Platte Valley Medical Center — price list

← Hospital overviewVerified from Platte Valley Medical Center’s published price file

Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

496 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Chromosome analysis Inpatient	88262 CPT	$431	—	$187 – $335	—
Drug screening methylphenidate Inpatient	80360 CPT	$343	—	$149 – $267	—
Microsatellite instability Inpatient	81301 CPT	$929	—	$403 – $723	—
Tau phosphorylated each Inpatient	84393 CPT	$995	—	$432 – $775	—
Tissue culture blood cells Inpatient	88237 CPT	$624	—	$271 – $486	—
Ab fungus nes Inpatient	86671 CPT	$785	—	$341 – $611	—
Ab hsv type 2 Inpatient	86696 CPT	$88.42	—	$38.38 – $68.83	—
Ab thyroglobulin Inpatient	86800 CPT	$74.75	—	$32.45 – $58.19	—
Ab; candida Inpatient	86628 CPT	$34.07	—	$14.79 – $26.52	—
Ab; enterovirus Inpatient	86658 CPT	$139	—	$60.43 – $108	—
Ab; lcmigm Inpatient	86727 CPT	$144	—	$62.45 – $112	—
Ab; salmonella; eia Inpatient	86768 CPT	$63.58	—	$27.60 – $49.50	—
Abl1 gene Inpatient	81170 CPT	$1,311	—	$569 – $1,020	—
Acetychol modulating ab Inpatient	83516 CPT	$64.88	—	$28.16 – $50.51	—
Acetylchol block ab Inpatient	83516 CPT	$143	—	$62.11 – $111	—
Acid phosphatase Inpatient	84060 CPT	$485	—	$210 – $377	—
Actin smooth muscle antibody each Inpatient	86015 CPT	$50.37	—	$21.87 – $39.21	—
Adenovirus antibody Inpatient	86603 CPT	$42.45	—	$18.43 – $33.05	—
Afb culture Inpatient	87116 CPT	$72.90	—	$31.65 – $56.75	—
Afb smear - rl Inpatient	87206 CPT	$30.31	—	$13.16 – $23.60	—
Aldolase Inpatient	82085 CPT	$46.80	—	$20.32 – $36.43	—
Alkaline phosphatase isoenzyme Inpatient	84080 CPT	$73.04	—	$31.71 – $56.86	—
Allerg sp igg quan or semiquan Inpatient	86001 CPT	$40.71	—	$17.67 – $31.69	—
Allergen specific ige, each allergen Inpatientapprox. match	86003 CPT	$17.17	—	$7.45 – $13.37	—
Alpha fetoprotein; amniotic fluid Inpatient	82106 CPT	$57.93	—	$25.15 – $45.10	—
Alpha globin gene sequence Inpatient	81257 CPT	$286	—	$124 – $223	—
Amino acids plasma quant Inpatient	82139 CPT	$224	—	$97.17 – $174	—
Amino acids; multi qual each Inpatient	82128 CPT	$231	—	$100 – $180	—
Ammonia Inpatient	82140 CPT	$72.38	—	$31.42 – $56.35	—
Amniotic fluid spectroph Inpatient	82143 CPT	$116	—	$50.19 – $90.00	—