Johnson County Hospital
202 High St, Tecumseh, NE 68450 · 97 Priced Procedures · 87% Patient Recommendation
Typical commercial prices here are +151% above the fair benchmark (2.51×) 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
Johnson County Hospital prices routine shoppable procedures at 4.4× Medicare (median 2.29× Fair BaseRate) while upper-quartile commercial rates jump +53% to 3.50× 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 1.25× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 12% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (74/100 safety score) with 87% 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)
- Even at low-cost facilities (2.51× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 2.29× Fair BaseRate (4.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.50×) jump +53% above the median procedure ratio (Q50 2.29×)
- Unnegotiated chargemaster list prices average 9.4× Medicare (26¢ true HCRIS cost per $1 gross)
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 Johnson County Hospital
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 | $5,068 | 11.3× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,281 | 14.1× |
| Total knee replacement CPT Code: 27447 | $3,467 | 0.3× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,876 | 2.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,668 | 5.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,350 | 6.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,293 | 6.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,921 | 5.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,852 | 1.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,808 | 7.0× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,755 | 10.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,686 | 10.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,672 | 10.0× |
| CT scan, pelvis CPT Code: 72192 | $1,602 | 9.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,620 | 6.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,609 | 2.8× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,562 | 1.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,463 | 9.1× |
| CT scan, sinuses CPT Code: 70486 | $1,330 | 8.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $953 | 3.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $609 | 4.5× |
| Blood transfusion CPT Code: 36430 | $630 | 1.3× |
| Family therapy session CPT Code: 90847 | $589 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $560 | 4.3× |
| Group therapy session CPT Code: 90853 | $533 | unverified |
Audit a Bill or Quote at Johnson County Hospital (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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Johnson County Hospital's published 45 CFR § 180 self-pay cash rate is $5,068 (vs. $5,068 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 ($5,068) is $4,620 above the denoised Fair BaseRate ($448) and 14.2× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Johnson County Hospital 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 (34 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 Johnson County Hospital.
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.