Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Tri Valley Health System

1305 HIGHWAY 6 34, Cambridge, NE 69022

CMS Overall Rating No CMS Rating

How this hospital's prices compare 33 procedures scored

1.5×

the fair BaseRate, typically

above the fair price

Across 33 shoppable procedures, Tri Valley Health System typically charges above the fair BaseRate — you may be able to pay less elsewhere. 21 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

CT scan, head (no contrast) fair $681 → $1,371 2.0×
CT scan, head (with and without contrast) fair $915 → $1,737 1.9×
X-ray, ankle fair $133 → $245 1.8×

How we calculate the BaseRate →

Tri Valley Health System publishes prices for 107 shoppable procedures in Cambridge, NE. It's classified by CMS as Critical Access Hospitals (Voluntary non-profit - Private). CMS has not published a star rating for it.

Facility Overview

Setting: rural Bed Count: 20 Beds Teaching Status: Non-Teaching Annual Discharges: 127

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 147 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 107 codes Typical vs Fair BaseRate: 1.5× Price File In Index: Yes MRF Version: 3.0.0

Prices at Tri Valley Health System

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
CT scan, head (no contrast) CPT Code: `70450`	$2,715	$1,371	$681	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,920	$1,737	$915	1.9×
X-ray, ankle CPT Code: `73610`	$461	$245	$133	1.8×
MRI, lower back (no contrast) CPT Code: `72148`	$3,615	$1,954	$1,118	1.7×
X-ray, foot CPT Code: `73630`	$480	$255	$150	1.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$472	$168	$103	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$259	$175	$110	1.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$214	$126	$80	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$2,781	$1,485	$979	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,594	$1,135	$791	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	$248	$146	$102	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$718	$309	$244	1.3×
Upper endoscopy with biopsy CPT Code: `43239`	$796	$266	$221	1.2×
Bunion correction surgery CPT Code: `28296`	$2,721	$787	$655	1.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,483	$335	$290	1.2×
X-ray, chest (two views) CPT Code: `71046`	$401	$130	$126	1.0×
Inguinal hernia repair CPT Code: `49505`	$2,621	$617	$598	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$554	$236	$230	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$167	$71	$70	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$147	$68	$69	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$87	—	—	—
Culture, bacterial CPT Code: `87070`	$276	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$2,582	—	—	—
Orthotic fitting and training CPT Code: `97760`	$153	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$108	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$293	—	—	—
Blood test, vitamin D CPT Code: `82306`	$150	—	—	—
Total hip replacement CPT Code: `27130`	$2,080	—	$1,741	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	—	$37	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$3,191	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$175	—	—	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$23,707	—	—	—
X-ray, shoulder CPT Code: `73030`	$530	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$4,172	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$224	—	—	—
Typhoid vaccine HCPCS Code: `90675`	$1,565	—	—	—
X-ray, pelvis CPT Code: `72170`	$419	—	—	—
Blood test, calcium CPT Code: `82310`	$87	—	—	—
X-ray, hand CPT Code: `73130`	$480	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,798	—	—	—
Diagnostic procedure preparation HCPCS Code: `G0279`	$84	—	—	—
Blood test, magnesium CPT Code: `83735`	$113	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,056	—	$1,157	—
CT scan, pelvis CPT Code: `72192`	$2,812	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$121	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$135	—	$72	—
Speech therapy (language evaluation) CPT Code: `92507`	$392	—	—	—
Total knee replacement CPT Code: `27447`	$2,954	—	$1,776	—
CT scan, head (with contrast) CPT Code: `70460`	$3,681	—	—	—
Blood test, amylase CPT Code: `82150`	$136	—	—	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$536	—	—	—
Blood test, potassium CPT Code: `84132`	$93	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$93	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,191	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$173	—	$64	—
Vaginal delivery (full package) CPT Code: `59400`	$5,040	—	$2,514	unverified
Family therapy session CPT Code: `90847`	$840	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$87	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,251	—	$914	—
Blood test, thyroid (TSH) CPT Code: `84443`	$180	—	$75	—
X-ray, lower back CPT Code: `72110`	$859	—	—	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	$794	—	$670	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,065	—	$333	—
Hepatitis C antibody test CPT Code: `86803`	$184	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$856	—	—	—
Prosthetic fitting and training CPT Code: `97761`	$152	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$67	—	—	—
Sleep study (overnight, in lab) CPT Code: `95810`	$4,769	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$61	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$89	—	—	—
Culture, blood CPT Code: `87040`	$282	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$104	—	—	—
Blood transfusion CPT Code: `36430`	$1,328	—	—	—
Psychotherapy session (60 minutes) CPT Code: `90837`	$764	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$188	—	$82	—
Group therapy session CPT Code: `90853`	$730	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,624	—	—	—
Trauma team activation HCPCS Code: `G0390`	$2,039	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$842	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$478	—	—	—
X-ray, hip CPT Code: `73502`	$462	—	—	—
Electrical stimulation therapy HCPCS Code: `G0283`	$117	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$3,708	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$139	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$226	—	—	—
Blood test, sodium CPT Code: `84295`	$63	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$203	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$75	—	—	—
Cataract surgery with lens implant CPT Code: `66984`	$3,896	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$145	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$22	—	—	—
Blood test, lipase CPT Code: `83690`	$159	—	—	—
Blood test, liver function panel CPT Code: `80076`	$184	—	—	—
C-section delivery (full package) CPT Code: `59510`	$5,548	—	$2,690	unverified
CT scan, sinuses CPT Code: `70486`	$2,243	—	—	—
Psychotherapy session (45 minutes) CPT Code: `90834`	$750	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$134	—	—	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$97	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$87	—	$19	—
Blood antibody screen CPT Code: `86850`	$150	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$148	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$87	—	$13	—
Ultrasound, pelvis CPT Code: `76856`	$993	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$203	—	—	—
Drug screening test HCPCS Code: `G0480`	$239	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$150	—	$46	—
Hospital observation (per hour) HCPCS Code: `G0378`	$149	—	—	—