Gothenburg Health
Po Box 469 910 20Th St, Gothenburg, NE 69138 · 97 Priced Procedures · 78% Patient Recommendation
Typical commercial prices here are +131% above the fair benchmark (2.31×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Gothenburg Health prices routine shoppable procedures at 4.0× Medicare (median 2.14× Fair BaseRate) while upper-quartile commercial rates jump +54% to 3.30× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 59% of shoppable procedures (43/100 Cash Honesty)
- CMS clinical safety score (72/100 safety score) with 78% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Commercial insurance median sits at 2.14× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.30×) jump +54% above the median procedure ratio (Q50 2.14×)
- Consolidated metro market (HHI 3,484) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Gothenburg Health
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,770 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,163 | 13.7× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,306 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,150 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,838 | 2.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,776 | 5.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,745 | 0.4× |
| C-section delivery (full package) CPT Code: 59510 | $2,704 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,468 | 7.2× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,375 | 7.0× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,387 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,789 | 4.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,682 | 10.0× |
| CT scan, pelvis CPT Code: 72192 | $1,651 | 10.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,666 | 9.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,690 | 1.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,635 | 9.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,604 | 6.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,573 | 2.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,419 | 8.9× |
| CT scan, sinuses CPT Code: 70486 | $1,357 | 8.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,379 | 0.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,241 | 1.3× |
| Trauma team activation HCPCS Code: G0390 | $1,254 | 0.9× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,255 | unverified |
Audit a Bill or Quote at Gothenburg Health (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($4,770) Beats Your Bill
Gothenburg Health's published 45 CFR § 180 self-pay cash rate is $4,770 (vs. $4,770 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($5,300) is $4,852 above the denoised Fair BaseRate ($448) and 14.9× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Gothenburg Health as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (39 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Gothenburg Health.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.