CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,479 - $5,375
from 4 insurers · median $2,787
Typical for a hospital with this service line
Alliance, NE
26
In-network payers
123
Disclosed rate categories
25
Beds
4
Care quality
Box Butte General Hospital is a 25-bed government - local hospital in Alliance, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 123 disclosed rate categories.
CCN (Medicare provider number)
281360
NPI
1811929060
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Care Quality
4
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 Box Butte General 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
$2,479 - $5,375
from 4 insurers · median $2,787
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,216 - $1,392
from 3 insurers · median $1,366
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,218 - $2,568
from 3 insurers · median $2,286
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,730 - $2,068
from 3 insurers · median $1,840
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,213 - $2,533
from 4 insurers · median $1,370
Typical for a hospital with this service line
Mammography
CPT 77067
$240 - $558
from 4 insurers · median $357
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,116 - $4,473
from 4 insurers · median $2,390
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$936 - $2,032
from 4 insurers · median $1,754
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$133 - $385
from 4 insurers · median $247
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$930 - $2,023
from 4 insurers · median $1,747
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,004 - $3,945
from 4 insurers · median $2,128
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,905 - $3,801
from 4 insurers · median $2,152
Typical for a hospital with this service line
MRI imaging
CPT 72197
$3,940 - $4,831
from 4 insurers · median $4,449
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,360 - $2,935
from 4 insurers · median $2,703
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45380
$974 - $1,673
from 4 insurers · median $1,444
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,007 - $7,607
from 4 insurers · median $6,568
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$134 - $200
from 3 insurers · median $178
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$8,210 - $10,069
from 4 insurers · median $9,272
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,393 - $4,055
from 4 insurers · median $3,832
Typical for a hospital with this service line
Ultrasound
CPT 76705
$405 - $685
from 4 insurers · median $457
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$559 - $1,235
from 4 insurers · median $631
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$82 - $140
from 4 insurers · median $129
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$4,708 - $5,627
from 4 insurers · median $5,181
Typical for a hospital with this service line
Ultrasound
CPT 76830
$424 - $775
from 4 insurers · median $479
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* | 20 | 607% | 10 | 5 |
| Insurer B* | 24 | 550% | 0 | 0 |
| Insurer C* | 24 | 489% | 3 | 17 |
| Insurer D* | 24 | 460% | 0 | 12 |
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 Box Butte General Hospital.
2101 Box Butte Avenue, Alliance, NE 69301
(308) 762-6660
About Box Butte General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Box Butte General Hospital range from $2,116 to $4,473 across 4 insurers. Aetna's rate is $4,473. The median at nearby comparable hospitals is $4,032. 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 Box Butte General Hospital range from $2,479 to $5,375 across 4 insurers. Blue Cross Blue Shield's rate is $2,790. The median at nearby comparable hospitals is $3,707. 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 Box Butte General Hospital range from $930 to $2,023 across 4 insurers. Aetna's rate is $930. The median at nearby comparable hospitals is $3,619. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Box Butte General Hospital range from $240 to $558 across 4 insurers. Blue Cross Blue Shield's rate is $240. The median at nearby comparable hospitals is $344. What a patient pays depends on their plan's deductible, coinsurance and network status.
Box Butte General Hospital has 25 beds. Facility type: Critical Access Hospital.
Box Butte General Hospital is located at 2101 Box Butte Avenue, Alliance, NE 69301. Its main phone number is (308) 762-6660.
Box Butte General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 281360.
The National Provider Identifier (NPI) on file for Box Butte General Hospital is 1811929060.
Box Butte General Hospital lists 26 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
123 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.
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{
"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