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Hospital Profile Critical Access Hospitals Government - Hospital District or Authority

Gothenburg Health

910 20TH ST, Gothenburg, NE 69138

CMS Overall Rating No CMS Rating
Factual Overview

Gothenburg Health is a Critical Access Hospitals (Government - Hospital District or Authority) operating in Gothenburg, NE. Mapped commercial insurance prices across 85 procedures average 7.60x 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: 223

Patient Experience

Recommendation Rate: 78% High Patient Rating: 81% ER Wait Time (Med): 118 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 85 codes Avg Markup vs Medicare: 7.60x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $3,357 Calc
Blood transfusion
CPT Code: 36430
 $1,109 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $3,470 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,229 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $4,712 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $7,226 Calc
Vaginal delivery (full package)
CPT Code: 59400
 $6,840 Calc
C-section delivery (full package)
CPT Code: 59510
 $4,773 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $3,484 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $2,070 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,340 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $3,150 Calc
CT scan, sinuses
CPT Code: 70486
 $1,980 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $3,600 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,050 Calc
X-ray, chest (single view)
CPT Code: 71045
 $288 Calc
X-ray, chest (two views)
CPT Code: 71046
 $356 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,385 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $360 Calc
X-ray, lower back
CPT Code: 72110
 $540 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,453 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,430 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $3,465 Calc
X-ray, pelvis
CPT Code: 72170
 $347 Calc
CT scan, pelvis
CPT Code: 72192
 $2,408 Calc
X-ray, shoulder
CPT Code: 73030
 $520 Calc
X-ray, hand
CPT Code: 73130
 $374 Calc
X-ray, hip
CPT Code: 73502
 $360 Calc
X-ray, ankle
CPT Code: 73610
 $342 Calc
X-ray, foot
CPT Code: 73630
 $360 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,610 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $4,163 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,770 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $912 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,255 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $711 Calc
Ultrasound, pelvis
CPT Code: 76856
 $788 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $383 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $230 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $149 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $194 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $131 Calc
Blood test, liver function panel
CPT Code: 80076
 $149 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $63 Calc
Blood test, amylase
CPT Code: 82150
 $104 Calc
Blood test, vitamin D
CPT Code: 82306
 $198 Calc
Blood test, calcium
CPT Code: 82310
 $68 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $72 Calc
Blood test, vitamin B12
CPT Code: 82607
 $140 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $72 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $90 Calc
Blood test, lipase
CPT Code: 83690
 $135 Calc
Blood test, magnesium
CPT Code: 83735
 $95 Calc
Blood test, potassium
CPT Code: 84132
 $63 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $144 Calc
Blood test, sodium
CPT Code: 84295
 $81 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $140 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $63 Calc
Blood test, hemoglobin
CPT Code: 85018
 $44 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $122 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $66 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $108 Calc
Blood antibody screen
CPT Code: 86850
 $116 Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 $270 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $452 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $482 Calc
Family therapy session
CPT Code: 90847
 $761 Calc
Group therapy session
CPT Code: 90853
 $662 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $277 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $318 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,295 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,530 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $284 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $4,140 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $110 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $122 Calc
Physical therapy (gait training)
CPT Code: 97116
 $99 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $109 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $102 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $122 Calc
Orthotic fitting and training
CPT Code: 97760
 $99 Calc
Prosthetic fitting and training
CPT Code: 97761
 $77 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $113 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $144 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $300 Calc