CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,716 - $4,714
from 3 insurers · median $4,650
Typical for a hospital with this service line
Fairbury, NE
29
In-network payers
139
Disclosed rate categories
17
Beds
Jefferson Community Health And Life is a 17-bed voluntary non-profit - private hospital in Fairbury, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 139 disclosed rate categories.
CCN (Medicare provider number)
281319
NPI
1477660397
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
17
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 Jefferson Community Health And Life 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
$2,716 - $4,714
from 3 insurers · median $4,650
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,272 - $4,144
from 3 insurers · median $3,798
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,368
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77067
$236 - $391
from 2 insurers · median $313
Typical for a hospital with this service line
CT imaging
CPT 74178
$3,045 - $5,716
from 3 insurers · median $5,656
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$133 - $374
from 2 insurers · median $254
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,334 - $3,920
from 2 insurers · median $3,127
Hospital reports nuclear medicine services to CMS
Laboratory and pathology
CPT 80053
$131 - $186
from 3 insurers · median $185
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,504
negotiated rate
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$80 - $119
from 3 insurers · median $118
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$6,067
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,916
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 73562
$262 - $412
from 3 insurers · median $408
Typical for a hospital with this service line
X-ray and bone density
CPT 73564
$399 - $439
from 3 insurers · median $434
Typical for a hospital with this service line
Laboratory and pathology
CPT 80048
$107 - $158
from 3 insurers · median $156
Typical for a hospital with this service line
Ultrasound
CPT 76856
$864
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$479
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,482
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$534
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76536
$696
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 73221
$1,800
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76642
$431
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77065
$353
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77066
$415
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* | 8 | 1552% | 8 | 0 |
| Insurer B* | 15 | 762% | 2 | 0 |
| Insurer C* | 20 | 492% | 17 | 1 |
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 Jefferson Community Health And Life.
2200 'h' Street, Fairbury, NE 68352
(402) 729-3351
About Jefferson Community Health And Life's rates and hospital price transparency.
For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Jefferson Community Health And Life range from $1,916 to $1,916 across 1 insurers. Blue Cross Blue Shield's rate is $1,916. The median at nearby comparable hospitals is $1,905. 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 Jefferson Community Health And Life range from $2,716 to $4,714 across 3 insurers. Blue Cross Blue Shield's rate is $2,716. The median at nearby comparable hospitals is $2,718. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jefferson Community Health And Life range from $236 to $391 across 2 insurers. Aetna's rate is $391. The median at nearby comparable hospitals is $253. What a patient pays depends on their plan's deductible, coinsurance and network status.
Jefferson Community Health And Life has 17 beds. Facility type: Critical Access Hospital.
Jefferson Community Health And Life is located at 2200 'h' Street, Fairbury, NE 68352. Its main phone number is (402) 729-3351.
Jefferson Community Health And Life's CMS Certification Number (CCN), also called its Medicare provider number, is 281319.
The National Provider Identifier (NPI) on file for Jefferson Community Health And Life is 1477660397.
Jefferson Community Health And Life lists 29 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.
139 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