CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$307 - $2,612
from 2 insurers · median $1,459
Typical for a hospital with this service line
Neligh, NE
32
In-network payers
129
Disclosed rate categories
23
Beds
Antelope Memorial Hospital is a 23-bed voluntary non-profit - private hospital in Neligh, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 129 disclosed rate categories.
CCN (Medicare provider number)
281326
NPI
1083790893
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
23
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Antelope Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$307 - $2,612
from 2 insurers · median $1,459
Typical for a hospital with this service line
CT imaging
CPT 70450
$124 - $1,340
from 2 insurers · median $732
Typical for a hospital with this service line
CT imaging
CPT 74176
$214 - $2,246
from 2 insurers · median $1,230
Typical for a hospital with this service line
Mammography
CPT 77067
$123 - $241
from 2 insurers · median $182
Typical for a hospital with this service line
CT imaging
CPT 71260
$162 - $1,551
from 2 insurers · median $857
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$38 - $128
from 2 insurers · median $83
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,004
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 73721
$237 - $1,522
from 2 insurers · median $880
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$8 - $138
from 2 insurers · median $73
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,390
negotiated rate
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 73630
$38 - $259
from 2 insurers · median $149
Typical for a hospital with this service line
Ultrasound
CPT 76700
$110 - $678
from 2 insurers · median $394
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$6 - $78
from 2 insurers · median $42
Typical for a hospital with this service line
X-ray and bone density
CPT 73562
$45 - $262
from 2 insurers · median $154
Typical for a hospital with this service line
X-ray and bone density
CPT 73610
$36 - $239
from 2 insurers · median $138
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$422
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$221
negotiated rate
Typical for a hospital with this service line
Laboratory and pathology
CPT 85027
$5 - $78
from 2 insurers · median $42
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$393
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$99
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$290
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77065
$141
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$133
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$189
negotiated rate
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 16 | 684% | 2 | 2 |
| Insurer B* | 22 | 79% | 0 | 22 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Antelope Memorial Hospital.
102 West Ninth Street, Neligh, NE 68756
(402) 887-4151
About Antelope Memorial Hospital's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Antelope Memorial Hospital range from $2,004 to $2,004 across 1 insurers. The median at nearby comparable hospitals is $2,002. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Antelope Memorial Hospital range from $307 to $2,612 across 2 insurers. Aetna's rate is $307. The median at nearby comparable hospitals is $2,638. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Antelope Memorial Hospital range from $393 to $393 across 1 insurers. Aetna's rate is $393. The median at nearby comparable hospitals is $3,166. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Antelope Memorial Hospital range from $123 to $241 across 2 insurers. Aetna's rate is $123. The median at nearby comparable hospitals is $307. What a patient pays depends on their plan's deductible, coinsurance and network status.
Antelope Memorial Hospital has 23 beds. Facility type: Critical Access Hospital.
Antelope Memorial Hospital is located at 102 West Ninth Street, Neligh, NE 68756. Its main phone number is (402) 887-4151.
Antelope Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 281326.
The National Provider Identifier (NPI) on file for Antelope Memorial Hospital is 1083790893.
Antelope Memorial Hospital lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
129 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers