
MRI, knee or other leg joint CPT Code: `73721`	$3,000	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$158	—	—	—
Blood test, sodium CPT Code: `84295`	$63	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$131	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$2,088	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,059	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$959	—	—	—
CT scan, pelvis CPT Code: `72192`	$2,287	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$359	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$3,433	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$4,303	—	—	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,336	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$163	—	—	—