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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Jennie M Melham Memorial Medical Center

145 MEMORIAL DR, Broken Bow, NE 68822

CMS Overall Rating ★★★★☆
Factual Overview

Jennie M Melham Memorial Medical Center is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Broken Bow, NE. Mapped commercial insurance prices across 86 procedures average 6.92x the Medicare baseline. The facility holds a CMS quality rating of 4/5 stars with a patient recommendation score of 70%.

Facility Overview

Setting: rural Bed Count: 23 Beds Teaching Status: Non-Teaching Annual Discharges: 204

Patient Experience

Recommendation Rate: 70% High Patient Rating: 74% ER Wait Time (Med): 121 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 86 codes Avg Markup vs Medicare: 6.92x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $5,523 —
Total knee replacement
CPT Code: 27447
 $32,722 —
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $8,011 —
Blood transfusion
CPT Code: 36430
 $1,128 —
Upper endoscopy with biopsy
CPT Code: 43239
 $3,595 —
Colonoscopy (diagnostic)
CPT Code: 45378
 $3,958 —
Colonoscopy with biopsy
CPT Code: 45380
 $4,025 —
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $12,086 —
Inguinal hernia repair
CPT Code: 49505
 $7,843 —
Cataract surgery with lens implant
CPT Code: 66984
 $5,210 —
CT scan, head (no contrast)
CPT Code: 70450
 $2,167 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $2,464 —
CT scan, head (with and without contrast)
CPT Code: 70470
 $2,621 Calc
CT scan, sinuses
CPT Code: 70486
 $2,022 —
MRI, brain (no contrast)
CPT Code: 70551
 $3,699 —
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,267 —
X-ray, chest (single view)
CPT Code: 71045
 $297 —
X-ray, chest (two views)
CPT Code: 71046
 $348 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,250 —
X-ray, neck (cervical spine)
CPT Code: 72040
 $373 —
X-ray, lower back
CPT Code: 72110
 $549 —
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,444 —
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,474 —
MRI, lower back (no contrast)
CPT Code: 72148
 $3,442 Calc
X-ray, pelvis
CPT Code: 72170
 $358 —
CT scan, pelvis
CPT Code: 72192
 $2,223 —
X-ray, shoulder
CPT Code: 73030
 $369 —
X-ray, hand
CPT Code: 73130
 $370 —
X-ray, hip
CPT Code: 73502
 $324 —
X-ray, ankle
CPT Code: 73610
 $352 Calc
X-ray, foot
CPT Code: 73630
 $370 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,717 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $4,016 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $4,794 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $680 —
Ultrasound, abdomen (complete)
CPT Code: 76700
 $938 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $735 —
Ultrasound, pelvis
CPT Code: 76856
 $871 —
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $442 —
Screening mammogram (both breasts)
CPT Code: 77067
 $378 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $147 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $150 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $85 Calc
Blood test, liver function panel
CPT Code: 80076
 $128 —
Blood test, amylase
CPT Code: 82150
 $92 —
Blood test, vitamin D
CPT Code: 82306
 $145 —
Blood test, calcium
CPT Code: 82310
 $50 —
Blood test, creatinine (kidney)
CPT Code: 82565
 $50 —
Blood test, vitamin B12
CPT Code: 82607
 $117 —
Blood test, ferritin (iron stores)
CPT Code: 82728
 $40 —
Blood test, glucose (blood sugar)
CPT Code: 82947
 $45 —
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $64 —
Blood test, lipase
CPT Code: 83690
 $135 —
Blood test, magnesium
CPT Code: 83735
 $98 —
Blood test, potassium
CPT Code: 84132
 $54 —
Blood test, PSA (prostate screen)
CPT Code: 84153
 $101 —
Blood test, sodium
CPT Code: 84295
 $54 —
Blood test, thyroid (TSH)
CPT Code: 84443
 $108 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $44 —
Blood test, hemoglobin
CPT Code: 85018
 $45 —
Blood test, complete blood count (CBC)
CPT Code: 85025
 $102 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $66 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $113 —
Hepatitis C antibody test
CPT Code: 86803
 $102 —
Blood antibody screen
CPT Code: 86850
 $145 —
Culture, blood
CPT Code: 87040
 $355 —
Culture, bacterial
CPT Code: 87070
 $115 —
Psychotherapy session (45 minutes)
CPT Code: 90834
 $200 —
Psychotherapy session (60 minutes)
CPT Code: 90837
 $225 —
Family therapy session
CPT Code: 90847
 $300 —
Group therapy session
CPT Code: 90853
 $175 —
Speech therapy (language evaluation)
CPT Code: 92507
 $323 —
Speech therapy (group session)
CPT Code: 92508
 $130 —
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $358 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $2,594 —
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,580 —
Breathing treatment (nebulizer)
CPT Code: 94640
 $340 —
Sleep study (overnight, in lab)
CPT Code: 95810
 $4,442 —
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $232 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $175 —
Physical therapy (gait training)
CPT Code: 97116
 $131 —
Physical therapy (manual therapy)
CPT Code: 97140
 $91 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $202 —
Occupational therapy (self-care training)
CPT Code: 97535
 $142 —
Orthotic fitting and training
CPT Code: 97760
 $84 —
Prosthetic fitting and training
CPT Code: 97761
 $72 —