Gothenburg, NE
31
In-network payers
98
Disclosed rate categories
12
Beds
Gothenburg Memorial Hospital is a 12-bed government - hospital district or authority hospital in Gothenburg, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 98 disclosed rate categories.
CCN (Medicare provider number)
281313
NPI
1922051531
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
12
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 Gothenburg 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
$486 - $5,194
from 4 insurers · median $2,987
Typical for a hospital with this service line
CT imaging
CPT 70450
$196 - $1,412
from 3 insurers · median $1,368
Typical for a hospital with this service line
CT imaging
CPT 74176
$339 - $4,533
from 4 insurers · median $2,526
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$287 - $2,499
from 4 insurers · median $1,994
Typical for a hospital with this service line
CT imaging
CPT 71275
$390 - $3,515
from 3 insurers · median $2,271
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$348 - $5,131
from 4 insurers · median $4,094
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$668 - $3,778
from 4 insurers · median $3,014
Typical for a hospital with this service line
MRI imaging
CPT 70553
$592 - $4,410
from 4 insurers · median $3,519
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$622 - $4,348
from 4 insurers · median $3,469
Typical for a hospital with this service line
MRI imaging
CPT 70551
$363 - $3,920
from 4 insurers · median $3,128
Typical for a hospital with this service line
Mammography
CPT 77067
$228 - $431
from 4 insurers · median $253
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,885 - $4,606
from 4 insurers · median $4,489
Typical for a hospital with this service line
MRI imaging
CPT 72148
$290 - $3,773
from 4 insurers · median $2,145
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$4,928 - $7,868
from 4 insurers · median $7,668
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$774 - $4,361
from 4 insurers · median $2,543
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$60 - $387
from 4 insurers · median $186
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$210 - $1,368
from 4 insurers · median $1,092
Typical for a hospital with this service line
Ultrasound
CPT 76705
$132 - $774
from 4 insurers · median $618
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,376 - $3,794
from 4 insurers · median $3,697
Typical for a hospital with this service line
Ultrasound
CPT 76856
$537 - $858
from 4 insurers · median $836
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,043 - $1,666
from 4 insurers · median $1,624
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$13 - $211
from 4 insurers · median $132
Typical for a hospital with this service line
Ultrasound
CPT 76830
$423 - $676
from 4 insurers · median $659
Typical for a hospital with this service line
Ultrasound
CPT 76536
$198 - $993
from 4 insurers · median $792
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* | 24 | 733% | 8 | 2 |
| Insurer B* | 22 | 704% | 0 | 0 |
| Insurer C* | 24 | 478% | 4 | 17 |
| Insurer D* | 24 | 144% | 4 | 18 |
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 Gothenburg Memorial Hospital.
910 20th Street, Gothenburg, NE 69138
(308) 537-3661
The nearest hospitals of similar type and size. Their rates are compared with Gothenburg Memorial Hospital for the same insurers and services above.
Cozad Community Hospital
Rates about the same as Gothenburg Memorial Hospital (23 services)
Lexington Regional Health Center
▲ Rates typically 24% higher than Gothenburg Memorial Hospital (22 services)
Callaway District Hospital
▲ Rates typically 16% higher than Gothenburg Memorial Hospital (22 services)
Jennie M. Melham Memorial Med Center
▼ Rates typically 20% lower than Gothenburg Memorial Hospital (22 services)
Tri Valley Health System
▲ Rates typically 9% higher than Gothenburg Memorial Hospital (23 services)
Phelps Memorial Health Center
▲ Rates typically 19% higher than Gothenburg Memorial Hospital (23 services)
Antelope Memorial Hospital
Beatrice Community Hospital
Genoa Community Hospital
About Gothenburg Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Gothenburg Memorial Hospital range from $592 to $4,410 across 4 insurers. Blue Cross Blue Shield's rate is $4,275. The median at nearby comparable hospitals is $3,724. 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 Gothenburg Memorial Hospital range from $486 to $5,194 across 4 insurers. Aetna's rate is $486. The median at nearby comparable hospitals is $2,690. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Gothenburg Memorial Hospital range from $348 to $5,131 across 4 insurers. Blue Cross Blue Shield's rate is $4,974. The median at nearby comparable hospitals is $1,612. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Gothenburg Memorial Hospital range from $228 to $431 across 4 insurers. Aetna's rate is $228. The median at nearby comparable hospitals is $253. What a patient pays depends on their plan's deductible, coinsurance and network status.
Gothenburg Memorial Hospital has 12 beds. Facility type: Critical Access Hospital.
Gothenburg Memorial Hospital is located at 910 20th Street, Gothenburg, NE 69138. Its main phone number is (308) 537-3661.
Gothenburg Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 281313.
The National Provider Identifier (NPI) on file for Gothenburg Memorial Hospital is 1922051531.
Gothenburg Memorial Hospital lists 31 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.
98 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